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Speaker 1: I'm sure you've noticed cold plunges are pretty trendy lately.

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Speaker 1: You've seen those videos of people slipping their freezing bodies

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Speaker 1: into ice cold water all over your social media pages.

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Speaker 1: I've tried it kind of, but if I'm being honest,

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Speaker 1: I totally prefer a hot shower. I mean, saunas and

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Speaker 1: the heat, aside from being Mormon cozy, can do wonders

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Speaker 1: for your skin. But for those who like the cold water,

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Speaker 1: they still feel compelled to keep at it even when

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Speaker 1: it sounds unpleasant.

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Speaker 2: I jumped off that boat and I just instantly froze.

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Speaker 1: And I was prepared for it, but not prepared at

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Speaker 1: the same.

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Speaker 2: Time, and I immediately just thought, I think I'm getting

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Speaker 2: hypothermia instantly, and I thought, I don't know how I'm

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Speaker 2: going to make it back.

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Speaker 1: I can't do this.

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Speaker 2: I think I'm going to disqualified. I think I'm going

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Speaker 2: to get pulled. It's not going to work. And then

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Speaker 2: it just kind of did, because you get caught up

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Speaker 2: in that excitement of a big mass event.

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Speaker 1: Hi guys, and welcome. I'm so glad you're here. Nicoleberry,

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Speaker 1: and this is Skin Querries, a show all about our

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Speaker 1: skin and its health. As we grow in age. Our

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Speaker 1: skin is really a record of a life well lived,

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Speaker 1: because there isn't one body part that I could think

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Speaker 1: of that reflects our well being as clearly as our skin.

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Speaker 1: So let's go on this journey together to really understand

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Speaker 1: what's going on with our skin. Let's unravel the mysteries

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Speaker 1: happening inside and out. Today we'll focus on how cold

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Speaker 1: and hot water affects our skin. Growing up, my mom,

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Speaker 1: who's Korean, always told me to stay away from the

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Speaker 1: cold water, and stay away from ice, stay away from

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Speaker 1: cold drinks, anything that's cold, because it can actually lead

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Speaker 1: to stagnancy in the blood and circulation. She really recommended

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Speaker 1: hot water, hot drinks, and all of those really warm things.

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Speaker 1: But now cold plunging is all the rage. Personally, I'm

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Speaker 1: an avid sauna user. I love sweating, I love the heat,

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Speaker 1: and I love love that it can open up your

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Speaker 1: pores and really do wonders for your skin. So I'm

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Speaker 1: really intrigued and a little scared of cold plunging myself.

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Speaker 1: But eventually I did came into cold plunging recently on vacation,

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Speaker 1: after reading all about the benefits and seeing my friends

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Speaker 1: doing it and loving it. I did enjoy the rush

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Speaker 1: of cold, and I noticed an invigoration. My skin was tighter.

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Speaker 1: I really felt alive, and I was curious to know

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Speaker 1: if any of these benefits were based on actual fact.

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Speaker 1: Are there any consequences to putting our skin through these

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Speaker 1: extreme temperatures. Let's dive in and answer once and for all.

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Speaker 1: Does our skin prefer cold water or hot water?

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Speaker 3: Hi?

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Speaker 1: Melissa, how are you very good today? How are you?

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Speaker 1: It's so good to see you. My first guest is

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Speaker 1: Melissa Keegler, an open water swimmer specializing in marathon, channel

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Speaker 1: and ice swimming.

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Speaker 2: I love just the feeling of being in the water.

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Speaker 2: I grew up in Michigan, round water all the time,

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Speaker 2: so when I eventually moved out to Washington and discovered

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Speaker 2: this amazing cold water ocean out here, it was just

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Speaker 2: this new world. And that really got me into marathon swimming,

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Speaker 2: which is it starts at a distance of ten kilometers

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Speaker 2: and then goes up from there. And marathon swimming turned

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Speaker 2: into channel swimming, which is ultra distance marathon swimming, and

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Speaker 2: eventually turned into ice swimming, which is swimming that is

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Speaker 2: in water temperature forty one degrees fahrenheit five degrees celsius

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Speaker 2: or below.

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Speaker 1: I just love the water.

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Speaker 2: I love my animals, and I love everything about the

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Speaker 2: ocean out here.

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Speaker 1: So what was it that kind of hooked you And

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Speaker 1: how did you even come to learning about open water

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Speaker 1: competitive swimming.

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Speaker 2: So open water competitive swimming actually got into it through

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Speaker 2: triathlon and it was my aunt who lives in Florida.

