Understanding Acne: A Naturopathic Approach to Hormones, Nutrition, and Skin Health

Acne is one of the most common skin concerns, yet also one of the most misunderstood. While topical treatments can help manage breakouts, lasting results often require a deeper look at what’s happening inside the body. From hormonal imbalances to nutritional deficiencies and inflammation, acne is often a reflection of overall internal health. A naturopathic approach focuses on identifying and addressing these root causes for clearer, healthier skin.

Hormonal Health and Acne

Hormones play a key role in acne development. Androgens, such as testosterone, can increase oil (sebum) production, leading to clogged pores and bacterial overgrowth. This is why acne commonly appears or worsens during puberty, menstrual cycles, pregnancy, or periods of high stress.

For women, symptoms such as irregular cycles or PMS may indicate hormonal imbalances that contribute to breakouts. Naturopathic medicine aims to restore balance naturally—through lifestyle changes, nutrition, stress management, and targeted supplementation—helping to regulate hormones and support skin health from within.

Nutrition and Gut Health

Nutritional status has a powerful influence on skin health. Deficiencies in key nutrients can affect the body’s ability to heal, regulate inflammation, and maintain a healthy skin barrier. Supporting gut health is equally important—since the gut microbiome helps control inflammation, detoxification, and nutrient absorption, all of which are essential for radiant, clear skin.

A naturopathic physician can assess nutritional needs and recommend a diet and supplement plan tailored to your unique body chemistry, helping to calm inflammation and promote long-term skin clarity.

Natural Skin Care Support

Using gentle, non-comedogenic skincare products can make a significant difference. A natural approach focuses on protecting and restoring the skin barrier with ingredients that soothe rather than strip the skin. Avoiding harsh or overly drying products helps prevent the cycle of irritation and overproduction of oil that often worsens acne.

The Role of Lab Testing

For individuals with chronic or cystic acne, lab testing can reveal the underlying causes that topical treatments alone cannot address. Common naturopathic testing may include:

  • Comprehensive hormone panel – to evaluate estrogen, progesterone, testosterone, DHEA, and cortisol levels.

  • Nutrient testing – to detect deficiencies in vitamins and minerals critical for skin healing.

  • Food sensitivity or inflammation testing – to uncover internal imbalances that may affect skin health.

By uncovering the body’s unique patterns, these insights guide a personalized treatment plan that targets the root causes of acne—rather than just the surface symptoms.

To schedule an appointment with Dr. Barnett, contact her office at 425-539-0800 or email staff@drclara.com. Her offices are conveniently located in Seattle and Bellevue, with telemedicine appointments also available. Most insurance plans are accepted.

Clara Barnett