Wednesday, July 16, 2014

Undisputable Evidence Moisturizing Prolongs TSW Recovery

I recently had an interesting exchange on someone else's blog with a woman who owns ands sells natural skin products and want to share it so people can gain a better understanding of the negative effects of any and all moisturizer products on the skin no matter if you are in tsw or not. At the end you will see I posed my theory to Dr. Fukaya and got his opinion. This should be very helpful for anyone who has questions as to whether they should moisturize or not. The blog this occurred on and the person's name I had this exchange with will remain unnamed for privacy purposes. Since I prefer not to mention names I'll just refer to the person as "moisturizer advocate". After reading this and the information in the links provided, you will see that moisturizing your skin slows healing from tsw considerably.

Moisturizer advocate:
I was only looking at your blog to see if you might want to review our Calendula Cream. It is a water free emollient with anti-inflammatory calendula, water free means no preservatives or emulsifiers, so it is really good for very sensitive types. We have had many amazing customer reviews and just won Gold in the free from skin care awards problem skin category. I would just like to send you some, maybe it will help. Read about it on our web site under calendula cream section. If you would like some just email me, I will send it for free whether you want to review or not.

Me:
But what about this study?

http://www.ncbi.nlm.nih.gov/pubmed/10086859

Many people going through tsw have discovered that NOT moisturizing makes a significant difference in healing times, severity of the condition itself, and in general, comfort and manageability of their steroid induced eczema.

Also, your website's claim "Our waterless Healing Calendula cream contains soothing lavender essential oil to soothe the itch." is not true for all people. Lavender is a common skin irritant for many people.

I applaud your effort to provide natural skin care products, and know firsthand Calendula is a very effective healer, the link above shows why people shouldn't moisturize long term. But even if used short term while in tsw, all moisturizers will irritate the skin and prolong healing, even though it may appear they are beneficial in the short term.

Moisturizer advocate:
Dan, do you have access to the full text of the study you flagged up? I am very interested to find out what sort of moisturiser was used. I am pretty sure it would be an emulsion of water and emollients held together with emulsifiers as this is a 'conventional' moisturiser. If this is the case I would expect it to have a detrimental effect on skin barrier function and therefore make skin more susceptible to irritants. This is because you outer layer of skin, the stratum corneum, is a delicate balance of lipids and water. I have argued for some time that applying emulifiers to any skin is a really bad idea. This is why I have been promoting moisturising, and cleansing, with 100% natural oils. Natural oils contain the same fatty acids used by your skin in the stratum corneum they neatly repair breeches without disruption. I would be amazed to find any study finding this sort of moisturising detrimental.

I don't understand why moisturising is a bad idea when in TSW, can you explain please and do you believe moisturising with natural oils has the same outcome as using coventional moisturisers? I am very interested to learn more about TSW.

I hope those wrestling with the terrible dilimma, about whether to moisturise or not have the benefit of understanding how different moistuising products and indeed simple carrier oils work on the skin, how they affect skin barrier function and how skin barrier fuction works (googling stratum corneum is a good idea). I really feel this is important when making an informed decision, and an informed decision is really necessary at a time like this.

Also, to answer you point about lavender, I agree there are people allergic to all sorts of natural compounds, but fortunately there is a huge range of options including simple pure oils like virgin coconut, olive etc. I always advise patch testing any substance to check for reactions and I strive to alert customers to the potential allergens in my products, I take on board I have maybe not emphasised the essential oils issue enough, I will look at this. I am thinking about these issues as I consider extending my range of products too.

Me:
 I don't have any other info on that study other than the link to what you saw. No doubt a moisturizer that has an emulsion is more damaging to the skin than one without it, but that doesn't necessarily mean moisturizers without emulsions are good to put on the skin. Nor does it change the fact that people are led to believe they need to moisturize their skin when they really don't. I believe that using a moisturizer that doesn't have an emulsion ingredient in it is better than using one with it, but using no moisturizer is even better yet. As to seeing studies on whether this sort of moisturizing is detrimental, see this study on olive oil, which is the base in many "natural" moisturizer products:

http://dermatologistsblog.com/atopic-dermatitis-eczema/effect-of-olive-and-sunflower-seed-oil-on-the-adult-skin-barrier-implications-for-neonatal-skin-care/. Also see: http://www.ncbi.nlm.nih.gov/pubmed/22995032. And, check this one out: http://www.ncbi.nlm.nih.gov/pubmed/10086859.

