Skin Maintain Program
The step that decides whether your Skin Repair-4 result lasts — and gets visibly better. Skin cell turnover takes 28–40 days, so the visible result keeps compounding month by month across the maintenance window. A daily probiotic plus sebum-regulating B-vitamin support, designed to be taken for a minimum of 6 months after the Repair-4 program. The same pack supports Acne, Eczema, and Psoriasis variants — what differs is the diet, not the supplement set.
Eradication is half the job. Visible skin recovery is the other half.
Skin Repair-4 clears the pathogens, reseeds the protective gut species, and starts to repair the gut barrier driving systemic inflammation into the skin. It cannot, in 28 days, fully resolve the skin-side picture — skin cell turnover takes 28–40 days, and the inflammatory pressure on the skin keeps dropping for months after the gut work is done.
Stopping at the end of Phase 2 is the most common reason patients relapse. Supplemented probiotic strains begin to decline within 7–10 days of cessation. Patients who stop at 8–12 weeks because they 'feel better' have substantially higher relapse rates — what they feel is the protection, not the underlying state.
Skin Maintain is built to be the easy answer for all three Repair-4 variants — Acne, Eczema, Psoriasis: two daily supplements in the morning, reordered monthly for at least six months, paired with the variant-specific diet from your Maintenance Guide. Nothing to think about, nothing to deviate from.
Two daily levers. One ongoing routine.
Hold the Gut–Skin Axis
Lactobacillus reuteri (2 capsules morning, 30 min before food)
L. reuteri is one of the most studied strains for the gut–skin axis. It produces reuterin (a natural antimicrobial) and modulates immune tolerance through cytokine pathways that connect gut dysbiosis to inflammatory skin conditions. Daily dosing through the maintenance window holds the rebuilt gut flora in place so the inflammatory pressure on the skin keeps dropping.
Daily morning — keep the upstream gut signalling clean.
Regulate Sebum, Support Skin Renewal
Pantothenic acid + B-vitamin complex (2 tablets morning)
Pantothenic acid (vitamin B5) supports sebum regulation and skin cell turnover — the second lever driving visible skin recovery after the gut. Combined with broader B-vitamin support for keratinocyte renewal, the daily morning dose addresses the skin-side mechanism that the probiotic alone can't reach.
Daily morning — keep the skin-side renewal cycle supported.
Built for Three Conditions
One pack — same supplement set for Acne, Eczema, and Psoriasis
The supplement set is the same across all three Skin Repair-4 variants — the dietary lever is what differs. Acne (low-glycaemic, dairy-free, spearmint tea), Eczema (low-histamine, freshness rule), and Psoriasis (zero alcohol, turmeric, EGCG). Your digital Maintenance Guide includes the food list specific to your variant.
Daily — the supplements stay the same, the diet doesn't.
Why six months is the minimum.
From Repair-4 to durable, visibly clearer skin.
Transition straight into Maintain.
Order at the start of the last week of Skin Repair-4 Phase 2 so the first 1-month pack arrives before Phase 2 ends. The handover should be seamless — no gap, no waiting for an acne flare, eczema patch, or psoriasis plaque to nudge you back.
Daily morning routine + condition-specific diet.
Two L. reuteri capsules plus two B-vitamin tablets in the morning, 30 minutes before food. Continue the DermaBiome Diet™ specific to your variant — the dietary lever is the one the supplements cannot replace. Acute flares during Maintain are most often dietary (dairy for acne, high-histamine for eczema, alcohol for psoriasis), not program failure.
Re-test your gut + skin microbiome.
Repeat your gut microbiome test (and skin microbiome test if originally performed) at the 6-month mark to objectively validate diversity improvements, confirm whether inflammatory markers and pathogen levels have stayed down, and decide — with your Microbiome Doctor — whether to step down, continue, or extend Maintain further.
Questions, answered.
Is this the same pack for Acne, Eczema, and Psoriasis?
