WEBVTT - Strength in the Struggle: The Fight against Flare-Ups

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<v Speaker 1>Growing up, Janelle Rodriguez always felt a disconnect between the

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<v Speaker 1>life that she wanted and the life she was living,

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<v Speaker 1>all because of a chronic skin condition.

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<v Speaker 2>I would have played sports in high school, like I have,

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<v Speaker 2>like this competitive nature to me.

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<v Speaker 3>Probably would have joined a dance team.

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<v Speaker 2>I love to dance, but I wouldn't do these things

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<v Speaker 2>because I was so afraid of showing my skin having

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<v Speaker 2>to wear a certain uniform. And so as the years

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<v Speaker 2>were passing and I keep missing out on opportunities, missing

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<v Speaker 2>out on things. Eventually, when I finished high school, I

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<v Speaker 2>felt like those years kind of passed by and I

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<v Speaker 2>experienced a lot of the things I would have wanted to.

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<v Speaker 1>Plaque siasis is not just a skin condition. It's a

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<v Speaker 1>visible barrier that can hold you back from living your

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<v Speaker 1>life to the fullest. But as we'll hear from Janelle,

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<v Speaker 1>with the right mindset, treatments and lifestyle adjustments, it doesn't

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<v Speaker 1>have to Hi, guys, and welcome. I'm so glad you're here.

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<v Speaker 1>I'm Nicole Berry and this is Skin Queries, a show

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<v Speaker 1>all about our skin and its health as.

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<v Speaker 4>We grow in age.

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<v Speaker 1>Our skin is really a record of a life well lived,

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<v Speaker 1>because there isn't one body part that I could think

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<v Speaker 1>of that reflects our well being as clearly as our skin.

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<v Speaker 1>So let's go on this journey together to really understand

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<v Speaker 1>what's going on with our skin. Let's unravel the mysteries

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<v Speaker 1>happening inside and out. Today we're talking about an inflammatory condition, placksoriasis.

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<v Speaker 1>I can't believe this is the last episode of this

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<v Speaker 1>season of Skin Queries. We've talked so much about the skin,

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<v Speaker 1>whether it's nutrition, extreme temperatures, aging the sun, even my

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<v Speaker 1>own husband's story about how stress has affected him physically.

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<v Speaker 1>As you know, Nick has placksoriasis and it flares when

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<v Speaker 1>he gets stressed. And one of the biggest things I

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<v Speaker 1>learned about our journey together is that it's so important

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<v Speaker 1>to empathize, be present, and listen.

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<v Speaker 4>So that's what we're going to do today.

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<v Speaker 1>Listen because Janelle read Vegas has a story to tell.

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<v Speaker 1>It's about what it was like growing up with severe

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<v Speaker 1>psoriasis and how she learned to cope through acceptance and

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<v Speaker 1>community building. We're also going to hear from doctor Memina

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<v Speaker 1>to Regano about placksoriasis and how to treat it. According

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<v Speaker 1>to the National Psoriasis Foundation, placsoriasis affects about eight million

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<v Speaker 1>people in the United States alone. It's one of the

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<v Speaker 1>most common autoimmune diseases out there. First, here's Janelle. She

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<v Speaker 1>was diagnosed with psoriasis at just four years old.

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<v Speaker 2>I think the first place was my cheek, and I

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<v Speaker 2>don't have too much of a memory of what that

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<v Speaker 2>was like. Once it started to surface on my skin.

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<v Speaker 2>I think my mother had to take action very quickly

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<v Speaker 2>to meet with a dermatologist, especially because it surfaced around

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<v Speaker 2>the time that I was starting school and with it

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<v Speaker 2>kind of looking like chicken pox, for example, because of

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<v Speaker 2>all the spots, there was always a concern even if

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<v Speaker 2>they would say, like, it's not contagious, but they needed

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<v Speaker 2>like some sort of medical record to prove.

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<v Speaker 1>That, and so were they able to diagnose you with plaxorisis.

