instruction: hello doctor for the last year or so I have been experiencing a troubled gut gassy disposition constant rumbling in the stomach and frequent burps since then I have stopped consuming lactose heavy foods such as cheese full fat milk and paneer since but my stomach is still unsettled a year on I have also noticed that over the last three months my skin has been breaking out on the chin forehead and cheeks this coincides with the start of the lockdown where I live I have never experienced acne or other skin issues before my diet has remained the same vegetarian lactose free a decent amount of fruits and veggies next to no sweets ghee butter chapatis and rice I do not smoke at all and drink very infrequently I do not skip meals I do not take supplements currently only cod liver oil capsules for immunity for the last 6 years how do I improve my gut health and does it have anything to do with my sudden skin problems
output: hi if your gut is not normal it will definitely affect your skin first thing include a lot of probiotics in your diet take two cups of curd daily have small frequent meals like two to three hours eat something your meal should be breakfast lunch and dinner with two intermittent snacks include ghee every day in your diet add one or two teaspoons ghee with rice along with other accompaniments stop the cod liver capsules completely supplements should not be taken for years together occasionally if you eat homemade sweets nothing will happen you can take it as your weight is very low for in between snacks you can eat fruits buttermilk include every day protein powder in the evening canna etc always have protein rich foods in the morning hours and the later meal should be light avoid breads bakery products processed foods sodas rich sweets junks etc get a complete blood test done follow up after a week with your reports