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David Whitlock has not showered or bathed for 15 years, yet he does not have body odour. \u201cIt was kind of strange for the first few months, but after that I stopped missing it,\u201d he says. \u201cIf I get a specific part of my body dirty, then I\u2019ll wash that specific part\u201d \u2013 but never with soap. As well as germs, soap gets rid of the skin\u2019s protective oils and alters its pH level. Although Whitlock appreciated gaining an extra 15 minutes a day from soap-dodging, his primary motivation was to encourage friendly microbes to live on him in symbiotic harmony. The bacteria get to feast on the ammonia from his sweat and he gets low-maintenance, balanced skin.<\/p>\n\n\n\n
Just as awareness of the importance of the gut microbiome<\/a> has led to a boom in probiotic and fermented foods and supplements<\/a>, there is increasing interest in our skin microbiome: the trillions of microbes that protect us from pathogens and keep us healthy by making vitamins and other useful chemicals. In this unprecedentedly sanitised era, in which eczema, acne and problems associated with dry skin are rife, consumers are hungry for solutions. Even the mainstream brand Dove claims<\/a>vaguely <\/a>that <\/a>its products <\/a>are \u201cmicrobiome-gentle\u201d<\/a>.<\/p>\n\n\n\n Sarah Ballantyne, a medical biophysicist turned author and lifestyle guru known as the <\/a>Paleo Mom<\/a>, has been an advocate of living in a more \u201cstone age\u201d way since reaching a healthy weight after adopting the Paleo <\/a>diet<\/a>. She, too, uses only water to wash, even though she is \u201cat the gym sweating buckets six hours a week\u201d. \u201cI use coconut oil to shave and that\u2019s it,\u201d she says. \u201cOver time, my skin has adjusted. I don\u2019t smell.\u201d She is working on a book about the human microbiome and is convinced her odour-free armpits are a sign that her skin microbiome is healthy.<\/p>\n\n\n\n Jackie Hong, a reporter in Yukon, north-west Canada, has eschewed soap in the shower for nine years. \u201cI use my hands to scrub myself and get any grime off, but I\u2019m sitting in court or at my desk most days, so it\u2019s not like I\u2019m getting bombarded with filth.\u201d She was curious to go without soap after an artist told her that he hadn\u2019t lathered up in 20 years. She says she saves time and money and needs \u201ca lot less body lotion\u201d.<\/p>\n\n\n\n \u201cThere\u2019s nothing wrong with just rinsing,\u201d says Sandy Skotnicki, a Toronto-based dermatologist and the author of the 2018 book Beyond Soap. \u201cI\u2019ve talked to people who haven\u2019t used any kind of detergent in years and they\u2019re perfectly fine.\u201d She says that, since 1950, we have gone from bathing once a week to every day. \u201cHas that changed our skin microbiome? I think the answer is yes. And has that caused a rise in inflammatory skin diseases? I think the answer is yes, but we don\u2019t know.\u201d<\/p>\n\n\n\n For Whitlock, a former chemical engineer based in Cambridge, Massachusetts, not washing has been a serious science experiment, the success of which has led him to become a trailblazer in a skincare revolution in soap-free, microbiome-friendly and probiotic products. His inspiration came from researching why horses roll in dirt. His conclusion? To top up their ammonia-metabilising bacteria, making the skin less susceptible to infection.<\/p>\n\n\n\n Whitlock had hoped that he would naturally acquire this type of bacteria simply by stopping washing. He didn\u2019t \u2013 and grew quite pongy. So, he harvested bacteria from the soil at a local farm and fed them with ammonia and minerals. When they turned the ammonia into nitrate, he knew he had what he wanted and started narrowing them down to a single strain that seemed happiest on human skin. After he applied the bacteria he had cultured \u2013 the stuff the horses were apparently after \u2013 he stopped smelling.<\/p>\n\n\n\n After co-founding the company AOBiome in 2013, Whitlock launched it as a spray: Mother Dirt AO+ Mist, billed as containing \u201cammonia-oxidising bacteria (AOB), a peacekeeper that once existed on our skin, but was cleaned away with modern hygiene and lifestyles\u201d. As most people still want to take showers and purchase nice products for their skin, the Mother Dirt range<\/a> now includes hair, face and body washes free from preservatives and detergents.