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Speaker 2: She was doing a triathlon and had an injury. So

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Speaker 2: my mom's sister and I we said, Florida sounds great.

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Speaker 2: I mean, Michiganders love going to Florida. And we said,

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Speaker 2: let's make a girl's trip out of it. We'll go

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Speaker 2: down to Florida. We'll do the relay and I'll do

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Speaker 2: the swimming leg. And I remember getting in and just

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Speaker 2: thinking this is so cool. It was just this moment.

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Speaker 2: I was out there, I was swimming, and I could

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Speaker 2: do whatever I wanted as long as I got to

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Speaker 2: the end. There weren't rules necessarily about don't do a

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Speaker 2: stroke this way, don't do a stroke that way. If

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Speaker 2: you touch a wall a certain way, you're going to

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Speaker 2: get disqualified. It was so freeing. I remember getting out going.

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Speaker 2: I have no idea what just happened, but I think

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Speaker 2: I kind of like this, and I think I want

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Speaker 2: to do it again.

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Speaker 1: So how did you go from then that to cold

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Speaker 1: slash ice swimming?

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Speaker 2: My first cold water swim, I did the Alcatraz swim

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Speaker 2: because I thought that would be really fun.

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Speaker 1: Okay, tell us about that.

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Speaker 2: You get on a big boat, a fairy type boat

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Speaker 2: with all the other competitors. The boat goes out to

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Speaker 2: Alcatraz Island, drops you off, and then you swim into

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Speaker 2: the San Francisco.

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Speaker 1: As if you're truly escaping.

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Speaker 2: Yes, yes, and I definitely wore a black and white

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Speaker 2: stripe suit under my wet suit. But I was had

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Speaker 2: to tow full knia pre because I just thought it's cold.

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Speaker 2: But it's a relatively short swim, so I thought, okay,

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Speaker 2: I could deal with it.

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Speaker 1: Nicole.

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Speaker 2: I jumped off that boat and I just instantly froze.

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Speaker 1: Oh my god.

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Speaker 2: And I was prepared for it, but not prepared at

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Speaker 2: the same time, and I immediately just thought, I think

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Speaker 2: I'm getting hypothermia instantly, and I thought, I don't know

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Speaker 2: how I'm going to make it back. I can't do this.

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Speaker 2: I think I'm gonna be disqualified. I think I'm going

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Speaker 2: to be an ice cube. I think I'm going to

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Speaker 2: get pulled. It's not going to work. And then it

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Speaker 2: just kind of did, because you get caught up in

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Speaker 2: that excitement of a big mass event.

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Speaker 1: Then Melissa moved to Seattle for work, and she had

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Speaker 1: no other option but to swim in cold water. In

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Speaker 1: the summer, the average temperature of the water is fifty

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Speaker 1: three degrees and in the winter it's forty five. And

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Speaker 1: in twenty twenty two, Melissa shattered the US national distance

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Speaker 1: record for the International Ice Swimming Associations Ice Mile event,

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Speaker 1: completed a one point four mile swim in thirty nine

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Speaker 1: point two degrees water. So impressive and inspiring. So I

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Speaker 1: had to ask her how she trades her body to

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Speaker 1: handle being in the ice water.

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Speaker 2: So you're doing a lot of cold ice baths where

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Speaker 2: I'll be outside in a cold plunge for you know,

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Speaker 2: forty five minutes to an hour just sitting there, which

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Speaker 2: is very different than cold plunging, I think to what

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Speaker 2: most people think it is, it's a lot of just

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Speaker 2: freezing yourself intentionally as much as you can to build

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Speaker 2: up and maintain that cold resistance. So there's a lot

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Speaker 2: less swimming, I would say for ice swimming season and

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Speaker 2: a lot more cold conditioning that goes on because you

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Speaker 2: have to prepare your body for that level of cold exposure.

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Speaker 1: How would you describe your skin reacting when you do

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Speaker 1: go into a plunge.

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Speaker 2: It almost feels like your skin is burning in a way,

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Speaker 2: or like you have a sunburn, and you know, you

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Speaker 2: get in a shower for the first time, and maybe

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Speaker 2: you don't really realize you have a sunburn until that

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Speaker 2: first drop of water hits your skin. You'd go oh,

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Speaker 2: and you just kind of freak out a little bit.

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Speaker 2: And it's just this strange feeling of essentially your skin

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Speaker 2: in your blood vessels within your body, essentially moving the

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Speaker 2: blood away from your extremities and the outside of your

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Speaker 2: body into your body to preserve life in your core organs.