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<v Speaker 2>I know at some point they did have to get

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<v Speaker 2>like a piece of my skin, and I can't forget

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<v Speaker 2>that because it was so painful when they removed like

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<v Speaker 2>a chunk of it.

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<v Speaker 3>I still have like the scar on my leg.

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<v Speaker 5>Wow.

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<v Speaker 2>And I think from there it was like a for

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<v Speaker 2>sure it's placorisis. And with plaxorisis, it surfaces kind of everywhere,

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<v Speaker 2>at least for me, like I got it on my elbows, knees,

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<v Speaker 2>and the spots they appeared very small, but they started

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<v Speaker 2>to kind of grow in time, and you know, they

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<v Speaker 2>get very flaky. So I think with just seeing it visibly,

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<v Speaker 2>you can tell what it is, but then having that

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<v Speaker 2>biopsy was kind of like confirming its psoriasis.

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<v Speaker 1>Janelle was given a prescription, but having a visible condition

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<v Speaker 1>put her in a lot of uncomfortable situations.

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<v Speaker 2>I got a lot of attention in elementary school where

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<v Speaker 2>my pleasorisis it's also on my scalp as well, so

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<v Speaker 2>I had some experiences where a teacher would like pull

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<v Speaker 2>me out of class so that I could see the nurse,

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<v Speaker 2>and if they didn't have like a letter from the doctor,

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<v Speaker 2>they would send me home. So very early on, I

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<v Speaker 2>started to have experiences where I just noticed it brought

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<v Speaker 2>some sort of attention to me. It wasn't always positive,

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<v Speaker 2>and little by little I started to take it very

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<v Speaker 2>personally as I started getting older, and you know, growing

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<v Speaker 2>up in New York, a lot of times like we

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<v Speaker 2>would go to public pools and I was getting ready

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<v Speaker 2>to go to a pool. Then when they saw me,

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<v Speaker 2>they kind of started to question, you know, was this contagious.

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<v Speaker 2>Can she come into the pool and swim with other people?

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<v Speaker 2>And I remember my oldest sister getting like upset, and

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<v Speaker 2>my sisters would always come to my defense of this

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<v Speaker 2>would happen, So I kind of always felt very protected.

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<v Speaker 1>According to a study in the Journal of the American

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<v Speaker 1>Academy of Dermatology, sarria sis carries such a huge amount

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<v Speaker 1>of stigma, and many people have the misconception that it's

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<v Speaker 1>contagious and infectious, which of course it is not. Thankfully,

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<v Speaker 1>Janelle had her older sisters to protect her and look

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<v Speaker 1>out for her, but that didn't last long. When she

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<v Speaker 1>started in middle school, Janelle was left to face that

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<v Speaker 1>judgment and stigma on her own.

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<v Speaker 2>So I moved to Florida when I was about almost

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<v Speaker 2>twelve years old. And I'm living in a state now

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<v Speaker 2>where it's hot every day.

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<v Speaker 3>Right, But now I'm.

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<v Speaker 2>Going to school wearing like short sleeves, capris, maybe a skirt.

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<v Speaker 2>And now I'm realizing I'm more conscious, like I'm more

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<v Speaker 2>aware of my surroundings. And I would notice how kids

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<v Speaker 2>would look at me. I would get a lot of

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<v Speaker 2>comments about what is that, or it would be compared

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<v Speaker 2>to something, and little by little I started to get

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<v Speaker 2>very insecure about my skin.

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<v Speaker 1>I think we're so self consciousnessed teeths regardless of what's

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<v Speaker 1>going on, you know. And to add that on top

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<v Speaker 1>of it, how did that affect your confidence?

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<v Speaker 2>I just remember I wanted to the best way I

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<v Speaker 2>can explain it is like I want to blend in.

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<v Speaker 2>I don't want to draw too much attention to me

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<v Speaker 2>where people can see my skin and ask me questions.

