We often think of metabolism as the process that regulates our weight and energy, but it’s much more than that. Metabolic health refers to how well your body converts food into energy, manages blood sugar, controls inflammation, and supports overall cellular function. When your metabolism is balanced, your body systems—from your digestion to your hormones and beyond—work more efficiently, and that includes your skin.
Your skin is your biggest organ, and it interacts with many different systems of the body. First and foremost, it’s a very important part of your immune system, but it’s also involved with the nervous system, circulatory system, and endocrine system. It’s particularly unique because it’s on the outside of our body, rather than inside like most other organs, so we can actually see how healthy it is. And because it’s a reflection of internal health, issues with the skin are often indicative of issues within.
Your metabolic health, in particular, has a significant impact on how well your skin functions – and as a result, on how it looks. The effects of imbalances in these key physiological functions can manifest as a range of skin conditions, each with its own metabolic ties.
Dry Skin: A healthy fat metabolism is essential for maintaining the skin’s moisture barrier. When your body struggles to metabolize and absorb healthy fats—such as omega-3 fatty acids—your skin can become dry, flaky, and less able to retain moisture. Essential fatty acids are crucial for producing the lipids that form the protective barrier on your skin, keeping it hydrated and resilient. An impaired skin barrier leaves you more susceptible to irritants, allergens, and microbes that can cause infection and trigger inflammation. It can also cause your sebocytes (your oil glands) to produce more oil to compensate, which can cause other skin problems.
Aging Skin: Metabolic dysfunction, including issues with glucose and lipid metabolism, increases oxidative stress—an imbalance between free radicals and antioxidants. Free radicals damage collagen and elastin fibers, accelerating the aging process and leading to wrinkles, sagging skin, and loss of elasticity. The body’s antioxidant defense systems rely on healthy metabolic functions to produce and utilize antioxidants to neutralize these free radicals and prevent cellular damage.
Acne: Insulin resistance—when your body’s cells become less responsive to the hormone insulin—leads to elevated blood sugar and insulin levels. This triggers the production of excess sebum (skin oil), which clogs pores and creates an environment ripe for acne-causing bacteria and yeast. Additionally, chronically elevated blood sugar increases inflammation and hormonal imbalances, further contributing to acne flare-ups.
Rosacea: Rosacea is an inflammatory skin condition that can worsen due to systemic inflammation. Metabolic dysfunction, particularly related to blood sugar imbalances and gut health, can exacerbate this inflammation. Gut dysbiosis (an imbalance in gut bacteria) is often linked to metabolic issues and has been shown to play a role in triggering rosacea flare-ups through the gut-skin axis.
Psoriasis: Psoriasis, an autoimmune condition marked by excessive skin cell turnover, is closely tied to chronic inflammation. Poor metabolic health—particularly issues like insulin resistance, obesity, and systemic inflammation—can worsen psoriasis and exacerbate flare-ups. In fact, 20 to 50% of people with psoriasis also have metabolic syndrome, and the risk of having it is at least double in those with the condition compared to those without it.
Eczema: Eczema, or atopic dermatitis, is often associated with both inflammation and compromised skin barrier function. While not as clearly linked to metabolic health as many other skin conditions, the gut-immune connection plays a role in triggering eczema. Imbalances in gut bacteria, often seen in metabolic dysfunction, can lead to systemic inflammation and immune responses that worsen eczema symptoms.
To support both your metabolic health and your skin, here are some key considerations to keep in mind:
Diet
Balance Blood Sugar: Focus on eating balanced meals that include protein, fiber, and healthy fats to stabilize blood sugar and reduce insulin spikes. This can prevent excess oil production and reduce inflammation.
Incorporate Omega-3 Fatty Acids: Omega-3s, found in foods like fatty fish (salmon, mackerel) and flaxseeds, are anti-inflammatory and help maintain skin moisture and barrier function.
Antioxidant-Rich Foods: Eat plenty of fruits and vegetables high in antioxidants (berries, leafy greens, citrus) to combat oxidative stress and support collagen production.
Lifestyle
Manage Stress: Chronic stress elevates cortisol, which not only harms your metabolic health but also exacerbates inflammatory skin conditions. Incorporate stress-relieving practices like yoga, meditation, or mindful breathing to keep cortisol levels in check.
Get Quality Sleep: Poor sleep disrupts your metabolism and accelerates skin aging. Aim for 7-8 hours of restorative sleep each night to allow your skin to repair and regenerate.
Stay Hydrated: Proper hydration supports skin elasticity and barrier function, reducing dryness and helping your metabolism run efficiently.
Supplements
Probiotics: Supporting gut health can improve metabolic health and reduce systemic inflammation, improving skin conditions like acne and eczema. Look for probiotic supplements with strains like Lactobacillus and Bifidobacterium.
Vitamin C and E: These antioxidants protect your skin from oxidative stress and support collagen production.
Zinc: Zinc is known for its role in skin repair and reducing inflammation and can be particularly helpful for acne-prone skin.
While improving your metabolic health is an important step in achieving healthier skin, the causes of skin issues vary from person to person. Your strategy should be tailored to your unique needs, taking into account factors like hidden infections, genetic variants, nutrient deficiencies, and more. Exploring these deeper layers can provide a more complete understanding of what’s driving your skin concerns, but focusing on metabolic health is a powerful foundational approach that benefits everyone.