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Speaker 2: Why it feels so painful, I have no idea, But

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Speaker 2: what I can say is that after ten minutes, when

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Speaker 2: you're numb, you don't feel it anymore.

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Speaker 1: So for someone who's been doing it now for years

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Speaker 1: and years, I'm so interested to hear how that's affected

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Speaker 1: your skin and your health.

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Speaker 2: I think the cold water, at least for me, has

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Speaker 2: definitely it makes me feel like it's kept me looking youthful,

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Speaker 2: and young, so there's the aesthetic benefit of the cold water,

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Speaker 2: and then with salt water, it's almost like you're getting

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Speaker 2: a micro scrub I guess a mini facial while you're

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Speaker 2: in there.

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Speaker 1: But Melissa puts her body through extreme temperatures and that

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Speaker 1: can have detrimental effects.

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Speaker 2: One of the things I try to talk to people about,

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Speaker 2: especially people in coaching or people that are curious about

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Speaker 2: ice swimming, is the potential for nerve damage is really

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Speaker 2: real in your extremities. A couple of my toes on

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Speaker 2: my right foot, I'm pretty sure have nerve damage because

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Speaker 2: when I walk outside in the grass in the morning

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Speaker 2: without shoes on, and you know, you get that morning dew.

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Speaker 2: The minute water hits those two toes, it's just immense pain.

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Speaker 2: And one of the other interesting skin things that has

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Speaker 2: actually developed just within the last year is cold urdicaria. Essentially,

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Speaker 2: it's an allergy to the cold, and what ends up

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Speaker 2: happening is I'll go swimming and the water will be cold,

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Speaker 2: and then about I don't know anywhere from two to

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Speaker 2: six hours afterwards, my face will start to swell up

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Speaker 2: and I'll get big hives and rashes. I did find

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Speaker 2: in talking to my doctor that the people that do

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Speaker 2: have this condition, they're prone to sudden unconsciousness, which on

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Speaker 2: land isn't necessarily a big issue. But if you're in

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Speaker 2: the water and you pass out, you could drown almost

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Speaker 2: instantly because it only takes about half a cup of

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Speaker 2: water to fill your lungs and drown.

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Speaker 1: And has that happened to you yet or no? No, okay,

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Speaker 1: thank god.

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Speaker 2: Yeah, you can take antihistamines to hopefully calm your skin

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Speaker 2: down before you get in the water. I've also tried

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Speaker 2: petroleum jelly like vacoline or other topical ointments to put

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Speaker 2: on the affected areas before I get in the water. Now,

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Speaker 2: I do have an EpiPen that I carry with me

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Speaker 2: at the beach. My swim friends know where it is,

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Speaker 2: just in case something happened. So I do have safety

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Speaker 2: measures that I put in place for myself. But then

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Speaker 2: also I accept the risk if something does happen that

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Speaker 2: that's a decision that I made for myself.

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Speaker 1: Tell us about how you prepare your skin for all

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Speaker 1: the intense cold plunges. What's your skincare routine like? Is

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Speaker 1: it a deliberate skincare routine to withstand the cold?

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Speaker 2: I think when the water is super cold, my skin

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Speaker 2: chafes more. Anybody who's chafed understands what I'm talking about.

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Speaker 2: It is one of the most painful things, and it

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Speaker 2: chafes in different places depending on the water conditions, whether

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Speaker 2: it's flat or wavy, fresh or salty. So making sure

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Speaker 2: I have a product for my skin that is safe

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Speaker 2: for the environment, that you know doesn't come off in

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Speaker 2: the water, because one thing, it's bad for the water,

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Speaker 2: the body of water you're in, the plants and the animals,

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Speaker 2: but also you are not protected from shaping if it

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Speaker 2: comes off. So using something that's super heavy that sticks

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Speaker 2: is great, But then you have the problem of clogged pores,

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Speaker 2: and is there a.

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Speaker 1: Way you prevent these products from clogging your pores?

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Speaker 2: So I just need to make sure I have some

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Speaker 2: really really good so to really cleanse the area, get

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Speaker 2: things off, and then you know, just make sure I

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Speaker 2: hydrate afterwards.

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Speaker 1: And I think that's the other thing too.

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Speaker 2: I find in the cold water, I need to use

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Speaker 2: body moisturizers and lotions a lot more because my skin

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Speaker 2: gets super super dry after the cold water.

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Speaker 1: After a cold plunder, a cold swim, do you typically

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Speaker 1: take a hot shower, a hot bath or do you

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Speaker 1: take going right into the cold I don't do. I

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Speaker 1: don't do cold showers. That's so ironic.