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<v Speaker 2>And here in Florida, when we experienced a cold front

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<v Speaker 2>and I wore like a sweater to school and long pants,

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<v Speaker 2>I remember how safe I felt. And that's like the

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<v Speaker 2>best way that I can describe how I started to

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<v Speaker 2>kind of isolate and hide my skin. It was because

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<v Speaker 2>for the first time, like I could sit on my

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<v Speaker 2>desk and not not be afraid to show my arms

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<v Speaker 2>and things like that. And over the years that affected

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<v Speaker 2>my confidence because I started to really hide myself and

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<v Speaker 2>isolate and I was hiding something that's a big part

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<v Speaker 2>of who I am.

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<v Speaker 4>And this insecurity made her miss out on a lot.

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<v Speaker 2>Like I would have been someone that I would have

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<v Speaker 2>played sports in high school, like I have like this

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<v Speaker 2>competitive nature to me, probably would have joined a dance

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<v Speaker 2>team I love to dance, but I wouldn't do these

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<v Speaker 2>things because I was so afraid of showing my skin

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<v Speaker 2>having to wear a certain uniform. And so as the

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<v Speaker 2>years were passing and I keep missing out on opportunities,

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<v Speaker 2>missing out on things. Eventually, when I finished high school,

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<v Speaker 2>I felt like those years kind of passed by and

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<v Speaker 2>I didn't.

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<v Speaker 3>Experience a lot of the things I would have wanted.

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<v Speaker 1>To got to today. And Janelle is so much more

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<v Speaker 1>comfortable in her skin. But funny enough, that did not

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<v Speaker 1>come from any improvement to her skin. It was the

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<v Speaker 1>determination to change her mindset.

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<v Speaker 2>So when I was twenty and I remember I was

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<v Speaker 2>getting ready to move. I was moving to New York,

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<v Speaker 2>and I was like really looking forward to the summer,

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<v Speaker 2>like my skin was clearing up. I was thinking about

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<v Speaker 2>all the things I was going to wear, and I

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<v Speaker 2>was so excited for that. I was waiting for like

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<v Speaker 2>that clear skin moment to like finally show up in

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<v Speaker 2>the world as I wanted to.

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<v Speaker 3>And right before I moved, I went through one of.

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<v Speaker 2>The worst flares that I've ever had, and it was

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<v Speaker 2>just like such a letdown for me, and I felt

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<v Speaker 2>like defeated in a way, like I was really looking

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<v Speaker 2>forward to that, and I remember that's kind of when

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<v Speaker 2>I had my AHA moment, was because I was just

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<v Speaker 2>so devastated by that and I felt defeated and that

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<v Speaker 2>I kind of questioned myself, like I reflected on like

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<v Speaker 2>the past six years and how I've lived, and I

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<v Speaker 2>kind of asked myself, like do I want to continue

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<v Speaker 2>living this way?

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<v Speaker 3>And I kind of made myself a promise.

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<v Speaker 2>I'm like, I can't keep living like this, Like I

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<v Speaker 2>can't keep hiding and waiting for the perfect moment to

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<v Speaker 2>dress the way that I want to do the things

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<v Speaker 2>that I want. So when I moved I started to

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<v Speaker 2>kind of challenge myself then to really just take it

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<v Speaker 2>as a fresh start and to wear the things that

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<v Speaker 2>I want.

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<v Speaker 3>And it was hard.

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<v Speaker 2>I had so many triggers, as you can imagine, like

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<v Speaker 2>sitting in a train and you know, my legs are

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<v Speaker 2>covered in it, my face and people could just stare

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<v Speaker 2>at you.

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<v Speaker 3>But it was like the.

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<v Speaker 2>Best decision because that kind of helped me to then

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<v Speaker 2>kind of move forward to where I am today.

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<v Speaker 1>It's so inspiring to hear this revelation because Janelle made

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<v Speaker 1>the decision to not let her skin hold her back.

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<v Speaker 4>Anymore. And what's even more, she now helps.

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<v Speaker 1>Others who are going through the same thing by sharing

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<v Speaker 1>her experience with psoriasis online. In fact, Janelle has cultivated

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<v Speaker 1>a whole community, which, as my next guest will tell you,

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<v Speaker 1>is so important when it comes to feeling better.

