{"id":3665,"date":"2025-04-06T23:44:30","date_gmt":"2025-04-06T21:44:30","guid":{"rendered":"https:\/\/www.ngdcare.nl\/product\/uncategorized\/skin-protocol\/"},"modified":"2026-08-24T10:50:47","modified_gmt":"2026-08-24T08:50:47","slug":"skin-protocol","status":"publish","type":"product","link":"https:\/\/www.ngdcare.nl\/en\/product\/bundles\/skin-protocol\/","title":{"rendered":"Skin Support Trajectory"},"content":{"rendered":"<div style=\"max-width: 860px; font-family: sans-serif; color: #333; line-height: 1.7;\">\n<div style=\"background: #eaf4ea; border-left: 4px solid #2b5040; padding: 18px 22px; margin-bottom: 28px;\">\n<p style=\"margin: 0; font-size: 1rem; color: #162920;\"><strong>QUICK SUMMARY<\/strong><\/p>\n<p style=\"margin: 0; font-size: 1rem; color: #162920;\"><strong>The NGD Care Skin Support Program helps with:<\/strong> chronic itching, eczema, bald spots, recurring skin infections and allergic skin complaints in dogs and cats. Skin problems are rarely purely local. Behind the itching there is almost always a systemic imbalance.  <\/p>\n<\/div>\n<h2 style=\"font-size: 1.2rem; color: #2b5040; border-bottom: 2px solid #eaf4ea; padding-bottom: 8px; margin-bottom: 16px;\">Why a process and not a skin ointment or antihistamine?<\/h2>\n<p style=\"color: #4a4a4a; font-size: .93rem;\">The skin is the largest organ of the body and at the same time the most visible expression of what is happening inside. Chronic skin problems in dogs and cats are almost never primarily a skin disease. They are a symptom of a disturbed immune system, a dysregulated inflammatory response or, in chronic cases, an increased <a style=\"color: #2b5040; text-decoration: underline dotted;\" href=\"https:\/\/www.ngdcare.nl\/begrippenlijst\/#darmpermeabiliteit\">intestinal permeability<\/a> that allows allergens and toxins to enter the bloodstream.  <\/p>\n<p style=\"color: #4a4a4a; font-size: .93rem;\">Corticosteroids and antihistamines temporarily suppress this signal but do not resolve the underlying imbalance. As soon as the medication stops, the symptoms return. The <strong>NGD Care Skin Support Trajectory<\/strong> tackles the cause: phase 1 addresses four complementary supplements that simultaneously support mast cell stabilization, histamine inhibition, immune balance and skin barrier repair, phase 2 is the maintenance phase that follows.  <\/p>\n<h2 style=\"font-size: 1.2rem; color: #2b5040; border-bottom: 2px solid #eaf4ea; padding-bottom: 8px; margin: 28px 0 20px;\">How does the Skin Support Trajectory work?<\/h2>\n<p style=\"font-size: .88rem; color: #666; margin-bottom: 20px; font-style: italic;\">In case of chronic or recurring complaints, we recommend starting the Bowel Recovery Process, before or simultaneously with phase 1. Phase 1 is the fixed first step for any skin complaint, acute or chronic. Phase 2 is the maintenance phase that follows as soon as the acute complaints are under control, with a fixed combination and optional additions in case of stress or local complaints.  <\/p>\n<div style=\"margin-bottom: 28px;\">\n<p><!-- START: DARM HERSTEL TRAJECT --><\/p>\n<div style=\"border-left: 4px solid #162920; padding: 0 0 0 20px; margin-bottom: 24px;\">\n<div style=\"display: flex; align-items: center; gap: 12px; margin-bottom: 12px;\">\n<div style=\"background: #162920; color: #d5cd47; padding: 0 12px; height: 36px; border-radius: 18px; display: flex; align-items: center; justify-content: center; font-weight: bold; font-size: .78rem; letter-spacing: .06em; flex-shrink: 0; text-transform: uppercase;\">Start<\/div>\n<div>\n<div style=\"font-weight: bold; color: #2b5040; font-size: 1rem;\">Bowel Recovery Trajectory (formerly Intestinal Protocol)<\/div>\n<div style=\"font-size: .82rem; color: #888;\">In case of chronic or recurring complaints: the basis, before or simultaneously with phase 1<\/div>\n<\/div>\n<\/div>\n<p style=\"margin-bottom: 12px; color: #4a4a4a; font-size: .93rem;\">In case of chronic or recurring skin complaints, we recommend starting the <a style=\"color: #2b5040; font-weight: bold;\" href=\"https:\/\/www.ngdcare.nl\/en\/product\/stomach-and-intestine\/gut-protocol-phase-1\/\">Bowel Recovery Process<\/a> in addition to phase 1. Chronic skin complaints are almost always related to a disturbed intestinal barrier via the <a style=\"color: #2b5040; text-decoration: underline dotted;\" href=\"https:\/\/www.ngdcare.nl\/begrippenlijst\/#darm-huid-as\">intestine-skin axis<\/a> . For chronic skin complaints, intestinal repair is therefore an essential supplement, not a separate option.  <\/p>\n<div style=\"background: #fff; border: 1px solid #eaf4ea; padding: 14px 18px;\">\n<div style=\"font-size: .75rem; font-weight: bold; color: #2b5040; text-transform: uppercase; letter-spacing: .06em; margin-bottom: 10px;\">Starting point for chronic complaints<\/div>\n<div style=\"display: flex; flex-wrap: wrap; gap: 8px 20px;\"><a style=\"font-size: .85rem; color: #333; text-decoration: none; display: inline-flex; align-items: center; gap: 8px; white-space: nowrap;\" href=\"https:\/\/www.ngdcare.nl\/en\/product\/stomach-and-intestine\/gut-protocol-phase-1\/\"><span style=\"color: #2b5040; font-weight: bold;\">\u2192<\/span>Bowel Recovery Trajectory<\/a><\/div>\n<\/div>\n<\/div>\n<p><!