Melasma and Gut Health: How Estrogen and the Estrobolome Play a Role

Melasma and Gut Health: How Estrogen and the Estrobolome Play a Role

Did you know that imbalances in your gut bacteria can contribute to high estrogen levels—one of the major drivers of melasma and hyperpigmentation?


The key player here is the estrobolome, a unique group of gut bacteria. 


These microbes produce an enzyme called beta-glucuronidase, which converts estrogen into its active form for reabsorption. When the estrobolome becomes overactive, too much estrogen re-enters circulation. 


This estrogen dominance is strongly linked to melasma flare-ups.


Gut Health and Melasma Patterns


If your melasma patches appear on the forehead, it may be a sign that your gut health needs attention. In Traditional Chinese Medicine (TCM), the forehead is directly connected to digestion—the appearance of wrinkles, redness, or pigmentation here can reflect gut imbalances.


Melasma Is More Than Skin Deep


There’s growing evidence that melasma is an inflammatory skin condition. Research shows that people with melasma often have elevated inflammatory markers in their blood and skin, which signal an overactive immune system. This inflammation not only fuels hyperpigmentation but also makes it harder for the skin to heal.


In my book The Truth About Melasma, I dive deep into the connection between inflammation, gut health, estrogen, and skin pigmentation, providing references and holistic solutions you can start using today.


Healing Melasma Naturally


If you’re tired of quick fixes and want to address the root causes of melasma, supporting your gut health is one of the most effective approaches. Restoring microbial balance can help regulate estrogen, calm inflammation, and improve skin clarity over time.


💡 Want personalized guidance on how to heal your gut and reduce melasma naturally


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Photo by Jannes Jacobs on Unsplash


1. Romm A. The Estrobolome: The Fascinating Way Your Gut Impacts Your Estrogen Levels [Internet]. Aviva Romm, MD. 2021 [cited 2024 Apr 10]. Available from: https://avivaromm.com/estrobolome/

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