<\/p>\n\n\n\n Michelle Strutton, a global beauty analyst at the research firm Mintel, says that while probiotic skincare still has a low market share, it has increased more than 300% from 2015 to 2019, \u201cso it is definitely an area that\u2019s worth watching\u201d. For example, the French brand Gallin\u00e9e<\/a> uses lactobacillus bacteria \u201cdeactivated by heat\u201d, while La<\/a>Flore<\/a>, a US brand soon to launch in the UK, suspends microbes in a \u201cgel matrix\u201d. What exactly makes a product \u201cmicrobiome-friendly\u201d or \u201cprobiotic\u201d, however, can be hard to pin down.<\/p>\n\n\n\n \u201cThere isn\u2019t a whole lot of definition for things like natural probiotics,\u201d says Kit Wallen Russell, the co-founder of the British startup JooMo<\/a>. \u201cThere\u2019s no regulation in the cosmetics industry, which means it\u2019s the wild west for companies saying their products do certain things.\u201d JooMo\u2019s products don\u2019t contain live cultures, but they are preservative-free and, Wallen Russell says, create the conditions for microbes to be attracted from the environment.<\/p>\n\n\n\n Hard evidence is lacking in this field. There are no studies demonstrating the negative effects of soap or overwashing. \u201cIt sounds like something people just say and pass around like: \u2018Well, that makes sense to me,\u2019\u201d says Julie Segre, a senior investigator in microbial genomics at the National Institute of Health in the US. She says there is limited medical evidence for the efficacy of skincare targeting the microbiome. \u201cMy position is there\u2019s a lot of promise in this field, but we need a lot more basic science.\u201d<\/p>\n\n\n\n Even in her own clinical work with childhood eczema, she says, there is a long way to go before microbes could become part of medical intervention \u2013 although that is not to say there is no potential. Segre singles out the possibilities of prebiotic ingredients \u201cwhere you put creams on your skin that can help the beneficial microbes grow\u201d.<\/p>\n\n\n\n While Mother Dirt, as a cosmetic brand, makes no health claims, its owner, AOBiome, is a pharmaceutical company running clinical trials on a surprising array of treatments: not only acne, eczema and rosacea, but also allergic rhinitis, hypertension and migraine. Whitlock says that, after using AOB, he was able to stop taking a drug for his high blood pressure, a result that was replicated in AOBiome\u2019s acne study.<\/p>\n\n\n\n \u201cWhen we looked at the safety data, people\u2019s blood pressure dropped,\u201d says Jim Hoffman, one of the company\u2019s directors. \u201cNobody\u2019s blood pressure dropped dangerously. All of a sudden, you\u2019re looking at hundreds of people and saying there\u2019s really something here.\u201d In the resulting blood pressure study, it was observed that no one trialling AOB treatment had had a headache. \u201cIn the placebo group, people had the normal number of headaches, but in the drug group: zero headaches,\u201d says Hoffman. A hypothesis for a migraine treatment evolved from there. Trials are continuing.<\/p>\n\n\n\n Meanwhile, the jury is out on the best way to ensure a healthy skin microbiome. Mother Dirt\u2019s CEO, the biochemist Jasmina Aganovic, says detergents such as sodium lauryl sulphate and sodium dodecyl sulphate should be avoided, so as to protect the sensitive AOB. Even essential oils, such as lavender and tea tree, have antimicrobial capabilities. \u201cIt doesn\u2019t mean you shouldn\u2019t use them, but you need to be careful about how \u2013 not all over the body, not super-concentrated,\u201d she says.<\/p>\n\n\n\n Spending time outdoors, and \u201cforest bathing\u201d in particular, has also been shown to be beneficial to the microbiome. But, Aganovic hastens to add: \u201cThe tempered approach of the scientist is there\u2019s a lot we don\u2019t know, and we\u2019re excited about the potential, but we must also be careful not to overclaim.\u201d<\/p>\n\n\n\n There is one area where most agree that soap is still useful. Ballantyne continues to reach for soap for hand washing, but opts for a lower pH type. Segre also recommends hand-washing with soap. As Skotnicki puts it: \u201cWashing your hair and your body has very little to do with hygiene. But washing your hands is essential.\u201d<\/p>\n\n\n\n