-- FASE 1 --><\/p>\n<div style=\"border-left: 4px solid #2b5040; padding: 0 0 0 20px; margin-bottom: 24px;\">\n<div style=\"display: flex; align-items: center; gap: 12px; margin-bottom: 12px;\">\n<div style=\"background: #2b5040; color: #d5cd47; width: 36px; height: 36px; border-radius: 50%; display: flex; align-items: center; justify-content: center; font-weight: bold; font-size: .9rem; flex-shrink: 0;\">1<\/div>\n<div>\n<div style=\"font-weight: bold; color: #2b5040; font-size: 1rem;\">Phase 1: Acute &#038; seasonal<\/div>\n<div style=\"font-size: .82rem; color: #888;\">Itching, eczema, allergic reactions, hair loss<\/div>\n<\/div>\n<\/div>\n<p style=\"margin-bottom: 12px; color: #4a4a4a; font-size: .93rem;\"><strong>Histamine Balance<\/strong> forms the antihistamine and anti-inflammatory basis. MSM provides bioavailable sulfur for collagen synthesis and keratin production and inhibits NF-\u03baB-mediated inflammation. Quercetin stabilizes mast cells and inhibits histamine release, the central trigger in allergic skin reactions. <strong>PEA Complex<\/strong> modulates the deeper inflammatory response via PPAR-alpha activation and 5-lipoxygenase inhibition, without the side effects of long-term corticosteroid use. <strong>O-Mega Blend<\/strong> delivers EPA, DHA, and stearidonic acid in combination with astaxanthin, strengthens skin barrier function, and modulates the arachidonic acid pathway with an anti-inflammatory net effect. <strong>Myco Immune Complex<\/strong> restores <a style=\"color: #2b5040; text-decoration: underline dotted;\" href=\"https:\/\/www.ngdcare.nl\/begrippenlijst\/#th1-th2-balans\">the Th1\/Th2 immune balance<\/a> via beta-glucans from medicinal mushrooms. In this way, it is not the symptom but the immunological root cause of the allergic overreaction that is addressed.   <\/p>\n<div style=\"background: #fff; border: 1px solid #eaf4ea; padding: 14px 18px; margin-bottom: 16px;\">\n<div style=\"font-size: .75rem; font-weight: bold; color: #2b5040; text-transform: uppercase; letter-spacing: .06em; margin-bottom: 10px;\">Supplements phase 1<\/div>\n<div style=\"display: flex; flex-wrap: wrap; gap: 8px 20px;\"><a style=\"font-size: .85rem; color: #333; text-decoration: none; display: inline-flex; align-items: center; gap: 8px; white-space: nowrap;\" href=\"https:\/\/www.ngdcare.nl\/en\/product\/orthomolecular-supplements\/liposomal-msm-with-quercetin\/\"><span style=\"color: #2b5040; font-weight: bold;\">\u2192<\/span>Histamine Balance<\/a><br \/>\n<a style=\"font-size: .85rem; color: #333; text-decoration: none; display: inline-flex; align-items: center; gap: 8px; white-space: nowrap;\" href=\"https:\/\/www.ngdcare.nl\/en\/product\/orthomolecular-supplements\/liposomal-pea-and-boswellia\/\"><span style=\"color: #2b5040; font-weight: bold;\">\u2192<\/span>PEA Complex<\/a><br \/>\n<a style=\"font-size: .85rem; color: #333; text-decoration: none; display: inline-flex; align-items: center; gap: 8px; white-space: nowrap;\" href=\"https:\/\/www.ngdcare.nl\/en\/product\/orthomolecular-supplements\/calanus-oil\/\"><span style=\"color: #2b5040; font-weight: bold;\">\u2192<\/span>O-Mega Blend<\/a><br \/>\n<a style=\"font-size: .85rem; color: #333; text-decoration: none; display: inline-flex; align-items: center; gap: 8px; white-space: nowrap;\" href=\"https:\/\/www.ngdcare.nl\/en\/product\/aging-animal\/liposomal-mushroom-mix-1\/\"><span style=\"color: #2b5040; font-weight: bold;\">\u2192<\/span>Myco Immune Complex<\/a><\/div>\n<\/div>\n<\/div>\n<p><!-- FASE 2 --><\/p>\n<div style=\"border-left: 4px solid #d5cd47; padding: 0 0 0 20px;\">\n<div style=\"display: flex; align-items: center; gap: 12px; margin-bottom: 12px;\">\n<div style=\"background: #d5cd47; color: #162920; width: 36px; height: 36px; border-radius: 50%; display: flex; align-items: center; justify-content: center; font-weight: bold; font-size: .9rem; flex-shrink: 0;\">2<\/div>\n<div>\n<div style=\"font-weight: bold; color: #2b5040; font-size: 1rem;\">Phase 2: Maintenance<\/div>\n<div style=\"font-size: .82rem; color: #888;\">Fixed combination phase, plus options for stress and local complaints<\/div>\n<\/div>\n<\/div>\n<p style=\"margin-bottom: 12px; color: #4a4a4a; font-size: .93rem;\">As soon as the complaints from phase 1 are under control, you move on to the maintenance phase. This consists of a fixed combination to support skin barrier and immune balance, supplemented with targeted options for stress-related itching or local skin complaints. <\/p>\n<div style=\"display: flex; align-items: center; gap: 10px; margin: 20px 0 10px;\"><span style=\"background: #2b5040; color: #fff; font-size: .72rem; font-weight: bold; text-transform: uppercase; letter-spacing: .06em; padding: 4px 12px; border-radius: 12px; white-space: nowrap;\">Combination