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<v Speaker 4>I can't wait for you to hear.

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<v Speaker 1>What she has to say right after this break, Welcome

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<v Speaker 1>back to skin Qureise. Earlier, Janelle shared her journey with

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<v Speaker 1>plaxoriasis and how she learned to feel comfortable within her

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<v Speaker 1>own skin even when she's going through a flara. Now

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<v Speaker 1>let's get into the science behind soriasis treatments and therapies.

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<v Speaker 1>I'd like to introduce doctor Mamina to Regano.

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<v Speaker 6>Hi.

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<v Speaker 5>They're nice to meet you.

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<v Speaker 4>Thank you for taking the time to chat with us.

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<v Speaker 1>I would love for you to kick it off and

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<v Speaker 1>introduce yourself and tell us a little bit about your practice.

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<v Speaker 6>I am a triple board certified dermatologist, internist, and dermatic pathologist.

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<v Speaker 5>I am based in New Orleans, Louisiana.

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<v Speaker 6>I see the full gamut, including medical dermatology and some

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<v Speaker 6>cosmetic dermatology as well.

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<v Speaker 4>So let's start with plaquorisis.

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<v Speaker 1>Can you explain what that is, and how does that

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<v Speaker 1>differ from other types of psoriasis.

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<v Speaker 6>Yes, well, placksoriasis is probably what we traditionally know as psoriasis,

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<v Speaker 6>and it shows up on the skin as these usually

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<v Speaker 6>like thick, scaly, pinkish red plaques. They love the elbows

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<v Speaker 6>and knees, but they also can certainly occur everywhere on

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<v Speaker 6>the body. The scalp is another common area I see

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<v Speaker 6>off it on the back, like lower back, like above

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<v Speaker 6>the buttock area. It can be pretty debilitating for a

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<v Speaker 6>lot of people in terms of its appearance. It can

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<v Speaker 6>be itchy, but I think the appearance is what really

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<v Speaker 6>affects people the most.

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<v Speaker 4>So is plackariasis.

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<v Speaker 1>Is it a symptom of something else or is it

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<v Speaker 1>something that stands alone.

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<v Speaker 6>Yeah, I almost look at psoriasis as kind of like

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<v Speaker 6>the canary in the coal mine, and so in a way,

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<v Speaker 6>and this might sound crazy to people, but in a

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<v Speaker 6>way could almost be a blessing if you have psoriasis,

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<v Speaker 6>you notice any sort of psoriasis forming on your body,

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<v Speaker 6>because it can be an indication that there is internal inflammation.

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<v Speaker 6>So internal inflammation that potentially can transform into concerning cardiometabolic

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<v Speaker 6>conditions like heart disease, stroke, diabetes, and it's almost like

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<v Speaker 6>a warning sign when you see zoriasis, like, hey, your

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<v Speaker 6>body's inflamed. Let's try to Let's try to do what

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<v Speaker 6>we can to decrease that inflammatory load so that bad

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<v Speaker 6>things don't happen in the future.

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<v Speaker 1>According to the National Library of Medicine, inflammation is your

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<v Speaker 1>body's response to an irritant. It's trying to fight something

0:11:39.679 --> 0:11:46.400
<v Speaker 1>foreign in your body. Some sides of inflammation could be redness, swelling, overheating, even.

0:11:46.160 --> 0:11:46.880
<v Speaker 4>Loss of function.

0:11:47.280 --> 0:11:50.000
<v Speaker 1>Think about when you have a fever or can't smell,

0:11:50.040 --> 0:11:52.559
<v Speaker 1>when you have a cold. When you have psoriasis, your

0:11:52.600 --> 0:11:55.000
<v Speaker 1>T cells, which is a type of white blood cell,

0:11:55.280 --> 0:11:58.359
<v Speaker 1>can become overactive and actually attack.

0:11:58.000 --> 0:11:59.280
<v Speaker 4>Your skin by mistake.

0:12:00.080 --> 0:12:02.400
<v Speaker 1>Amina says that there are certain things that you can

0:12:02.440 --> 0:12:05.200
<v Speaker 1>do to try and decrease that inflammatory load.