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Speaker 2: The cold shower is just horrendous. The shower to me

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Speaker 2: is my one place of joy and warmth during the week.

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Speaker 2: That is so fair and I like keeping it that way.

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Speaker 2: So do you do it like extra hot warm?

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Speaker 1: I would say average warm.

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Speaker 2: I mean, whether I'm taking a shower in the summer

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Speaker 2: after a cold swim, it's it's all the same temperature.

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Speaker 2: I've gone into saunas and for me, saunas don't work.

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Speaker 1: What do you mean it doesn't work for you? So

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Speaker 1: for me it actually burns my skin.

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Speaker 2: I wanted to try the whole you know, cold water

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Speaker 2: seaside saana thing, and I was in the sauna. I

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Speaker 2: mean it's warm in there, of course it is, but

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Speaker 2: I guess I didn't realize how long I was in

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Speaker 2: there and my skin. I came out and my skin

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Speaker 2: was super inflamed and red all over and essentially my

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Speaker 2: skin almost burned and was like that for two days.

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Speaker 1: Well, thank you so much for sharing your practice and

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Speaker 1: your experience. Absolutely thank you too. Melissa made me realize

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Speaker 1: that there can be very real consequences if you stay

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Speaker 1: in the water for too long. But whether that's hot

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Speaker 1: or cold, long term exposure comes with risks. Now, let's

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Speaker 1: talk to a dermatologist who has looked at and done

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Speaker 1: research on the effects of these extreme temperatures on our skin.

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Speaker 1: She'll tell us how we can reap the benefits without

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Speaker 1: causing damage. Right after the break, welcome back to skin queries.

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Speaker 1: We're trying to figure out the real benefits of cold

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Speaker 1: and hot water on Is it just a trendy craze

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Speaker 1: or is there real science behind it? And how do

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Speaker 1: you take care of your skin when you're putting it

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Speaker 1: through these extreme temperatures. To help me answer these questions,

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Speaker 1: we're bringing in doctor gita Ya Dab, a dermatologist and

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Speaker 1: the founder of Facet Dermatology. Hi, Hi, how are you?

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Speaker 1: Thank you for being here with us and chatting. I'm

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Speaker 1: really excited to get into the nitty gritty of water,

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Speaker 1: be it cold, hot, and everything in between.

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Speaker 3: Do you mind introducing yourself first? My name is Ghita Yadev.

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Speaker 3: I'm a board certified dermatologist. I've got my own practice

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Speaker 3: on the East end of the city. I practice medical

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Speaker 3: dirm cosmetic derm. I do clinical trials, and I love

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Speaker 3: being on social media to help educate my patients and followers.

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Speaker 1: So what are some of the claims that cold plunges

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Speaker 1: can do for your health, for your skin, for your complexion.

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Speaker 3: So a lot of people report feeling invigorated inside and out.

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Speaker 3: They sort of get a sense of a high on

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Speaker 3: endorphins after a cold place, but there's also sort of

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Speaker 3: a thrill.

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Speaker 1: For most people.

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Speaker 3: A cold plunge can be relatively harmless, but it still

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Speaker 3: feels daring or risky and brave. So there's a real

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Speaker 3: excitement that comes with the suddenness of the change in

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Speaker 3: temperature and that activity.

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Speaker 1: I can speak like for myself when I do a

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Speaker 1: cold plunch, which is rarely because I am definitely little

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Speaker 1: scared than timid when it comes to immersing myself in

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Speaker 1: cold water, I definitely do feel that high and just

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Speaker 1: like that surge of energy. So is there anything you

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Speaker 1: could speak to biochemically that's happening to the body when

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Speaker 1: one does a cold plunge.

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Speaker 3: So cold water definitely shocks our bodies. It causes our

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Speaker 3: heart rates to spike, and it can induce a host

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Speaker 3: of hormones, including dopamine, cortisol, serotonin, nor epernephrine to increase,

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Speaker 3: and that all has an impact on how we feel.

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Speaker 3: And there's one study that showed sort of a short

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Speaker 3: term cold water plunge can improve a person's positive affect

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Speaker 3: So a person can feel increased enthusiasm, a sense of

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Speaker 3: alertness or energy, higher ability to con andrade, all while

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Speaker 3: reducing negative affects, which includes feelings of fear, nervousness, anger,

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Speaker 3: and guilt. So when we're exposed to cold temperatures, our

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Speaker 3: blood vessels kind of constrict to help minimize the heat loss.