phase<\/span><br \/>\n<span style=\"font-size: .8rem; color: #888;\">Fixed maintenance base, continuous<\/span><\/div>\n<p style=\"margin-bottom: 8px; color: #4a4a4a; font-size: .93rem;\"><strong>Liposomal Lactoferrin<\/strong> binds free iron on which pathogenic bacteria and yeasts feed and at the same time strengthens the intestinal mucosa barrier, relevant because chronic skin complaints via the intestine-skin axis are often associated with a disturbed intestinal wall. <strong>Histamine Balance<\/strong> keeps mast cell stability and histamine load under control. <strong>O-Mega Blend<\/strong> maintains the skin barrier and modulates the arachidonic acid pathway. Together, these three form the permanent maintenance basis of phase 2. <\/p>\n<div style=\"background: #fff; border: 1px solid #eaf4ea; padding: 14px 18px; margin-bottom: 16px;\">\n<div style=\"font-size: .75rem; font-weight: bold; color: #2b5040; text-transform: uppercase; letter-spacing: .06em; margin-bottom: 10px;\">Combination phase<\/div>\n<div style=\"display: flex; flex-wrap: wrap; gap: 8px 20px;\"><a style=\"font-size: .85rem; color: #333; text-decoration: none; display: inline-flex; align-items: center; gap: 8px; white-space: nowrap;\" href=\"https:\/\/www.ngdcare.nl\/en\/product\/cancer\/liposomal-lactoferrin\/\"><span style=\"color: #2b5040; font-weight: bold;\">\u2192<\/span>Liposomal Lactoferrin<\/a><br \/>\n<a style=\"font-size: .85rem; color: #333; text-decoration: none; display: inline-flex; align-items: center; gap: 8px; white-space: nowrap;\" href=\"https:\/\/www.ngdcare.nl\/en\/product\/orthomolecular-supplements\/liposomal-msm-with-quercetin\/\"><span style=\"color: #2b5040; font-weight: bold;\">\u2192<\/span>Histamine Balance<\/a><br \/>\n<a style=\"font-size: .85rem; color: #333; text-decoration: none; display: inline-flex; align-items: center; gap: 8px; white-space: nowrap;\" href=\"https:\/\/www.ngdcare.nl\/en\/product\/orthomolecular-supplements\/calanus-oil\/\"><span style=\"color: #2b5040; font-weight: bold;\">\u2192<\/span>O-Mega Blend<\/a><\/div>\n<\/div>\n<div style=\"display: flex; align-items: center; gap: 10px; margin: 20px 0 10px;\"><span style=\"background: #d5cd47; color: #162920; font-size: .72rem; font-weight: bold; text-transform: uppercase; letter-spacing: .06em; padding: 4px 12px; border-radius: 12px; white-space: nowrap;\">In case of stress<\/span><br \/>\n<span style=\"font-size: .8rem; color: #888;\">Optional, in addition to the combination phase<\/span><\/div>\n<p style=\"margin-bottom: 8px; color: #4a4a4a; font-size: .93rem;\">Stress is a well-known trigger for itching via cortisol and mast cell activation. Additional use of <strong>Adaptogen Complex<\/strong>, <strong>Myco Adaptogen Complex<\/strong>, <strong>CBD oil<\/strong> or <strong>Relax Support<\/strong> supports the nervous system and HPA axis, which can reduce the stress-related component of the itching. <\/p>\n<div style=\"background: #fff; border: 1px solid #eaf4ea; padding: 14px 18px; margin-bottom: 16px;\">\n<div style=\"font-size: .75rem; font-weight: bold; color: #2b5040; text-transform: uppercase; letter-spacing: .06em; margin-bottom: 10px;\">In case of stress, additional<\/div>\n<div style=\"display: flex; flex-wrap: wrap; gap: 8px 20px;\"><a style=\"font-size: .85rem; color: #333; text-decoration: none; display: inline-flex; align-items: center; gap: 8px; white-space: nowrap;\" href=\"https:\/\/www.ngdcare.nl\/en\/product\/behavior\/liposomal-ashwagandha-and-rhodiola\/\"><span style=\"color: #2b5040; font-weight: bold;\">\u2192<\/span>Adaptogen Complex<\/a><br \/>\n<a style=\"font-size: .85rem; color: #333; text-decoration: none; display: inline-flex; align-items: center; gap: 8px; white-space: nowrap;\" href=\"https:\/\/www.ngdcare.nl\/en\/product\/aging-animal\/liposomal-mushroom-mix-2\/\"><span style=\"color: #2b5040; font-weight: bold;\">\u2192<\/span>Myco Adaptogen Complex<\/a><br \/>\n<a style=\"font-size: .85rem; color: #333; text-decoration: none; display: inline-flex; align-items: center; gap: 8px; white-space: nowrap;\" href=\"https:\/\/www.ngdcare.nl\/en\/product\/behavior\/liposomal-full-spectrum-cbd-oil-4\/\"><span style=\"color: #2b5040; font-weight: bold;\">\u2192<\/span>CBD oil<\/a><br \/>\n<a style=\"font-size: .85rem; color: #333; text-decoration: none; display: inline-flex; align-items: center; gap: 8px; white-space: nowrap;\" href=\"https:\/\/www.ngdcare.nl\/en\/product\/behavior\/liposomal-magnesium-relax-support\/\"><span style=\"color: #2b5040; font-weight: bold;\">\u2192<\/span>Relax Support<\/a><\/div>\n<\/div>\n<div style=\"display: flex; align-items: center; gap: 10px; margin: 20px 0 10px;\"><span style=\"background: #c4dcc4; color: #162920; font-size: .72rem; font-weight: bold; text-transform: uppercase; letter-spacing: .06em; padding: 4px 12px; border-radius: 12px; white-space: nowrap;\">Topical<\/span><br \/>\n<span style=\"font-size: .8rem; color: #888;\">Optional, local care<\/span><\/div>\n<p style=\"margin-bottom: 8px; color: #4a4a4a; font-size: .93rem;\">For topical care of hot spots, scabs or inflamed skin patches, topical options are available. <strong>Ozone Olive Oil<\/strong> and <strong>Ozone Jojoba Balm<\/strong> have an antibacterial and antifungal effect via ozonated oil. <strong>Colloidal Silver-Zinc Spray<\/strong> is practical for larger skin surfaces. <strong>Itch Support<\/strong> soothes acute itching and redness with lavender, copaiba, blue tansy, helichrysum, colloidal oat flour and aloe vera. <strong>Ozone Jojoba Ear Drops<\/strong> soften and restore the biofilm of the ears.