Yes — the supplement set is identical across all three Skin Repair-4 variants. The clinical reasoning: in all three conditions the gut–skin axis is doing the same upstream work, and pantothenic acid + B-vitamin support is the same skin-side renewal lever. What differs is the diet, which is variant-specific (low-glycaemic + dairy-free for Acne, low-histamine for Eczema, low-alcohol + turmeric/EGCG for Psoriasis). Your digital Maintenance Guide includes the food list for your variant.
Do I have to finish Skin Repair-4 before starting Maintain?
Yes. Skin Maintain is designed as the step that follows the full Repair-4 program — Phase 1 eradication + Phase 2 rebuild. Starting Maintain without first clearing pathogens and reseeding the protective species means dosing into a gut–skin terrain that's still dysbiotic. Complete Repair-4 first, then transition directly into Maintain at the end of Phase 2 with no gap.
Why six months minimum? Can I stop earlier if my skin has cleared?
Feeling fine is not the marker — sustained gut diversity and skin-cycle compounding are. Supplemented probiotic counts begin declining within 7–10 days of cessation, and patients who stop at 8–12 weeks because they 'feel better' have substantially higher relapse rates. Skin cell turnover takes 28–40 days, so the visible result at 6 months is materially better than the visible result at 6 weeks. The 6-month minimum exists because that's the timeframe over which the rebuilt microbial state consolidates and the skin compounds the gains.
How do I take it each day?
All Maintain supplements are taken in the morning, 30 minutes before food: 2 capsules of the L. reuteri probiotic + 2 tablets of the pantothenic acid + B-vitamin complex. If you feel nauseous, take with food instead. Your digital Maintenance Guide includes the worked daily checklist with the night routine and dietary prompts.
When should I order my next pack?
Order your next 1-month pack 1 week before your current supply runs out so there's no gap. The product is set up to be reordered monthly across the 6-month minimum maintenance window — six packs back-to-back. Most patients set a recurring calendar reminder at the 3-week mark of each pack.
What if I have an acute flare during Maintain?
Acute flares during Maintain are most often dietary or stress-related — dairy or a glycaemic spike for acne, a high-histamine food for eczema, alcohol for psoriasis — not program failure. Review your variant-specific food list, identify the likely trigger, and return to the strict diet for 2 weeks. If flares persist or worsen, contact your Microbiome Doctor before stopping or changing the protocol.
Can I take this if I'm pregnant or breastfeeding?
Discuss with your Microbiome Doctor before starting or continuing in pregnancy or breastfeeding. The probiotic strain in this maintenance pack is generally considered well-tolerated, and pantothenic acid is essential and safe at the doses included. However, vitamin A-containing acne medications and some skin treatments are contraindicated in pregnancy, so the broader skin-treatment context matters. Do not start or continue without clinical clearance.
Should I re-test at 6 months?
Yes. A repeat gut microbiome test (and skin microbiome test if originally performed) at the 6-month mark objectively validates diversity improvements, confirms whether inflammatory markers and pathogen levels have stayed down, and decides — with your Microbiome Doctor — whether to step down, continue Maintain, or extend further. Symptoms alone are an unreliable guide — testing is the only way to know.
Important — general advice only. Information presented on this page is general health information and is not personal medical advice. Always consult your treating practitioner before starting any new supplement, particularly if you are pregnant, breastfeeding, immunocompromised, or taking prescription medications.
Pregnancy and breastfeeding: Discuss this pack with your Microbiome Doctor before starting or continuing if you are pregnant, breastfeeding, or planning pregnancy. The broader skin-treatment context (vitamin A-containing acne medications and other prescribed topicals) may also need clinical review.
These products are listed complementary medicines and are not intended to diagnose, treat, cure, or prevent any disease. The Microbiome Clinic has no commercial affiliation with any specific supplement brand included in this protocol — supplements are selected on the basis of clinical evidence alone, in line with the Microbiome Clinic Independence Guarantee.