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Speaker 3: That reduces blood flow, and that can even reduce pain

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Speaker 3: and inflammation. So you have to kind of extrapolate that

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Speaker 3: a little bit, but there are definitely physiologic effects that

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Speaker 3: are happening when you put your body into that sudden

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Speaker 3: shock of cold water. Another thing I should say is

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Speaker 3: that we're related to inflammation. I think the lot of

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Speaker 3: what we're talking about in healthcare today has to do

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Speaker 3: with the impacts of inflammation inside the body and on

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Speaker 3: our skin and how it promotes aging or unwellness. And

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Speaker 3: I would say that some of the benefits of reducing

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Speaker 3: inflammation throughout the body, it can be helpful for muscle recovery,

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Speaker 3: chronic pain, arthritis, and other things.

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Speaker 1: It can definitely make us feel better. So you talk

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Speaker 1: about constriction of blood vessels, which I find so interesting.

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Speaker 1: Does that then relate to kind of the tightening of

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Speaker 1: the pores, because I know this is something that I

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Speaker 1: see on Instagram or TikTok that you know, dunk your

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Speaker 1: face in a bowl of ice water tightens and brightens

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Speaker 1: everything and is like instant botox. Is that true?

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Speaker 3: There is a reduction in blood flow that occurs when

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Speaker 3: you're in cold water, and that is often most noticeable

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Speaker 3: on the skin. So our bodies tend to redirect blood

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Speaker 3: flow towards protecting our deeper tissues, our internal organs, and

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Speaker 3: that creates these noticeable changes in the skin that can

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Speaker 3: make the skin rapidly firm up, make it look smoother,

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Speaker 3: specially cellulite tip. And it could make your pores appure

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Speaker 3: tighter as well, minimizing that look of redness. It can

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Speaker 3: also be helpful for acne, reducing some inflammation. It can

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Speaker 3: help regulate sebum production. Actually, lastly, I would say it

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Speaker 3: can help stimulate new collagen information, helping the skin look

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Speaker 3: firmer and smoother over time.

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Speaker 1: But the question is how long that'll last for.

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Speaker 3: So the data really supports these shorter plunges, and the

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Speaker 3: durability of those results has not been measured clearly in

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Speaker 3: the evidence.

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Speaker 1: I'm half Korean, and what's interesting is that when it

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Speaker 1: comes to Eastern Asian philosophy, we're taught to kind of

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Speaker 1: steer away from cold water and ice plunges and everything.

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Speaker 1: My mom grew up telling me that don't put ice

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Speaker 1: on your face, you need to boost circulation, and exactly

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Speaker 1: for what you just said, it constricts blood flow. I

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Speaker 1: just how do you reckoncile exactly?

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Speaker 3: Just find that so interesting it is it's really it's

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Speaker 3: neat how different cultures view sort of the soothing or

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Speaker 3: the aggravating potential. I mean, I would say from a

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Speaker 3: healing aspect in terms of the skin, often we use

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Speaker 3: heat and energy to create changes to the skin. In

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Speaker 3: office procedures, we also have to use cooling and soothing

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Speaker 3: to help from a healing perspective, So I think it

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Speaker 3: really depends on what you're trying to achieve in terms

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Speaker 3: of the skin benefit and the skin health. And certainly

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Speaker 3: if you're experiencing some inflammation in the skin, maybe not

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Speaker 3: sort of a really shocking cold plunge, but you know,

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Speaker 3: a cooling cream on your face, or sometimes I advise

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Speaker 3: my patients who haven't like a lot of inflamation their skin,

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Speaker 3: like eczema, to put their medications in the fridge. But

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Speaker 3: even their medications are cooling and soothing and help them

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Speaker 3: when they apply it.

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Speaker 1: I mentioned before, I'm personally a big proponent of sweating

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Speaker 1: sauna work, and I post about my daily inference sauna

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Speaker 1: a lot. So I'm curious what are the benefits when

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Speaker 1: it comes to the flip side of cold therapy.

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Speaker 3: There's actually a little bit more information in that area

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Speaker 3: that I've thought was really interesting because so there are

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Speaker 3: few cultural communities that really are big proponents of, you know,

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Speaker 3: sweat lodges or of saunas. The Finish are famous for

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Speaker 3: their finish saunas and the value that that has on health,

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Speaker 3: and the same goes with sweat lodges in indigenous cultures,

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Speaker 3: and some data has been shown that there's improved cardiovascular

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Speaker 3: benefits to going through regular exposure to these treatments. In

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Speaker 3: terms of your skin health, certainly exposure to that warmth

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Speaker 3: helps sort of decongest the pores and opens them up

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Speaker 3: and encourage which is circulation, So that can definitely improve healing.

