The Impact of Microbiome Health on Skin and Eczema: The Gut-Skin Axis

June 28, 2025 · Oliver Drazsky

Skin troubles like eczema are not just skin deep. The secret to a calm, clear complexion may lie in your gut. Recent research highlights the powerful link between gut health and skin health, especially for people with eczema. This connection is known as the gut-skin axis, and it’s changing how we think about skin problems and their solutions. Understanding how the microbiome and eczema interact can help you take control of your skin health from the inside out.

 

What Is the Gut-Skin Axis and Why Does It Matter for Skin Health?

 

The gut-skin axis is the two-way relationship between your gut microbiome and your skin. Your gut is home to trillions of bacteria, fungi, and viruses that play a big role in digestion, immunity, and even your mood. But as a growing body of research suggests, these tiny organisms also communicate with your skin, influencing everything from inflammation to how well your skin barrier works.


When your gut microbiome is balanced, your skin tends to be healthier. But when there’s an imbalance—called dysbiosis—it can show up as redness, irritation, or flare-ups of conditions like eczema and psoriasis. This happens because your gut and skin share many features: both are lined with special cells that act as barriers, both are packed with immune cells, and both are in constant contact with the outside world.

 

How the Gut Microbiome Influences Skin Conditions Like Eczema

 

Eczema, also called atopic dermatitis, is one of the most common inflammatory skin conditions. It often starts in childhood and can cause itchy, dry, and irritated skin. Research shows that people with eczema often have a different mix of gut bacteria compared to those with healthy skin.


The gut microbiome helps train your immune system. When your gut is healthy, it teaches your immune cells to respond appropriately to threats. But when the microbiome is out of balance, your immune system can become overactive, leading to systemic inflammation and skin flare-ups. This is why supporting gut health is so important for people with eczema.

 

The Role of Skin Barrier and Gut Health

 

Your skin barrier is your first line of defense against the outside world. When it’s strong, it keeps moisture in and irritants out. But when it’s weak—due to genetics, environment, or poor gut health—it can let irritants in and moisture out, making eczema worse.


Gut health directly affects your skin barrier. An unhealthy gut can lead to increased intestinal permeability, sometimes called “leaky gut.” This allows toxins, bacteria, and undigested food particles to enter your bloodstream, triggering inflammation that can show up on your skin. Strengthening your gut barrier can help improve your skin barrier function, reducing eczema symptoms.

 

Probiotics, Prebiotics, and Skin Inflammation

 

Probiotics are live bacteria that support a healthy gut. Prebiotics are special fibers that feed the good bacteria in your gut. Both can help balance your microbiome and reduce inflammation.

 

  • Probiotics for eczema: Studies show that probiotics, especially multi-strain formulas, can help reduce eczema symptoms in both children and adults. Probiotics calm overactive immune cells and support a balanced immune response, which can help prevent and manage eczema flare-ups.

  • Prebiotics for eczema: Prebiotics like human milk oligosaccharides (HMOs) feed beneficial bacteria in your gut. HMOs have been shown to increase levels of Bifidobacterium, a type of bacteria linked to better gut and skin health.

 

The Science Behind Human Milk Bioactives: HMOs and Human Milk Lactoferrin

 

Not all prebiotics are created equal. Human milk oligosaccharides (HMOs) and human milk lactoferrin are two powerful bioactives found in human breast milk. These ingredients are now available in supplements like kēpos thanks to advances in precision fermentation.

 

  • Human milk oligosaccharides (HMOs): HMOs are prebiotics that selectively feed good bacteria like Bifidobacterium. Clinical studies, such as a 2020 trial on adults with IBS, show that HMOs can improve gut health, reduce inflammation, and support immune function. They are well tolerated and do not cause bloating or digestive discomfort.

 

  • Human milk lactoferrin (effera™): This protein is naturally found in human milk and has strong anti-inflammatory and immune-modulating effects. Effera™ human milk lactoferrin, produced through precision fermentation, is structurally identical to native human lactoferrin. As demonstrated in a recent 2024 safety and efficacy study, it is highly bioavailable, hypoallergenic, and supports gut barrier repair and microbiome balance. Unlike bovine lactoferrin, effera™ is recognized by your body as “self,” reducing the risk of immune reactions.