<\/p>\n<div style=\"background: #fff; border: 1px solid #eaf4ea; padding: 14px 18px;\">\n<div style=\"font-size: .75rem; font-weight: bold; color: #2b5040; text-transform: uppercase; letter-spacing: .06em; margin-bottom: 10px;\">Topical, supplementary<\/div>\n<div style=\"display: flex; flex-wrap: wrap; gap: 8px 20px;\"><a style=\"font-size: .85rem; color: #333; text-decoration: none; display: inline-flex; align-items: center; gap: 8px; white-space: nowrap;\" href=\"https:\/\/www.ngdcare.nl\/en\/product\/ozone\/ozone-ointment\/\"><span style=\"color: #2b5040; font-weight: bold;\">\u2192<\/span>Ozone Olive Oil<\/a><br \/>\n<a style=\"font-size: .85rem; color: #333; text-decoration: none; display: inline-flex; align-items: center; gap: 8px; white-space: nowrap;\" href=\"https:\/\/www.ngdcare.nl\/en\/product\/ozone\/ozone-jojoba-skin-balm-skin-balm\/\"><span style=\"color: #2b5040; font-weight: bold;\">\u2192<\/span>Ozone Jojoba Balm<\/a><br \/>\n<a style=\"font-size: .85rem; color: #333; text-decoration: none; display: inline-flex; align-items: center; gap: 8px; white-space: nowrap;\" href=\"https:\/\/www.ngdcare.nl\/en\/product\/colloidal\/colloidal-silver-kopie-2\/\"><span style=\"color: #2b5040; font-weight: bold;\">\u2192<\/span>Colloidal Silver-Zinc Spray<\/a><br \/>\n<a style=\"font-size: .85rem; color: #333; text-decoration: none; display: inline-flex; align-items: center; gap: 8px; white-space: nowrap;\" href=\"https:\/\/www.ngdcare.nl\/en\/product\/human-health\/essential-oils\/itch-support\/\"><span style=\"color: #2b5040; font-weight: bold;\">\u2192<\/span>Itch Support<\/a><br \/>\n<a style=\"font-size: .85rem; color: #333; text-decoration: none; display: inline-flex; align-items: center; gap: 8px; white-space: nowrap;\" href=\"https:\/\/www.ngdcare.nl\/en\/product\/ozone\/ozone-jojoba-ear-drops-ear-drops\/\"><span style=\"color: #2b5040; font-weight: bold;\">\u2192<\/span>Ozone Jojoba Ear Drops<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<h2 style=\"font-size: 1.2rem; color: #2b5040; border-bottom: 2px solid #eaf4ea; padding-bottom: 8px; margin: 28px 0 20px;\">When do you see results?<\/h2>\n<p style=\"font-size: .88rem; color: #666; margin-bottom: 20px; font-style: italic;\">The skin reacts faster than repairing deeper imbalances. The first improvement is noticeable via mast cell stabilization by quercetin. This is followed by a deeper wave of recovery, especially with chronic use, as the immune system rebalances.  <\/p>\n<div style=\"display: grid; grid-template-columns: repeat(auto-fit,minmax(160px,1fr)); gap: 3px; margin-bottom: 16px;\">\n<div style=\"background: #eaf4ea; padding: 16px;\">\n<div style=\"font-size: .72rem; font-weight: bold; letter-spacing: .1em; text-transform: uppercase; color: #2b5040; margin-bottom: 8px;\">Week 1-2<\/div>\n<p style=\"margin: 0; font-size: .85rem; color: #333;\">Phase 1 started. Quercetin stabilizes mast cells. Less acute itching and redness noticeable. Animal is calmer.   <\/p>\n<\/div>\n<div style=\"background: #d5e8d5; padding: 16px;\">\n<div style=\"font-size: .72rem; font-weight: bold; letter-spacing: .1em; text-transform: uppercase; color: #2b5040; margin-bottom: 8px;\">Week 2-6<\/div>\n<p style=\"margin: 0; font-size: .85rem; color: #333;\">Significantly less skin inflammation. Better coat. Fewer skin infections. Immune balance improves via beta-glucans.   <\/p>\n<\/div>\n<div style=\"background: #c4dcc4; padding: 16px;\">\n<div style=\"font-size: .72rem; font-weight: bold; letter-spacing: .1em; text-transform: uppercase; color: #162920; margin-bottom: 8px;\">Month 2-3<\/div>\n<p style=\"margin: 0; font-size: .85rem; color: #333;\">Skin barrier strengthened. Transition to phase 2 possible. In case of chronic deployment: intestinal barrier restored through the Bowel Recovery Trajectory, less dependence on medication.  <\/p>\n<\/div>\n<div style=\"background: #2b5040; padding: 16px;\">\n<div style=\"font-size: .72rem; font-weight: bold; letter-spacing: .1em; text-transform: uppercase; color: #d5cd47; margin-bottom: 8px;\">Phase 2, maintenance<\/div>\n<p style=\"margin: 0; font-size: .85rem; color: #fff;\">Seasonal peaks are still possible, but milder and shorter. Long-term maintenance with the combination phase, supplemented with stress or topical support where necessary. <\/p>\n<\/div>\n<\/div>\n<div style=\"background: #fff8e1; border-left: 4px solid #d5cd47; padding: 14px 18px; margin-bottom: 28px;\">\n<p style=\"margin: 0; font-size: .85rem; color: #5a4000;\">Is the process going differently than expected? Schedule an intake with <a style=\"color: #5a4000;\" href=\"https:\/\/www.ngdcare.nl\/en\/consultation\/\">integrative veterinarian Stefan Veenstra<\/a> for personal adjustment. <\/p>\n<\/div>\n<p><!