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Speaker 3: But in patients who struggle with pigmentation, I'm always very

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Speaker 3: mindful about the exposure to heat because all heat sort

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Speaker 3: of is related to infrared radiation to the skin, and

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Speaker 3: that can actually encourage pigmentation and pigmentary abnormalities.

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Speaker 1: So that's so interesting.

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Speaker 3: Be a bit careful if you're prone to pigmentation. Even

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Speaker 3: exposure to cooking heat, like if you're getting stuff in

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Speaker 3: and out of an oven, can aggravate people's pigmentation.

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Speaker 1: Not getting too close to the oven for a whole

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Speaker 1: variety of reasons, probably, right.

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Speaker 3: You know, we often think of malasma and stuff related

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Speaker 3: to the sun, and we you know, everybody's pretty conscious

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Speaker 3: of sun. But protecting your skin from the heat can

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Speaker 3: also be really important.

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Speaker 1: And when you talk about extreme heat, can having a

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Speaker 1: hot shower, because I mean I love getting into like

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Speaker 1: a scalding hot shower and then ending it with the cold,

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Speaker 1: But can that be detrimental to skin?

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Speaker 3: Yeah, so definitely, I advise my patients who have exzema

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Speaker 3: or so arisis. Even though sometimes those burning hot showers

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Speaker 3: can feel so amazing, actually can be very drying to

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Speaker 3: the skin and very irritating, and that increased circulation to

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Speaker 3: the skin actually means that all those bud vestles vasodilate,

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Speaker 3: and all those itch factors, it all gets aggravated. The

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Speaker 3: inflammation the skin gets aggravated, and then patients starts scratching

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Speaker 3: their skin. So even though it can kind of feel

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Speaker 3: satisfying initially, it can be quite damaging in the long run.

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Speaker 3: So I really do advise my patients to avoid hot

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Speaker 3: showers and certainly prolonged hot showers.

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Speaker 1: My daughter, actually, she has eggzma from time to time,

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Speaker 1: and our doctor recommends against sitting in the warm, hot

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Speaker 1: bath for too long. Can you explain why that is?

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Speaker 1: Because my daughter loves her bath, so I know, how

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Speaker 1: old is she?

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Speaker 2: Five?

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Speaker 3: Oh?

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Speaker 1: Yeah, And you know it's hard to.

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Speaker 3: Kind of take that away for sure, I know, you know,

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Speaker 3: I would say that at the very least, if the

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Speaker 3: bath water is warm and not too hot, certainly being

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Speaker 3: in the water for prolonged periods is drying to the skin.

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Speaker 3: So one of the strategies that you can do when

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Speaker 3: you come right out of that wet environment is moisturize

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Speaker 3: the skin immediately, because that's when the skin barrier is

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Speaker 3: the most permeable to hydrating moisturizers as well as medication.

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Speaker 3: If so, if she has an azema cream, that's a

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Speaker 3: great time to put it on and then to kind

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Speaker 3: of lock in that moisture.

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Speaker 1: And I find younger kids can really.

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Speaker 3: Tolerate those sticky, ecclusive moistureizures sometimes better than adults. So

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Speaker 3: I like to go with really rich moisturize and creams

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Speaker 3: for my young patients who suffer from dry skin and azema.

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Speaker 1: So going back to cold plunges and ice cold showers,

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Speaker 1: you mentioned that there is a sudden shock to the

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Speaker 1: system and even though there can be some benefits, is

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Speaker 1: it possible that it could be harmful as well.

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Speaker 3: So I think if you have any heart conditions or

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Speaker 3: circulatory issues, then you should definitely talk to your doctor

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Speaker 3: before doing that. A specific example might be something like raino.

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Speaker 3: So rhinos is a circulatory condition of the distal hands,

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Speaker 3: the tips of your fingers where they tend to go

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Speaker 3: white and the blood vessels really constrict, and it's actually

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Speaker 3: quite common. It's common in people with autoimmune conditions, but

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Speaker 3: you don't have to have an immune condition to suffer

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Speaker 3: from this, And so in that case, something like a

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Speaker 3: cold water plunge might really aggravate your rhinotes and that

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Speaker 3: might be painful and not great for your joints in

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Speaker 3: your skin. So you do have to be careful with

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Speaker 3: cold extremes because it can become to feel and become

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Speaker 3: like a burn. So frostbite is cold injury. So you

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Speaker 3: can definitely injure the tissue with extreme cold in the

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00:22:21,680 --> 00:22:24,200
Speaker 3: same way that you can injure it from extreme heat.