0:12:06.440 --> 0:12:10.040
<v Speaker 6>So if somebody has psoriasis, I do some counseling, and

0:12:10.400 --> 0:12:14.280
<v Speaker 6>there's like certain lifestyle changes with your diet, exercise. There

0:12:14.280 --> 0:12:16.800
<v Speaker 6>are certain supplements that can be helpful when it comes

0:12:16.800 --> 0:12:20.160
<v Speaker 6>to diet. The most compelling evidence that is out there

0:12:20.480 --> 0:12:23.520
<v Speaker 6>is with a Mediterranean based diet that has been shown

0:12:23.640 --> 0:12:27.040
<v Speaker 6>to be helpful for people with psoriasis.

0:12:27.320 --> 0:12:31.000
<v Speaker 1>I'm actually wondering at what point should someone actually go

0:12:31.120 --> 0:12:34.720
<v Speaker 1>see a dermatologist. Is seeing a dermatologist the best place

0:12:34.760 --> 0:12:35.240
<v Speaker 1>to start.

0:12:35.640 --> 0:12:38.440
<v Speaker 6>I think that if the rash is pretty minimal, if

0:12:38.480 --> 0:12:41.839
<v Speaker 6>it's if it's one or two plaques and you are

0:12:41.960 --> 0:12:46.120
<v Speaker 6>using an over the counter hydrocortisone it resolves, you know,

0:12:46.559 --> 0:12:50.559
<v Speaker 6>and nothing recurs, you can probably lay low. But if

0:12:50.559 --> 0:12:53.480
<v Speaker 6>it resolves and it recurs, or if it's not resolving,

0:12:53.800 --> 0:12:57.040
<v Speaker 6>or if you're getting more plaques or patches on the body,

0:12:57.480 --> 0:13:02.000
<v Speaker 6>definitely something to see a dermatologist. And psoriasis can be

0:13:02.000 --> 0:13:05.280
<v Speaker 6>a pretty easy diagnosis to make visually, but there are

0:13:05.320 --> 0:13:09.440
<v Speaker 6>some subtleties to it, and if it doesn't fully fit

0:13:09.559 --> 0:13:14.680
<v Speaker 6>with psoriasis, oftentimes dermatologists will do a biopsy. And that's

0:13:14.720 --> 0:13:17.600
<v Speaker 6>important because there are a lot of other skin conditions

0:13:17.600 --> 0:13:20.480
<v Speaker 6>out there not as common, but there are skin conditions

0:13:20.480 --> 0:13:23.840
<v Speaker 6>out there that can look like zoriasis, and you would

0:13:23.880 --> 0:13:26.200
<v Speaker 6>want to make sure that you have the right diagnosis.

0:13:26.240 --> 0:13:29.520
<v Speaker 1>What are some of the treatments conventionally that someone can

0:13:29.600 --> 0:13:30.840
<v Speaker 1>address their psoriasis?

0:13:30.960 --> 0:13:34.680
<v Speaker 6>So for very mild soriasis, we will all these treatments

0:13:34.679 --> 0:13:37.560
<v Speaker 6>are like anti inflammatory, So when it comes to creams,

0:13:37.679 --> 0:13:41.439
<v Speaker 6>we do a lot of topical steroid creams. They're anti inflammatory, okay,

0:13:41.480 --> 0:13:44.240
<v Speaker 6>and they're fine for intermittent use, but they're not long term.

0:13:44.360 --> 0:13:47.280
<v Speaker 6>When people start to get more extensive psoriasis or if

0:13:47.320 --> 0:13:49.640
<v Speaker 6>it's just hard to manage, like when it's in the scalp,

0:13:49.720 --> 0:13:51.720
<v Speaker 6>it gets to be a pain to put creams or

0:13:51.720 --> 0:13:55.800
<v Speaker 6>solutions in the scalp and shampoos consistently, so that's when

0:13:55.840 --> 0:13:59.480
<v Speaker 6>systemic therapies will play a big role. There are newer

0:13:59.559 --> 0:14:04.880
<v Speaker 6>oral betas which are considered more immunomodulatory, so not immunosuppressive.