 

How kēpos Supports Skin Health Through Microbiome Balance

 

kēpos is a leader in gut health supplements, offering bio-identical human milk oligosaccharides and effera™ human milk lactoferrin. These ingredients are designed to work with your body, not against it, providing advanced gut and immune support.

 

  • Selective feeding of good bacteria: kēpos HMOs feed beneficial bacteria like Bifidobacterium, which are linked to better gut and skin health.

  • Gut barrier repair: Effera™ human milk lactoferrin helps repair the gut lining, reducing intestinal permeability and supporting overall gut health.

  • Reduced inflammation: Both HMOs and effera™ have anti-inflammatory effects, helping to calm immune responses that can trigger eczema and other skin issues.

  • Safe and well tolerated: kēpos supplements are lactose-free and have reduced allergenicity, making them suitable for people with lactose intolerance. However, those with dairy allergies should use caution.

 

The Latest Research on HMOs and Human Milk Lactoferrin

 

Recent studies continue to highlight the benefits of HMOs and human milk lactoferrin for gut and skin health:

 

 

 

Microbiome Balancing for Eczema: Practical Tips

 

Balancing your microbiome can help manage eczema and improve overall skin health. Here are some simple steps:

 

  • Eat a diverse, fiber-rich diet: Fruits, vegetables, whole grains, and legumes feed good gut bacteria.

  • Include fermented foods: Yogurt, kefir, kimchi, and sauerkraut introduce beneficial bacteria to your gut.

  • Consider probiotics and prebiotics: Supplements like kēpos, which combine HMOs and effera human milk lactoferrin, can help restore microbiome balance and support skin health.

  • Stay hydrated: Water helps maintain skin elasticity and supports gut function.

  • Limit processed foods and sugar: These can disrupt your microbiome and increase inflammation.

 

The Big Picture: Microbiome Diversity and Skin Health

 

A diverse gut microbiome is linked to healthier skin. When your gut is rich in different types of bacteria, your immune system is better equipped to handle challenges, and your skin is less likely to flare up. Supporting microbiome diversity through diet, lifestyle, and targeted supplements can help you achieve clearer, calmer skin.


Start Your Journey to Healthier Skin

 

Ready to support your gut health and skin barrier with science-backed ingredients? kēpos provides bio-identical human milk oligosaccharides and effera™ human milk lactoferrin in a convenient, lactose-free formula designed for superior results.

Discover more and try the kēpos Human Milk Equivalent Superfood today.

 

Key Takeaways

 

  • The gut-skin axis is the direct communication channel between your gut and skin, influencing conditions like eczema.

  • An imbalanced gut microbiome can trigger systemic inflammation and weaken the skin barrier, leading to flare-ups.

  • Prebiotics like HMOs selectively nourish beneficial gut bacteria, which is crucial for anti-inflammatory gut support.

  • Effera™ human milk lactoferrin, a bio-identical protein, helps repair the gut barrier and supports the immune system.

  • kēpos combines these powerful, science-backed ingredients to offer a targeted solution for improving gut health and managing skin issues from within.

 

Frequently Asked Questions

 

How does the gut microbiome influence skin conditions like eczema?
The gut microbiome trains your immune system and helps regulate inflammation. When the microbiome is out of balance, it can lead to overactive immune responses and skin flare-ups like eczema.


What is the gut–skin axis and why does it matter for skin health?
The gut–skin axis is the two-way relationship between your gut and skin. A healthy gut microbiome supports a strong skin barrier and balanced immune function, which helps prevent skin problems.


Can healing your gut really improve chronic skin issues?
Yes, improving gut health can help manage chronic skin issues like eczema. Strengthening the gut barrier and balancing the microbiome reduces inflammation and supports skin healing.


What role do probiotics and prebiotics play in skin inflammation?
Probiotics introduce beneficial bacteria, while prebiotics feed them. Both help balance the microbiome, calm immune responses, and reduce skin inflammation.


How does kēpos support skin health through gut microbiome balance?
kēpos uses bio-identical human milk oligosaccharides and effera human milk lactoferrin to selectively feed good bacteria, repair the gut barrier, and reduce inflammation, supporting both gut and skin health.