Scalp keloids from Acne Keloidalis Nuchae (AKN) can wear a person down. John cried before he even left his driveway. After years of searching for help with painful bumps on the back of his head, he came to my clinic hoping for surgery. But I don’t rush to cut. I evaluate the whole picture. In his case, the scalp showed chronic inflammation consistent with Acne Keloidalis Nuchae, but his HbA1c revealed something bigger: he was at high risk for type 2 diabetes. That changed the entire plan. In this episode, I walk you through why metabolic optimization matters in chronic inflammatory scalp conditions, how it impacts healing, and why getting the body right first can improve surgical outcomes and long-term success. If you’ve been struggling with scalp bumps, keloids, or chronic inflammation and you feel like nothing has worked, this is for you. Subscribe for real patient stories, real education, and the step-by-step approach I use in my clinic. Educational content only. This is not medical advice. #AcneKeloidalisNuchae #ScalpKeloids #ScalpHealth #Dermatology #MensHealth #Folliculitis