0:14:05.000 --> 0:14:07.240
<v Speaker 6>So in a way, I like those for people who

0:14:07.320 --> 0:14:09.840
<v Speaker 6>need systemic therapy, but they're concerned about like the immune

0:14:09.840 --> 0:14:13.679
<v Speaker 6>suppressing effects of some of these systemic agents, so this

0:14:13.720 --> 0:14:16.360
<v Speaker 6>one is kind of like a nice like stepping stone.

0:14:16.720 --> 0:14:20.200
<v Speaker 6>And then there's the injectibles, which we call biologics, and

0:14:21.080 --> 0:14:26.040
<v Speaker 6>these are essentially like antibodies that bind to certain inflammatory

0:14:26.080 --> 0:14:30.480
<v Speaker 6>markers or receptors that play a role in psoriasis, and

0:14:30.800 --> 0:14:34.480
<v Speaker 6>you know, once again considered immune suppressive. And now there's

0:14:34.520 --> 0:14:36.480
<v Speaker 6>just been a whole slew of newer ones that are

0:14:36.520 --> 0:14:38.960
<v Speaker 6>I would say, more specific for people with I would

0:14:38.960 --> 0:14:41.640
<v Speaker 6>say at least ten percent body surface area or higher

0:14:41.760 --> 0:14:45.920
<v Speaker 6>or really bad scalp or palmer plant orsoriasis.

0:14:45.920 --> 0:14:47.160
<v Speaker 5>They would be good candidates.

0:14:51.080 --> 0:14:54.480
<v Speaker 1>How do your patients usually react when you finally diagnose

0:14:54.560 --> 0:14:56.400
<v Speaker 1>them and get them on a treatment plan.

0:14:56.960 --> 0:14:59.960
<v Speaker 5>I think people feel hope.

0:15:00.360 --> 0:15:00.520
<v Speaker 2>Hmm.

0:15:01.320 --> 0:15:03.640
<v Speaker 5>They are like there's a sense of relief.

0:15:03.760 --> 0:15:07.000
<v Speaker 6>There's a sense of hope, And I think that that's

0:15:07.000 --> 0:15:10.680
<v Speaker 6>really important too, to like take that mental burden, that

0:15:10.800 --> 0:15:14.600
<v Speaker 6>stress of dealing with the disease on their own, telling

0:15:14.640 --> 0:15:17.640
<v Speaker 6>them we got you. There's so many great treatments for it.

0:15:17.840 --> 0:15:22.960
<v Speaker 6>Because the stress surrounding the disease can also aggravate the disease.

0:15:23.320 --> 0:15:27.400
<v Speaker 6>We do have legitimate studies that show that stress increase psoriasis.

0:15:27.880 --> 0:15:31.200
<v Speaker 6>Just having a plan, an action plan, I think relieves

0:15:31.200 --> 0:15:33.680
<v Speaker 6>that stress. And then when the patients return and their

0:15:33.680 --> 0:15:38.160
<v Speaker 6>psoriasis is better, and like could just see the confidence shift.

0:15:38.320 --> 0:15:40.640
<v Speaker 5>Yeah, you could see that they're just like.

0:15:40.720 --> 0:15:44.640
<v Speaker 6>Beaming with more joy and they're enjoying life more, which

0:15:44.680 --> 0:15:47.520
<v Speaker 6>is so fulfilling. But yeah, there's definitely a big mental

0:15:47.560 --> 0:15:49.600
<v Speaker 6>aspect when it comes to treating psoriasis.

0:15:50.160 --> 0:15:53.160
<v Speaker 1>I know firsthand that stress can be a common trigger

0:15:53.360 --> 0:15:56.560
<v Speaker 1>when it comes to psoriasis. In a recent episode about

0:15:56.600 --> 0:15:59.360
<v Speaker 1>stress and skin, we talked about how it affects my

0:15:59.440 --> 0:16:02.960
<v Speaker 1>husband with his flare ups. So managing stress is actually

0:16:03.040 --> 0:16:05.160
<v Speaker 1>such an important part of the treatment plan.

