🟢 Strong clinical evidence (randomised controlled trial)
Study at a glance
- Participants: 75 adults
- Condition: Chronic adult acne
- Study type: Randomised controlled trial
- Duration: 12 weeks
What was done
Participants took a food-specific IgG blood test and were assigned to one of three groups:
- Personalised diet based on their IgG test results
- Diet based on common reactive foods
- Control diet based on unrelated foods
Researchers assessed acne severity, quality of life, and other symptoms over 12 weeks.
What improved
After 12 weeks:
- Acne severity reduced clearly in elimination diet groups vs. control, moving participants from moderate toward milder severity
- Personalised IgG-guided group showed substantial reductions (e.g. scores dropping from 27 to 18, around 33%)
- Personalised IgG-guided diet showed the greatest improvement of all three groups
Additional findings:
- Quality of life improved, with fewer skin-related concerns reported
- Some participants showed reductions in weight and BMI
Key takeaway
A personalised diet based on IgG test results was associated with clear reductions in acne severity, with improvements of around one-third in some individuals.
What this means
- Food-specific IgG responses may contribute to inflammation involved in acne
- Identifying and removing reactive foods may help improve skin symptoms
- Supports the idea that dietary triggers play a role beyond digestive health
Important to know
- Sample size was relatively small
- Conducted in a specific population, so results may not apply universally
- Further research still needed
🟢 Evidence strength
Strong clinical evidence (randomised controlled trial)
Full citation
Maiprasert M, Khunngam P, Rakchart S, et al. Elimination diet guided by food-specific IgG antibodies measurements in chronic adult acne in Thailand: a prospective RCT study. International Journal of Statistics in Medical Research. 2024;13:291–303.
