This is a diet sourced by a patient many years ago from a naturopathic physician JOSEPH E. PIZZORNO JR., N.D.. It summarises the ‘allopathic’ approach to rosacea. Whilst it has not been validated scientifically many patients have found all or parts of it helpful.

 Rosacea, a type of inflammation, causes the skin on your nose and cheeks to appear red and flushed. Try the following four supplement and diet suggestions. You should notice a significant improvement in two or three months and occasional flare-ups should heal much more quickly if you continue the dietary changes recommended.

Aid Your Stomach.

Take 10 grains (600mg) of hydrochloric acid because many people with rosacea don’t produce enough of this acid in their stomach. A lack of hydrochloric acid kicks off a chain reaction that can result in redness and flushing. You can buy hydrochloric acid at natural food stores (see below). Reduce your dose by half if your skin clears or if you have stomach discomfort. Since supplementing helps your body produce more of its own hydrochloric acid, after three or four months you should no longer need to take hydrochloric acid supplements.


Eat Beneficial Fats.

Consume foods rich in Omega-3 essential fatty acids which can calm rosacea-related inflammation. Aim for four servings per week of cold-water fish like halibut, herring, mackerel, salmon and sardines. If you are vegetarian, take 1 tablespoon of flaxseed oil daily by the spoonful or drizzle on salads. If you don’t see an improvement in two to three months take pancreatic enzyme supplements. Many people with rosacea have a deficiency in a pancreatic enzyme that helps digest Omega-3 and other fats. Begin by taking 350mg of a non-enteric-coated pancreatic enzyme product with a potency of 10X USP three times per day immediately before meals. If you don’t notice any improvement within several days you can increase your dosage by 100mg every four days until your skin starts to clear or you reach 1,000mg. You can stop taking the enzymes when your skin clears, but continue consuming the fish or flaxseed oil. If your skin begins to flare up again start taking the enzymes.


Go Easy on Meat.

Limit your consumption of meat and poultry to one serving a week and when you eat dairy choose only fat-free products. All animal products contain an acid that your body converts to inflammation-promoting substances. Fat Free dairy contains less of this acid.


Avoid Troublesome Foods.

Reduce your consumption of alcohol, hot beverages and spicy foods because they may cause flushing. Completely avoid red wine and aged cheese (which can also trigger flushing) until your skin clears. Once your skin improves you may be able to consume small amounts of red wine and aged cheese without causing a flare-up.


I Suggest You Try This

Drink at least two litres of filtered water daily to help your body get rid of chemicals from the foods that may trigger rosacea flare-ups.

Hydrochloric Acid is best sourced as Betaine Hydrochloride with Pepsin (Lamberts Healthcare) and you should take two daily with each meal.

As a pancreatic enzyme product in the UK, I would suggest you take Nutrizym 22 (a prescription is required) initially one daily with a meal increasing as necessary every four days by taking extra capsules with other meals to a maximum of three per day.



Neil Walker - Consultant Dermatologist at Oxford Stratum Clinic

Dr Neil Walker
Consultant Dermatologist

Qualifications: FRCP

Dr Walker is the Clinical Director of Stratum Clinics Oxford and is an Honorary Consultant Dermatologist, Department of Dermatology, Churchill Hospital, Oxford.

GMC: 2258764

Popular Posts
Click below to see hear from our experts:

video consultations

Video Consultations Now Live

You are still able to book an appointment with a Consultant Dermatologist. We have introduced video consultations for patients who need diagnosis and treatment of their skin conditions.

mole checking abcde

When should I worry about a mole?

Moles are usually harmless, but these small dark spots on the skin can sometimes develop into a type of skin cancer known as melanoma. Examining and regularly monitoring moles saves lives.

acne clinic

I'm a teenager! Why is my acne worse than my friends?

Acne is a common issue for many people, especially for teenagers and young adults in their 20s. Some have mild symptoms, while others can have very severe issues.


At Stratum Dermatology Clinics, we understand how skin conditions can negatively impact your life. We help hundreds of patients each month and our dermatology experts have a wealth of experience in the assessment, treatment and management of all types of skin conditions and skin cancers. Working with leading experts in the field of dermatology, we pride ourselves on our successful and comprehensive range of treatments. All Stratum Dermatology Clinics are regulated by the Care Quality Commission, are part of the British Association of Dermatologists and are top rated by patients on Doctify. Both Stratum Dermatology Clinics and the consultants who work here are recognised by the main healthcare insurance providers.


Click on a clinic below to find out more:


Please fill in this form and one of our team will give you a call back to arrange a consultation with one of our expert dermatologists.