0:16:05.880 --> 0:16:09.560
<v Speaker 6>So just setting aside like sixty seconds and just noticing

0:16:09.600 --> 0:16:12.120
<v Speaker 6>your breath for those like sixty seconds, like setting up

0:16:12.160 --> 0:16:15.120
<v Speaker 6>timer and just noticing your breath work. And then the

0:16:15.200 --> 0:16:19.680
<v Speaker 6>other thing is community, like making sure that you are

0:16:20.080 --> 0:16:23.680
<v Speaker 6>in touch with those loved ones around you, staying in

0:16:23.720 --> 0:16:27.760
<v Speaker 6>communication with them, whether it's family, friends, but being involved

0:16:27.800 --> 0:16:29.000
<v Speaker 6>in community.

0:16:29.320 --> 0:16:31.680
<v Speaker 1>And what would your message be to someone who is

0:16:31.720 --> 0:16:35.240
<v Speaker 1>feeling isolated or discouraged because of their skin condition.

0:16:35.760 --> 0:16:39.000
<v Speaker 6>I first want to encourage people that it's it's not

0:16:39.120 --> 0:16:42.040
<v Speaker 6>their fault, and also want to encourage people that they're

0:16:42.080 --> 0:16:42.760
<v Speaker 6>not alone.

0:16:43.000 --> 0:16:44.760
<v Speaker 5>It's so common.

0:16:44.880 --> 0:16:48.760
<v Speaker 6>And there are so many great treatments, even like just

0:16:48.880 --> 0:16:52.440
<v Speaker 6>from when I started practicing, over the last ten years,

0:16:52.600 --> 0:16:55.400
<v Speaker 6>the amount of new treatment options there are for crisis

0:16:55.800 --> 0:16:58.480
<v Speaker 6>has been amazing, And you don't have to live with

0:16:58.800 --> 0:17:00.280
<v Speaker 6>this condition on your skin.

0:17:00.840 --> 0:17:03.560
<v Speaker 1>Thank you, Mamina, Thank you so much for taking the

0:17:03.640 --> 0:17:04.440
<v Speaker 1>time to chat.

0:17:04.640 --> 0:17:06.240
<v Speaker 5>Oh my gosh, thank you so much for having me.

0:17:06.280 --> 0:17:07.440
<v Speaker 5>I love talking about this.

0:17:08.000 --> 0:17:11.399
<v Speaker 1>I love that doctor Mamina mentions the importance of community

0:17:11.520 --> 0:17:14.760
<v Speaker 1>and support as we heard it's something that Janelle relied

0:17:14.800 --> 0:17:15.720
<v Speaker 1>on when growing up.

0:17:16.280 --> 0:17:19.280
<v Speaker 2>When I was a teenager, I did find a blog

0:17:19.440 --> 0:17:24.440
<v Speaker 2>called Sarisis Secrets, and people would anonymously share experiences that

0:17:24.480 --> 0:17:27.639
<v Speaker 2>they were having with crisis, for example, like the isolation,

0:17:28.040 --> 0:17:30.800
<v Speaker 2>wearing sweaters in the summer, having to like dust off

0:17:30.800 --> 0:17:34.000
<v Speaker 2>the scalp flakes that fall on your shoulder. That helped

0:17:34.040 --> 0:17:36.840
<v Speaker 2>me so much to know I wasn't doing some of

0:17:36.840 --> 0:17:39.000
<v Speaker 2>these things like on my own, that there were other

0:17:39.000 --> 0:17:41.280
<v Speaker 2>people out there in the world that were experiencing the

0:17:41.320 --> 0:17:44.879
<v Speaker 2>same thing and also dealing with it in the same way.

