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Case Study: Comprehensive Approach to Eczema Management

Updated: Jan 26

Client Profile: RS, referred by a family member, presented with a severe and distressing case of eczema, with a current severity rating of 9 out of 10. The patient has a history of intermittent eczema episodes, but this time, the symptoms were at their peak, affecting his sleep and daily activities.


  • Eczema severity: 9 out of 10

  • Skin tightness and soreness

  • Disrupted sleep patterns

  • Dry skin in the morning

  • Extended shower time for washing and cream application

  • Previous unsuccessful attempts with topical steroid creams

Diagnostic Tests: Blood tests revealed several deficiencies and imbalances:

  • Low B12, Folate, Ferritin, and Vitamin D levels

  • Elevated Eisonophil count (potentially high histamine)

  • Low Lymphocyte count (lowered immunity)

Intervention Plan:

1. Dietary and Lifestyle Adjustments:

  • Elimination of dairy and gluten grains for four weeks.

  • Temporary removal of rabbits to assess potential sensitivity.

  • Protein intake increase to 70-90g per day through diet or supplementation, previously intake was below average. Protein is important for many functions in particular repair.

  • Avoidance of alcohol and highly processed foods during a 4-week detox period.

  • Consistent intake of six servings of vegetables and two servings of fruit daily.

Supporting Documents:

  • Guide to Eating Gluten-Free

  • Example recipes for higher protein and good fats

2. Topical Treatment:

  • Evening Primrose Oil (EPO) application for its anti-inflammatory properties.

3. Supplements:

  • Better You D3 3000 with K2 (3 sprays per day)

  • Blocare Methyl B Complex

  • Fe Zyme (to take after he completed is anti-biotic treatment)

4. Hydration:

  • Maintain well-hydrated status (2-3 liters of water per day) during the detox period.

5. Stress Management:

  • Acknowledging the relationship between stress and eczema, stress management strategies were discussed to mitigate flare-ups.

Gut Health:

  • Stool test indicated dysbiosis, with increased bacteria and candida.

  • Prescribed Liver Cleanse complex, activated charcoal, and a personalised Homeobotanical Anti-histamine and anti-inflammatory blend.

2 Follow-up sessions:

  • Regular monitoring of eczema symptoms and dietary adjustments.

  • Reintroduction of gluten and dairy after four weeks carefully monitoring symptoms.

  • Continuous evaluation of stress management strategies.

  • Follow-up stool test after completing antimicrobial cleanse.

This comprehensive approach addresses the multifaceted nature of eczema, incorporating dietary modifications, topical treatments, supplements, and stress management to improve overall well-being and alleviate the severity of eczema symptoms.

What RS had to say 2 months after his final appointment:

Hi Geeta. Just wanted to let you know that my health and skin are doing really well. I am now continuing with evening primrose and the charcoal. Diet is good and lifestyle feels good too.

Thank you for all your help and advice so far. It has made such a massive improvement to my health and well being. I feel really good at the moment and  hope it may continue. A  lot of this is because of your help. Thank you so much. Have  a great year. I love the message about kind acts and really believe in that kind of life style. 



If you are struggling with Eczema or dermatitis contact me to find how Nutrition and Lifestyle therapy can help you.

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