Sonal Choudhary, M.D.: Microbiome testing could reduce costs for treating skin conditions | AAD 2026

Sonal Choudhary, M.D., FAAD, a dermatologist and dermatopathologist at the University of Pittsburgh, says integrative dermatology appointments are generally not covered by insurance, placing the financial burden entirely on patients. She advocates strongly for coverage, particularly for patients with chronic inflammatory conditions like severe psoriasis, eczema, or hidradenitis suppurativa, arguing that longer appointments could uncover solutions that ultimately reduce overall healthcare costs.

The follow-up tests and treatment protocols recommended after gut microbiome testing are also uncovered, making the full process expensive for patients. She believes insurance reform requires longitudinal studies demonstrating health improvements and a broader acceptance of non-randomized research methods. Ultimately, she sees meaningful change as dependent on policy-level decision-making and political will.