0:17:45.440 --> 0:17:49.520
<v Speaker 2>I would definitely say that's top is really reaching out

0:17:49.520 --> 0:17:52.919
<v Speaker 2>and talking about what you're experiencing and getting help if needed,

0:17:53.320 --> 0:17:57.440
<v Speaker 2>and to really give yourself grace in this journey because

0:17:57.440 --> 0:18:01.680
<v Speaker 2>it is difficult. Flares can really in a way impact

0:18:01.720 --> 0:18:04.840
<v Speaker 2>you a lot, not just the physical but mentally, So

0:18:04.920 --> 0:18:08.239
<v Speaker 2>it's so important to be graceful with yourself while you're

0:18:08.280 --> 0:18:11.520
<v Speaker 2>in the process of figuring out what medication works for you,

0:18:12.040 --> 0:18:13.919
<v Speaker 2>what lifestyle is going to look like.

0:18:14.600 --> 0:18:15.600
<v Speaker 4>I love this advice.

0:18:15.720 --> 0:18:17.800
<v Speaker 1>I'm sure that a lot of people are going to

0:18:17.840 --> 0:18:24.240
<v Speaker 1>find that so helpful. Well, that is a wrap on

0:18:24.280 --> 0:18:27.560
<v Speaker 1>this season of skin Queries. Thank you so much for

0:18:27.680 --> 0:18:30.960
<v Speaker 1>joining me throughout all these episodes. I don't know about you,

0:18:31.040 --> 0:18:34.200
<v Speaker 1>but I've learned so much so to really feel the

0:18:34.240 --> 0:18:37.880
<v Speaker 1>most confident and at home in my skin, it's essential

0:18:37.960 --> 0:18:41.160
<v Speaker 1>first to be present and accept everything that is happening

0:18:41.200 --> 0:18:43.159
<v Speaker 1>to it. But that doesn't mean we are left to

0:18:43.200 --> 0:18:46.359
<v Speaker 1>our own devices. On the contrary, we have so many

0:18:46.440 --> 0:18:49.399
<v Speaker 1>resources to help our skin glow and be the best

0:18:49.440 --> 0:18:52.359
<v Speaker 1>it can be. As always, it's important to care for

0:18:52.400 --> 0:18:53.880
<v Speaker 1>our bodies inside and out.

0:18:54.160 --> 0:18:55.360
<v Speaker 4>It means eat.

0:18:55.160 --> 0:18:59.600
<v Speaker 1>Well, take care of ourselves, find resources to relax, find

0:18:59.680 --> 0:19:03.199
<v Speaker 1>peace and enjoy. But if there's something specific that our

0:19:03.240 --> 0:19:06.800
<v Speaker 1>skin is calling for attention, never hesitate to reach out

0:19:06.840 --> 0:19:10.200
<v Speaker 1>and ask for help. Follow your intuition, be your own

0:19:10.240 --> 0:19:13.480
<v Speaker 1>advocate so you can feel your best, whatever that means

0:19:13.560 --> 0:19:19.720
<v Speaker 1>for you. Skin Queries is hosted by myself Nicole Berry,

0:19:19.840 --> 0:19:22.200
<v Speaker 1>An executive produced by Evon Sheehan.

0:19:22.520 --> 0:19:24.479
<v Speaker 4>Our senior producer is Tory Weldon.

0:19:24.800 --> 0:19:28.040
<v Speaker 1>Our junior producer is reem Al mcgrabi, with help from

0:19:28.080 --> 0:19:31.879
<v Speaker 1>Austin Johnson. The show is mixed and features original music

0:19:32.000 --> 0:19:35.280
<v Speaker 1>by Sam Sagan. The entire first season of skin Queries

0:19:35.359 --> 0:19:39.120
<v Speaker 1>is now available to binge on America's number one podcast network,

0:19:39.240 --> 0:19:43.280
<v Speaker 1>iHeart Listen in on the iHeartRadio app, Apple podcasts, or.

0:19:43.200 --> 0:19:45.240
<v Speaker 4>Wherever you get your podcasts, and we'd

0:19:45.240 --> 0:19:47.199
<v Speaker 1>Love to know what you think, so make sure to

0:19:47.280 --> 0:19:49.280
<v Speaker 1>leave a review until next time.