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00:22:24,400 --> 00:22:26,199
Speaker 3: So again, you just have to be mindful of your

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00:22:26,240 --> 00:22:28,560
Speaker 3: underlying health conditions before you do that, and you can

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00:22:28,560 --> 00:22:30,479
Speaker 3: easily talk to your doctrine. They can advise you if

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00:22:30,480 --> 00:22:31,680
Speaker 3: there's going to be a trigger.

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00:22:31,400 --> 00:22:34,119
Speaker 1: There, and you know, are there any certain precautions that

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00:22:34,160 --> 00:22:36,560
Speaker 1: anyone should take before embarking on that.

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00:22:36,760 --> 00:22:40,359
Speaker 3: So what's really important is I think number one, protecting

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00:22:40,400 --> 00:22:43,280
Speaker 3: the skin from those extreme temperatures. So you know, something

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00:22:43,320 --> 00:22:45,160
Speaker 3: like a cold plunge or cold bath, I think once

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00:22:45,200 --> 00:22:47,560
Speaker 3: a week is totally sufficient. It's not something I would

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00:22:47,600 --> 00:22:50,360
Speaker 3: recommend every day. And so the same goes for any

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00:22:50,440 --> 00:22:54,160
Speaker 3: kind of repeated cold exposure. It can just actually aggravate

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00:22:54,200 --> 00:22:55,919
Speaker 3: the skin. It's not really meant to be in that

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00:22:56,040 --> 00:22:58,479
Speaker 3: environment for prolonged periods on a regular basis.

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00:22:58,480 --> 00:22:59,119
Speaker 1: That makes sense.

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00:22:59,320 --> 00:23:01,960
Speaker 3: Most of the literature and cold plunges refers to this

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00:23:02,040 --> 00:23:05,159
Speaker 3: brief exposure, so ten minutes are less okay, So you

457
00:23:05,240 --> 00:23:07,679
Speaker 3: might be able to get similar benefits by washing your

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00:23:07,680 --> 00:23:08,560
Speaker 3: face with cold water.

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00:23:08,680 --> 00:23:10,880
Speaker 1: And what would you say the best way to maintain

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00:23:10,960 --> 00:23:13,720
Speaker 1: our skin barrier would be? Like, what are the top

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00:23:13,800 --> 00:23:16,440
Speaker 1: three habits that you recommend to your patients?

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00:23:16,560 --> 00:23:19,760
Speaker 3: Oh, it's like a rider die kind of question, you know,

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00:23:19,920 --> 00:23:22,919
Speaker 3: the three things you couldn't live without. I mean, the

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00:23:22,960 --> 00:23:24,920
Speaker 3: first is, obviously if you're going to cleanse your skin,

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00:23:25,040 --> 00:23:28,040
Speaker 3: using a moisturizing cleanser, so you're not stripping the skin

466
00:23:28,080 --> 00:23:31,400
Speaker 3: of too many natural oils and so soaps actually can

467
00:23:31,440 --> 00:23:33,600
Speaker 3: often irritate the skin because they're drying, they're a little

468
00:23:33,600 --> 00:23:36,720
Speaker 3: bit too alkaline. The second is using a moisturizer that

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00:23:36,760 --> 00:23:40,760
Speaker 3: contains seramides or coloidal oat or ingredients that are known

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00:23:40,840 --> 00:23:43,879
Speaker 3: to soothe the skin and to put moisture back in

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00:23:43,920 --> 00:23:46,199
Speaker 3: the skin and help lock in that moisture. And I

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00:23:46,200 --> 00:23:48,720
Speaker 3: think the third is protecting the skin from the elements.

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00:23:48,800 --> 00:23:50,520
Speaker 1: I think that you know, the skin barrier is such

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00:23:50,520 --> 00:23:53,840
Speaker 1: a hot topic and buzzword now, I think that we

475
00:23:53,920 --> 00:23:56,360
Speaker 1: hear about moisturizing and all of that for so long,

476
00:23:56,400 --> 00:23:58,960
Speaker 1: but now even in products, you're seeing that a lot.

477
00:23:59,119 --> 00:24:01,600
Speaker 3: Yeah, and more that research is going that I think

478
00:24:01,720 --> 00:24:04,879
Speaker 3: is really cool is conditions that we normally associate with,

479
00:24:04,960 --> 00:24:08,600
Speaker 3: say like oily skin or like acne, let's say that

480
00:24:08,680 --> 00:24:12,080
Speaker 3: are now being better understood as some component of that

481
00:24:12,280 --> 00:24:14,919
Speaker 3: is a problem with the skin barrier. So even if

482
00:24:14,920 --> 00:24:16,879
Speaker 3: you think you've got oily skin or your prot to acne,

483
00:24:16,960 --> 00:24:19,720
Speaker 3: you still need to moisturize because improving that skin barrier

484
00:24:19,800 --> 00:24:21,120
Speaker 3: is part of healing that skin.