-- FAQ --><\/p>\n<h2 style=\"font-size: 1.2rem; color: #2b5040; border-bottom: 2px solid #eaf4ea; padding-bottom: 8px; margin-bottom: 16px;\">Frequently Asked Questions (FAQ)<\/h2>\n<div style=\"margin-bottom: 28px;\">\n<div style=\"background: #f9fcf9; border-left: 3px solid #d5cd47; padding: 14px 18px; margin-bottom: 10px;\">\n<h3 style=\"margin: 0 0 6px; font-size: .95rem; color: #162920;\">Can I combine this process with medication from the vet, such as corticosteroids or apoquel?<\/h3>\n<p style=\"margin: 0; font-size: .88rem; color: #555;\">Yes, in many cases this process can be used as a supplement to regular medication, and in the long term it can help reduce dependence on corticosteroids. Always discuss this with the prescribing veterinarian and never reduce medication yourself. <\/p>\n<\/div>\n<div style=\"background: #f9fcf9; border-left: 3px solid #d5cd47; padding: 14px 18px; margin-bottom: 10px;\">\n<h3 style=\"margin: 0 0 6px; font-size: .95rem; color: #162920;\">Do I always have to follow phase 1 and phase 2?<\/h3>\n<p style=\"margin: 0; font-size: .88rem; color: #555;\">In the case of one-off or seasonal complaints, phase 1 is often sufficient. In case of chronic or recurring complaints, combining phase 1 with the Bowel Recovery Program and the maintenance combination from phase 2 is recommended for a more sustainable result. You only use the stress and topical options within phase 2 if it is relevant to your animal.  <\/p>\n<\/div>\n<div style=\"background: #f9fcf9; border-left: 3px solid #d5cd47; padding: 14px 18px; margin-bottom: 10px;\">\n<h3 style=\"margin: 0 0 6px; font-size: .95rem; color: #162920;\">Why doesn&#8217;t a skin ointment help permanently with chronic itching?<\/h3>\n<p style=\"margin: 0; font-size: .88rem; color: #555;\">A skin ointment or antihistamine suppresses the symptom locally, but does not address the underlying immunological imbalance or intestinal permeability. As soon as the drug stops, the symptoms usually return because the cause is still present. <\/p>\n<\/div>\n<div style=\"background: #f9fcf9; border-left: 3px solid #d5cd47; padding: 14px 18px;\">\n<h3 style=\"margin: 0 0 6px; font-size: .95rem; color: #162920;\">Does my animal have to be examined by the vet before I start this process?<\/h3>\n<p style=\"margin: 0; font-size: .88rem; color: #555;\">Yes, skin complaints can also have other causes such as mites, fungi or bacterial infections that require specific treatment. Always have your animal diagnosed by a veterinarian before you start this process. <\/p>\n<\/div>\n<\/div>\n<h2 style=\"font-size: 1.2rem; color: #2b5040; border-bottom: 2px solid #eaf4ea; padding-bottom: 8px; margin-bottom: 16px;\">Why the NGD Care Skin Support Program?<\/h2>\n<div style=\"overflow-x: auto;\">\n<table style=\"width: 100%; border-collapse: collapse; font-size: .86rem;\">\n<thead>\n<tr style=\"background: #2b5040; color: #fff;\">\n<th style=\"padding: 11px 14px; text-align: left; font-weight: 600; width: 34%;\">Characteristic<\/th>\n<th style=\"padding: 11px 14px; text-align: left; font-weight: 600; width: 33%;\">NGD Care Skin Support Trajectory<\/th>\n<th style=\"padding: 11px 14px; text-align: left; font-weight: 600; width: 33%;\">Standard approach<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"background: #fff;\">\n<td style=\"padding: 10px 14px; border-bottom: 1px solid #eaf4ea; font-weight: 600;\">Tackling the cause<\/td>\n<td style=\"padding: 10px 14px; border-bottom: 1px solid #eaf4ea; color: #2b5040;\">\u2705 Systemic: immune balance, inflammation and skin barrier at the same time<\/td>\n<td style=\"padding: 10px 14px; border-bottom: 1px solid #eaf4ea; color: #888;\">Symptom suppression: temporarily inhibiting itching and inflammation<\/td>\n<\/tr>\n<tr style=\"background: #f9fcf9;\">\n<td style=\"padding: 10px 14px; border-bottom: 1px solid #eaf4ea; font-weight: 600;\">Sustainability effect<\/td>\n<td style=\"padding: 10px 14px; border-bottom: 1px solid #eaf4ea; color: #2b5040;\">\u2705 Structural: effect remains beyond the acute phase, with maintenance in phase 2<\/td>\n<td style=\"padding: 10px 14px; border-bottom: 1px solid #eaf4ea; color: #888;\">Temporary: complaints return after stopping medication<\/td>\n<\/tr>\n<tr style=\"background: #fff;\">\n<td style=\"padding: 10px 14px; border-bottom: 1px solid #eaf4ea; font-weight: 600;\">Corticosteroids<\/td>\n<td style=\"padding: 10px 14px; border-bottom: 1px solid #eaf4ea; color: #2b5040;\">\u2705 Reduces long-term<\/td>\n<p> dependency<\/p>\n<td style=\"padding: 10px 14px; border-bottom: 1px solid #eaf4ea; color: #888;\">Long-term use with known side effects<\/td>\n<\/tr>\n<tr style=\"background: #f9fcf9;\">\n<td style=\"padding: 10px 14px; border-bottom: 1px solid #eaf4ea; font-weight: 600;\">Scientifically substantiated<\/td>\n<td style=\"padding: 10px 14px; border-bottom: 1px solid #eaf4ea; color: #2b5040;\">\u2705 Yes: quercetin, beta-glucans, EPA\/DHA, PEA<\/td>\n<td style=\"padding: 10px 14px; border-bottom: 1px solid #eaf4ea; color: #888;\">Variable<\/td>\n<\/tr>\n<tr style=\"background: #fff;\">\n<td style=\"padding: 10px 14px; border-bottom: 1px solid #eaf4ea; font-weight: 600;\">Developed by veterinarian<\/td>\n<td style=\"padding: 10px 14px; border-bottom: 1px solid #eaf4ea; color: #2b5040;\">\u2705 <a style=\"color: #2b5040;\" href=\"https:\/\/www.stefanveenstra.nl\" target=\"_blank\" rel=\"noopener\">Stefan Veenstra DVM<\/a><\/td>\n<td style=\"padding: 10px 14px; border-bottom: 1px solid #eaf4ea; color: #888;\">Rarely<\/td>\n<\/tr>\n<tr style=\"background: #f9fcf9;\">\n<td style=\"padding: 10px 14px; font-weight: 600;\">Personal guidance<\/td>\n<td style=\"padding: 10px 14px; color: #2b5040;\">\u2705 Intake possible via <a style=\"color: #2b5040;\" href=\"https:\/\/www.natuurlijkgezondedieren.nl\/e-consult-intakeformulier\/#appointment-type\">Naturally Healthy Animals<\/a><\/td>\n<td style=\"padding: 10px 14px; color: #888;\">\u274c Not available<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<div style=\"background: #fff; border: 1px solid #c8dbc8; padding: 20px 24px; margin: 28px 0;\">\n<p style=\"margin: 0 0 12px; font-size: .85rem; font-weight: bold; letter-spacing: .08em; text-transform: uppercase; color: #2b5040;\">Is this program suitable for my animal?<\/p>\n<div style=\"display: grid; grid-template-columns: 1fr 1fr; gap: 6px 16px;\">\n<div style=\"font-size: .88rem; color: #333; display: flex; align-items: flex-start; gap: 8px;\"><span style=\"color: #2b5040; font-weight: bold; flex-shrink: 0;\">\u2713<\/span>Chronic itching, scratching and biting<\/div>\n<div style=\"font-size: .88rem; color: #333; display: flex; align-items: flex-start; gap: 8px;\"><span style=\"color: #2b5040; font-weight: bold; flex-shrink: 0;\">\u2713<\/span>Eczema, bald spots and skin thickening<\/div>\n<div style=\"font-size: .88rem; color: #333; display: flex; align-items: flex-start; gap: 8px;\"><span style=\"color: #2b5040; font-weight: bold; flex-shrink: 0;\">\u2713<\/span>Recurrent skin infections<\/div>\n<div style=\"font-size: .88rem; color: #333; display: flex; align-items: flex-start; gap: 8px;\"><span style=\"color: #2b5040; font-weight: bold; flex-shrink: 0;\">\u2713<\/span>Seasonal allergies<\/div>\n<div style=\"font-size: .88rem; color: #333; display: flex; align-items: flex-start; gap: 8px;\"><span style=\"color: #2b5040; font-weight: bold; flex-shrink: 0;\">\u2713<\/span>Atopic dermatitis (environmental allergy)<\/div>\n<div style=\"font-size: .88rem; color: #333; display: flex; align-items: flex-start; gap: 8px;\"><span style=\"color: #2b5040; font-weight: bold; flex-shrink: 0;\">\u2713<\/span>Food intolerance with skin manifestation<\/div>\n<\/div>\n<p style=\"margin: 12px 0 0; font-size: .82rem; color: #888; font-style: italic;\">This pathway is an addition to, not a substitute for, veterinary diagnosis. Skin problems can also have other causes such as mites, fungi or bacterial infections. Always have your animal examined by a veterinarian first.  <\/p>\n<\/div>\n<div style=\"margin: 28px 0;\"> <\/div>\n<div style=\"border: 1px solid #c8dbc8; padding: 18px 22px; margin: 28px 0; display: flex; align-items: center; justify-content: space-between; flex-wrap: wrap; gap: 12px;\">\n<div>\n<p style=\"margin: 0 0 4px; font-weight: bold; color: #2b5040; font-size: .95rem;\">Want to read the scientific background?<\/p>\n<p style=\"margin: 0; color: #666; font-size: .88rem;\">Stefan Veenstra DVM explains how the gut-skin axis works and why immune balance and inflammation are at the heart of chronic skin complaints in dogs and cats.<\/p>\n<\/div>\n<p><a style=\"display: inline-block; background: #2b5040; color: #fff; padding: 9px 20px; font-weight: bold; font-size: .85rem; text-decoration: none; white-space: nowrap; letter-spacing: .04em;\" href=\"https:\/\/www.ngdcare.nl\/en\/blog-en\/skin-protocol\/\">Read the blog<\/a><\/p>\n<\/div>\n<div style=\"background: #eaf4ea; padding: 20px 24px; margin: 28px 0;\">\n<p style=\"margin: 0 0 14px; font-size: .85rem; font-weight: bold; letter-spacing: .08em; text-transform: uppercase; color: #2b5040;\">Supplements in this process<\/p>\n<div style=\"margin-bottom: 10px; font-size: .72rem; font-weight: bold; letter-spacing: .08em; text-transform: uppercase; color: #5a7a63;\">Phase 1<\/div>\n<div style=\"display: flex; flex-wrap: wrap; gap: 10px 24px; margin-bottom: 14px;\"><a style=\"color: #162920; font-size: .88rem; text-decoration: none; display: inline-flex; align-items: center; gap: 6px; white-space: nowrap;\" href=\"https:\/\/www.ngdcare.nl\/en\/product\/orthomolecular-supplements\/liposomal-msm-with-quercetin\/\"><span style=\"color: #2b5040; font-weight: bold;\">\u2192<\/span>Histamine Balance<\/a><br \/>\n<a style=\"color: #162920; font-size: .88rem; text-decoration: none; display: inline-flex; align-items: center; gap: 6px; white-space: nowrap;\" href=\"https:\/\/www.ngdcare.nl\/en\/product\/orthomolecular-supplements\/liposomal-pea-and-boswellia\/\"><span style=\"color: #2b5040; font-weight: bold;\">\u2192<\/span>PEA Complex<\/a><br \/>\n<a style=\"color: #162920; font-size: .88rem; text-decoration: none; display: inline-flex; align-items: center; gap: 6px; white-space: nowrap;\" href=\"https:\/\/www.ngdcare.nl\/en\/product\/orthomolecular-supplements\/calanus-oil\/\"><span style=\"color: #2b5040; font-weight: bold;\">\u2192<\/span>O-Mega Blend<\/a><br \/>\n<a style=\"color: #162920; font-size: .88rem; text-decoration: none; display: inline-flex; align-items: center; gap: 6px; white-space: nowrap;\" href=\"https:\/\/www.ngdcare.nl\/en\/product\/aging-animal\/liposomal-mushroom-mix-1\/\"><span style=\"color: #2b5040; font-weight: bold;\">\u2192<\/span>Myco Immune Complex<\/a><\/div>\n<div style=\"margin-bottom: 10px; font-size: .72rem; font-weight: bold; letter-spacing: .08em; text-transform: uppercase; color: #5a7a63;\">Phase 2, combination phase<\/div>\n<div style=\"display: flex; flex-wrap: wrap; gap: 10px 24px; margin-bottom: 14px;\"><a style=\"color: #162920; font-size: .88rem; text-decoration: none; display: inline-flex; align-items: center; gap: 6px; white-space: nowrap;\" href=\"https:\/\/www.ngdcare.nl\/en\/product\/cancer\/liposomal-lactoferrin\/\"><span style=\"color: #2b5040; font-weight: bold;\">\u2192<\/span>Liposomal Lactoferrin<\/a><br \/>\n<a style=\"color: #162920; font-size: .88rem; text-decoration: none; display: inline-flex; align-items: center; gap: 6px; white-space: nowrap;\" href=\"https:\/\/www.ngdcare.nl\/en\/product\/orthomolecular-supplements\/liposomal-msm-with-quercetin\/\"><span style=\"color: #2b5040; font-weight: bold;\">\u2192<\/span>Histamine Balance<\/a><br \/>\n<a style=\"color: #162920; font-size: .88rem; text-decoration: none; display: inline-flex; align-items: center; gap: 6px; white-space: nowrap;\" href=\"https:\/\/www.ngdcare.nl\/en\/product\/orthomolecular-supplements\/calanus-oil\/\"><span style=\"color: #2b5040; font-weight: bold;\">\u2192<\/span>O-Mega Blend<\/a><\/div>\n<div style=\"margin-bottom: 10px; font-size: .72rem; font-weight: bold; letter-spacing: .08em; text-transform: uppercase; color: #5a7a63;\">Phase 2, in case of stress<\/div>\n<div style=\"display: flex; flex-wrap: wrap; gap: 10px 24px; margin-bottom: 14px;\"><a style=\"color: #162920; font-size: .88rem; text-decoration: none; display: inline-flex; align-items: center; gap: 6px; white-space: nowrap;\" href=\"https:\/\/www.ngdcare.nl\/en\/product\/behavior\/liposomal-ashwagandha-and-rhodiola\/\"><span style=\"color: #2b5040; font-weight: bold;\">\u2192<\/span>Adaptogen Complex<\/a><br \/>\n<a style=\"color: #162920; font-size: .88rem; text-decoration: none; display: inline-flex; align-items: center; gap: 6px; white-space: nowrap;\" href=\"https:\/\/www.ngdcare.nl\/en\/product\/aging-animal\/liposomal-mushroom-mix-2\/\"><span style=\"color: #2b5040; font-weight: bold;\">\u2192<\/span>Myco Adaptogen Complex<\/a><br \/>\n<a style=\"color: #162920; font-size: .88rem; text-decoration: none; display: inline-flex; align-items: center; gap: 6px; white-space: nowrap;\" href=\"https:\/\/www.ngdcare.nl\/en\/product\/behavior\/liposomal-full-spectrum-cbd-oil-4\/\"><span style=\"color: #2b5040; font-weight: bold;\">\u2192<\/span>CBD oil<\/a><br \/>\n<a style=\"color: #162920; font-size: .88rem; text-decoration: none; display: inline-flex; align-items: center; gap: 6px; white-space: nowrap;\" href=\"https:\/\/www.ngdcare.nl\/en\/product\/behavior\/liposomal-magnesium-relax-support\/\"><span style=\"color: #2b5040; font-weight: bold;\">\u2192<\/span>Relax Support<\/a><\/div>\n<div style=\"margin-bottom: 10px; font-size: .72rem; font-weight: bold; letter-spacing: .08em; text-transform: uppercase; color: #5a7a63;\">Phase 2, topical<\/div>\n<div style=\"display: flex; flex-wrap: wrap; gap: 10px 24px;\"><a style=\"color: #162920; font-size: .88rem; text-decoration: none; display: inline-flex; align-items: center; gap: 6px; white-space: nowrap;\" href=\"https:\/\/www.ngdcare.nl\/en\/product\/ozone\/ozone-ointment\/\"><span style=\"color: #2b5040; font-weight: bold;\">\u2192<\/span>Ozone Olive Oil<\/a><br \/>\n<a style=\"color: #162920; font-size: .88rem; text-decoration: none; display: inline-flex; align-items: center; gap: 6px; white-space: nowrap;\" href=\"https:\/\/www.ngdcare.nl\/en\/product\/ozone\/ozone-jojoba-skin-balm-skin-balm\/\"><span style=\"color: #2b5040; font-weight: bold;\">\u2192<\/span>Ozone Jojoba Balm<\/a><br \/>\n<a style=\"color: #162920; font-size: .88rem; text-decoration: none; display: inline-flex; align-items: center; gap: 6px; white-space: nowrap;\" href=\"https:\/\/www.ngdcare.nl\/en\/product\/colloidal\/colloidal-silver-kopie-2\/\"><span style=\"color: #2b5040; font-weight: bold;\">\u2192<\/span>Colloidal Silver-Zinc Spray<\/a><br \/>\n<a style=\"color: #162920; font-size: .88rem; text-decoration: