
「喝牛奶會長痘痘嗎?」
這個問題在我這幾年諮詢時重複率最高,會有這個說法是因為有學者發表「在飲食的選擇要避開會刺激 mTORC1 的成分」。
痘痘的形成

2012年發表於《皮膚內分泌學》期刊的paper認為 mTORC1 是導致痘痘冒出的原因。皮膚科醫生建議痘痘患者調整飲食習慣,去降低體內 mTORC1 的活性,一但身體 mTORC1 變多,就會造成「皮膚細胞延伸凸起」,同時讓皮脂旺盛、角質代謝異常,從而導致皮膚毛孔阻塞,形成痘痘。若加上臉部沒有潔淨乾淨,就會讓皮膚表層本來就存在的痤瘡桿菌感染發炎。
會活化 mTORC1 的飲食習慣

1.常吃蛋糕、甜點或者喝含糖飲料
高醣飲食會使身體分泌大量的胰島素,活化 mTORC1,讓皮脂腺分泌旺盛。胰臟分泌的胰島素和 IGF-1 還會刺激卵巢和睪丸組織合成雄激素,而雄激素又會去活化 mTORC1,形成惡性循環。

2.常吃油炸食物
便當裡的炸雞腿炸魚還有炸豬排、鹹酥雞等。這些食物含有許多對我們心血管不好的壞油,其中 Omega-6 會促使發炎相關物質產生,造成身體發炎。例如:白三烯 B4(Leukotriene B4),會去調控皮脂合成,只要油脂分泌太多,就非常容易爆痘。

3.飽和脂肪和反式脂肪
飽和脂肪和反式脂肪也會一起活化 mTORC1 路徑反式脂肪是「被人工氫化處理過的植物油」,把它們拿來當作奶油使用,製作糕點、點心等等,可以讓成品存放很久,吃進身體後會刺激皮脂合成,使原本油性肌膚雪上加霜,痘痘更加嚴重。

4.脫脂/低脂牛乳與乳製品牛奶
這類奶製品會產生類似「高升糖指數碳水化合物」的效應。牛奶中20%由「乳清蛋白」構成,乳清蛋白主要由「支鏈胺基酸」組成,會增加類胰島素生長因子、刺激胰島素過度分泌,導致角質細胞過度生長、皮脂腺分泌油脂、雄性素活性增加,形成粉刺與痤瘡。
牛奶致痘有例外—全脂牛奶
學術研究證實全脂牛奶不會加重痘痘,2016 年 8 月《美國皮膚科醫學會期刊》 (Journal of the American Academy of Dermatology)發表的研究(研究連結),克服了過去研究樣本太小或資料收集的問題,找了一個較大的群體,建立年齡性別相仿的對照組,並使用特殊軟體來收集飲食資料,最後證實攝取全脂牛奶不會加重青春痘,但攝取脫脂/低脂牛奶與乳製品卻會加重青春痘。「換句話說,過去觀察到牛奶會增加青春痘的現象,應該是脫脂/低脂牛奶與乳製品所造成」。
脫脂/低脂牛奶的升糖指數(GI)雖然只比全脂牛奶略高,卻會大幅度增加胰島素與似胰島素生長因子的量,進而增加皮脂腺的活性,這意味著脫脂/低脂牛奶除了升糖指數較高之外,應該還有一些類似荷爾蒙的成分,會影響人體製造胰島素與似胰島素生長因子的狀況。
所以,希望大家從此打破對牛奶的刻板印象,了解正確的觀念,堅持每天「攝取優質蛋白質」,全脂牛奶絕對是妳最好的夥伴之一。
結語

許多人發現喝牛奶後容易長痘痘,這可能與乳製品引發的發炎反應有關。乳製品中的乳糖、酪蛋白等成分,可能影響腸道菌相平衡,刺激胰島素與類胰島素生長因子(IGF-1)分泌,進而誘發皮脂分泌過多,導致粉刺、荳荳問題加劇。長期下來,慢性發炎狀態不僅影響肌膚,還可能對身體健康造成負擔。
想要減少因乳製品攝取而引發的發炎反應,建議調整飲食,減少乳製品攝取,並搭配「美日雙專利高濃度薑黃+朝鮮薊」,透過薑黃、薑、朝鮮薊等強效植萃,有助於降低體內發炎指數,調節免疫平衡,並促進肝臟解毒,幫助代謝乳製品中的潛在刺激物質,減少對皮膚與身體的負擔。從內而外調理,讓肌膚恢復穩定透亮,打造更安心的健康管理方案。
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