485
00:24:21,320 --> 00:24:23,120
Speaker 1: Right. I think back in the day was all about

486
00:24:23,560 --> 00:24:26,800
Speaker 1: you know, drying out your skin with these strongest stringents

487
00:24:26,840 --> 00:24:33,600
Speaker 1: and you know, basically ruining last question for you. Hot

488
00:24:33,640 --> 00:24:39,560
Speaker 1: shower or cold shower? Warm shower? That totally hedging. That's fair.

489
00:24:39,680 --> 00:24:41,760
Speaker 1: I think that that you know, it's the most pleasant.

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00:24:42,119 --> 00:24:44,679
Speaker 3: Yeah, I think that's the most regular use for probably

491
00:24:44,680 --> 00:24:45,240
Speaker 3: most people.

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00:24:45,320 --> 00:24:48,080
Speaker 1: But I would say that I'm all about the extremes. Well,

493
00:24:48,080 --> 00:24:48,800
Speaker 1: it's great though.

494
00:24:48,800 --> 00:24:51,560
Speaker 3: It really does get you going, and I would say

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00:24:51,760 --> 00:24:54,640
Speaker 3: that that is one way to start the day. If

496
00:24:54,680 --> 00:24:57,560
Speaker 3: you can get up and go, I think do it,

497
00:24:57,600 --> 00:24:59,600
Speaker 3: but then make sure that it's tolerable for you to

498
00:24:59,640 --> 00:25:00,960
Speaker 3: do all the the rest of the things you want

499
00:25:01,000 --> 00:25:01,440
Speaker 3: to do in.

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00:25:01,400 --> 00:25:05,800
Speaker 1: The shower exactly, exactly. Thank you so much, Gita, Thank

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00:25:05,840 --> 00:25:07,800
Speaker 1: you for taking the time, and it was so great

502
00:25:07,880 --> 00:25:09,840
Speaker 1: chatting with you. It was an absolute pleasure.

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00:25:09,920 --> 00:25:10,240
Speaker 3: Thank you.

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00:25:11,320 --> 00:25:13,840
Speaker 1: Thank you to both my guests, doctor gita Ya Dab

505
00:25:13,960 --> 00:25:17,280
Speaker 1: and Melissa Keegler for sharing their stories and knowledge with us.

506
00:25:17,480 --> 00:25:20,560
Speaker 1: I personally learned so much about cold punches and the

507
00:25:20,600 --> 00:25:24,040
Speaker 1: effects extreme temperatures of water can have on our body.

508
00:25:24,280 --> 00:25:26,880
Speaker 1: And even though I've been a little intimidated to do

509
00:25:27,000 --> 00:25:30,240
Speaker 1: coal punches regularly, I'm now a little more apt to

510
00:25:30,280 --> 00:25:32,600
Speaker 1: try it because of all the benefits I've heard. I

511
00:25:32,640 --> 00:25:35,880
Speaker 1: love the idea of the constriction of blood vessels and

512
00:25:35,920 --> 00:25:40,080
Speaker 1: then the expansion and release, creating and invigorating mental and

513
00:25:40,119 --> 00:25:43,720
Speaker 1: physical boost and of course moderation is key. We don't

514
00:25:43,720 --> 00:25:46,440
Speaker 1: want to overdo it. Just like with anything, we want

515
00:25:46,440 --> 00:25:49,520
Speaker 1: to approach cold therapy in a way that feels intuitive

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00:25:49,640 --> 00:25:56,120
Speaker 1: and right for us. Skin Queries is hosted by myself

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00:25:56,200 --> 00:26:00,680
Speaker 1: Nicole Berry, an executive produced by Evon Sheehan. Your producer

518
00:26:00,800 --> 00:26:04,560
Speaker 1: is Tory Weldon. Our junior producers are Reim Almagraby and

519
00:26:04,640 --> 00:26:07,840
Speaker 1: Jenny Cunningham. The show is mixed and features original music

520
00:26:07,880 --> 00:26:10,720
Speaker 1: by Sam Sagan. If you enjoy the show, share it

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Speaker 1: with your friends. You can also listen and follow on

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Speaker 1: the iHeartRadio app, Apple Podcasts, or wherever you get your podcasts.

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Speaker 1: you leave a review. Until next time,