none; display: inline-flex; align-items: center; gap: 6px; white-space: nowrap;\" href=\"https:\/\/www.ngdcare.nl\/en\/product\/human-health\/essential-oils\/itch-support\/\"><span style=\"color: #2b5040; font-weight: bold;\">\u2192<\/span>Itch Support<\/a><br \/>\n<a style=\"color: #162920; font-size: .88rem; text-decoration: none; display: inline-flex; align-items: center; gap: 6px; white-space: nowrap;\" href=\"https:\/\/www.ngdcare.nl\/en\/product\/ozone\/ozone-jojoba-ear-drops-ear-drops\/\"><span style=\"color: #2b5040; font-weight: bold;\">\u2192<\/span>Ozone Jojoba Ear Drops<\/a><\/div>\n<\/div>\n<div style=\"border-top: 2px solid #eaf4ea; padding-top: 20px; margin-top: 28px; display: flex; align-items: center; gap: 16px;\">\n<div style=\"background: #2b5040; color: #fff; width: 48px; height: 48px; border-radius: 50%; display: flex; align-items: center; justify-content: center; font-weight: bold; font-size: 1.1rem; flex-shrink: 0;\">SV<\/div>\n<p style=\"margin: 0; font-size: .88rem; color: #555;\">Developed and clinically substantiated by <strong style=\"color: #2b5040;\">Stefan Veenstra DVM<\/strong>, integrative veterinarian. Stefan is the founder of <a style=\"color: #2b5040;\" href=\"https:\/\/www.ngdcare.nl\/en\/\" target=\"_blank\" rel=\"noopener\">NGD Care<\/a>, <a style=\"color: #2b5040;\" href=\"https:\/\/www.ngdcareacademy.nl\" target=\"_blank\" rel=\"noopener\">NGD Care Academy<\/a> and <a style=\"color: #2b5040;\" href=\"https:\/\/www.natuurlijkgezondedieren.nl\" target=\"_blank\" rel=\"noopener\">Integrative Veterinary Center Natural Healthy Animals<\/a>. <a style=\"color: #2b5040;\" href=\"https:\/\/www.stefanveenstra.nl\" target=\"_blank\" rel=\"noopener\">Read more about Stefan \u2192<\/a> <\/p>\n<\/div>\n<p style=\"font-size: .78rem; color: #999; font-style: italic; margin-top: 24px; padding-top: 16px; border-top: 1px solid #eee;\">This program is educational in nature and does not replace a veterinary consultation. Always have skin problems diagnosed by a veterinarian first. <\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p dir=\"ltr\">Dogs and cats with chronic itching, eczema, or recurrent skin infections often respond to skin ointment or antihistamines only temporarily, as the underlying immune imbalance or intestinal permeability remains untreated. The NGD Care Skin Support Program combines mast cell stabilization, inflammation inhibition and immune balance in phase 1, followed by a maintenance phase with options for stress or local complaints. <\/p>\n<p dir=\"ltr\">Suitable for: chronic itching, eczema, bald patches, recurrent skin infections, seasonal allergies and atopic dermatitis. In case of chronic complaints, supplement with the Bowel Recovery Trajectory. <\/p>\n","protected":false},"featured_media":27943,"comment_status":"open","ping_status":"closed","template":"","meta":{"wds_primary_product_brand":0,"wds_primary_product_cat":0,"wds_primary_merken":0,"_members_access_role":[],"_members_access_error":""},"product_brand":[],"product_cat":[13839,186,129],"product_tag":[1168,1005,1171,303,139,138,1170,1004,368,1006,1060,304,1007,369,1003,1167,1166,1169],"merken":[],"class_list":["post-3665","product","type-product","status-publish","has-post-thumbnail","product_cat-bundles","product_cat-protocols","product_cat-skin-and-coat","product_tag-allergies-en","product_tag-allergy","product_tag-bowswellia-en","product_tag-calanus-oil","product_tag-cat","product_tag-dog","product_tag-inflammation-en","product_tag-itch","product_tag-msm-en","product_tag-mushrooms","product_tag-ngd-care-protocol-en","product_tag-omega-3-en","product_tag-pea-en","product_tag-quercetin","product_tag-skin","product_tag-skin-health","product_tag-skin-protocol","product_tag-skin-repair","infinite-scroll-item","sales-flash-overlay","woocommerce-text-align-center","woocommerce-image-align-center","do-quantity-buttons","first","instock","taxable","shipping-taxable","purchasable","product-type-composite"],"meta_box":[],"_links":{"self":[{"href":"https:\/\/www.ngdcare.nl\/en\/wp-json\/wp\/v2\/product\/3665","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ngdcare.nl\/en\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/www.ngdcare.nl\/en\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ngdcare.nl\/en\/wp-json\/wp\/v2\/comments?post=3665"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.ngdcare.nl\/en\/wp-json\/wp\/v2\/media\/27943"}],"wp:attachment":[{"href":"https:\/\/www.ngdcare.nl\/en\/wp-json\/wp\/v2\/media?parent=3665"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/www.ngdcare.nl\/en\/wp-json\/wp\/v2\/product_brand?post=3665"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/www.ngdcare.nl\/en\/wp-json\/wp\/v2\/product_cat?post=3665"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/www.ngdcare.nl\/en\/wp-json\/wp\/v2\/product_tag?post=3665"},{"taxonomy":"merken","embeddable":true,"href":"https:\/\/www.ngdcare.nl\/en\/wp-json\/wp\/v2\/merken?post=3665"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}