Why promote moisturizing anyway? It's harmful, not helpful. The only thing one needs to understand is that applying any moisturizer to the skin weakens the skin barrier if done for more then a couple weeks or so. See http://mototsugufukaya.blogspot.jp/search/label/Is%20moisturizing%20really%20a%20help%20to%20cure%3F

During tsw the skin is extremely hypersensitive and anything put on it makes the itching that accompanies tsw far more intense. That is just one reason why people shouldn't put anything on their skin during tsw. Another is, moisturizing the skin basically tricks the body into thinking it doesn't need to moisturize itself. And there is more as well that I don't have time to go into here.

Patch testing is useless during tsw due to false positives that occur due to the effects of tsw.

Let's distinguish the hype from the truth. Hype: you need to moisturize your skin for various reasons. Truth: you don't need to moisturize your skin because your body has the ability to do it on it's own, and trying to do it for the body only interferes with this natural process and weakens the skin barrier in the long run, even in people with healthy skin that aren't in tsw.

I do lump all products together when I say moisturizers. But it really doesn't matter. Putting stuff on your skin other than pure water is not good for your skin no matter what it is with few exceptions. There is no need to establish what works for anyone because what works is allowing the body to do it's thing, not treat symptoms and make the situation worse. People who believe they need to moisturize have simply allowed themselves to be brainwashed. No disrespect meant, that's just the truth as I see it. It just makes logical sense to me.

Why do you think very few men moisturize their skin and don't have a need to? And most all women moisturize their skin and feel they have a need to? Women think they need to moisturize because of conventional wisdom from the medical community (same people that promote ts), and because they believe the hype they see on the television and read on various publications. And, because they have compromised their skin barrier by applying various moisturizers to their skin most their lives. Problem is, it's like ts. The skin just gets worse over time. Allow your skin to function on it's own and the "illusion" of needing to moisturize will eventually be gone. Continue to moisturize and the skin will continue to have problems and you will think you need to moisturize. Just like ts. Again, you have to ask yourself why men have soft skin all their lives without moisturizing to see my point.

I believe there are natural oils one can safely use on their skin only if they use them short term, as in a day or a few days, but that's about it. These are just my opinions but I try to back them up with studies when possible. Itsan made a claim a couple of months ago that they have never seen anyone heal from tsw in under a year. I know one person who healed in 9 months, and I healed in just a year and a couple of weeks. The difference between us and the many hundreds of others in tsw is we didn't use moisturizers. The rest are all still struggling with tsw due to moisturizing and keeping their skin barrier in a weakened state. It's all very obvious. I've been telling people this since I did MW at the beginning of month 3 of my tsw when I could see moisturizers like Calendula and Shea butter were very effective short term but then the skin worsened after a few weeks.

As for Lavender, it's a well known skin irritant, much more so than most other plants. But, I'm open to changing my opinions if anyone can disprove what I am saying. Anecdotal evidence shows I'm correct, as do studies done by people who aren't selling products, or doing studies with a predetermined outcome in mind for the purpose of selling products.

After writing this I decided to ask Dr. Fukaya if he agreed with me as to my idea that moisturizing has negative effects on the skin not only with people in tsw but also people with healthy skin and his answer is interesting. See my question to him and his response at the bottom of this article here: http://mototsugufukaya.blogspot.com/2014/07/topical-steroids-cause-two-kinds-of.html

Monday, July 14, 2014

Cured & Healed In One Year! Picture Update

Well, it's actually a couple weeks over one year but close enough to say one year. I started taking showers again last week for the first time in a year. Even used soap and shampoo on my entire body as well for the first time in a year. I'm completely healed and can tell. No more itching. No more skin splits even though I have been working with my hands up to 15 hours per day for the last two months. No more mini flares. No exercise, no special diet, just lots of ice cream and my typical heavy on the dairy diet. If I had eaten properly and quit smoking I'm confident I would have posted this post 3-4 months ago. So to you Itsan vets, there you go fools. I guess I get the last laugh LOL! Fools!