The People's Perspective on Medicine

Can You Avoid Skin Damage Without Sunscreen?

Are you concerned that sunscreen chemicals are absorbed into your body? Can you prevent skin damage without sunscreen or is that an impossible goal?

It comes as a great shock to learn that sunscreen gets under your skin.  Most people assume that what you put on your skin stays on your skin. Wrong! FDA researchers wrote in JAMA (May 6, 2019) that some popular ingredients in sunscreen are absorbed through the skin and get into the blood stream. They circulate throughout the body and could have hormone-disrupting activity. That has readers concerned, especially for their young children. Is it possible to protect your skin without sunscreen?

How Did Our Ancestors Avoid Skin Damage Without Sunscreen?

Sunscreens are relatively new. Effective UV blockers have only been around for several decades. For thousands of years, humans dealt with ultraviolet rays without sophisticated creams and lotions. No doubt many outdoor workers suffered from skin damage that led to premature wrinkling and skin cancer.

But people learned how to prevent damage without chemical blocking agents. Look at re-creations of clothing from ancient Greece, Egypt and other Mediterranean countries and you will see that people covered up.

If you lived in Europe two centuries ago, you would have discovered that wealthy people shunned the sun. Women who were “fair” were considered beautiful. They wore gloves and hats and if they went out in the middle of the day, they probably carried a parasol to block the sun. Poor people and farmers had tans.

Have you ever heard the phrase:

“Only mad dogs and Englishmen go out in the noonday sun.”

There is actually a song titled “Mad Dogs and Englishman” written by Noel Coward.

Here are a few verses to whet your appetite:

  • “In tropical climes there are certain times of day
  • When all the citizens retire
  • To take their clothes off and perspire
  • It’s one of those rules the greatest fools obey
  • Because the sun is far too sultry and one must avoid its ultry-violet ray
  • The natives grieve when the white men leave their huts
  • Because they’re obviously, definitely nuts!
  • Mad dogs and Englishmen go out in the midday sun
  • The Japanese don’t care to
  • The Chinese wouldn’t dare to
  • Hindus and Argentines sleep firmly from twelve ’til one
  • But Englishmen detest a siesta”

Listen to the whole song or read all the lyrics at this link.

Protecting Skin Without Sunscreen:

Q. I decided I wouldn’t use sunscreen about 25 years ago. I take a lot of medication and my decision was based on that. I didn’t want any more chemicals on or in my body. I feel vindicated now that I read about sunscreen ingredients being absorbed through the skin.

I avoid the sun whenever I can. I wear a hat and a shirt that blocks sunlight when I go swimming.

A. A study in JAMA (May 6, 2019) demonstrated that some popular sunscreen ingredients are indeed absorbed.  Because these compounds are suspected hormone disruptors, the investigators have called for more research to clarify potential problems.

Your strategies to protect yourself from sunburn are prudent. Many medications sensitize the skin to the sun’s UV rays. This could lead to an exceptionally severe sunburn or a rash.

Sunblocking products containing zinc oxide or titanium dioxide may be an alternative. The FDA considers these mineral-based ingredients to be safe and effective.

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Other Readers Avoid Skin Damage Without Sunscreen:

Alan in Dallas, Texas got blood shot eyes from sunscreen:

“I am staying out of the sun from 10:00 am until 3:00 pm. If I go out I wear a broad-brimmed hat. When I mow the lawn I wear a long-sleeve cotton twill shirt. It seems to be working.”

John in New York came up with a concoction:

“Drinking one glass of 100% organic purple (Concord) grape juice plus a cup of green tea before yard work in the sun is all I need to not get sunburned anymore. Like many of your readers, I too am a fair-skinned/freckled person. The success I saw with grape juice convinced me to read up on the PubMed articles about it. Absolutely fascinating.”

We would never recommend just grape juice and green tea as a protection against UV damage. But there is research to suggest that such “systemic” agents (plus prudent cover up) could be helpful. It is possible to protect your skin without sunscreen. 

An article in the Journal of Investigative Dermatology (March, 2019) notes:

“Skin cancer is the most frequently diagnosed cancer in the United States, and solar UVR is an established causative factor for approximately 90% of these cases. Despite efforts aimed at UV protection, including use of sunscreen and clothing, annual cases of skin cancer continue to rise. Here, we report that dietary grape powder mitigates UVB-mediated skin carcinogenesis in an SKH-1 hairless mouse model…Overall, our study suggested that dietary grape, containing several antioxidants in natural amalgamation, may protect against UVB-mediated skin carcinogenesis.”

Researchers at the University of California, Davis School of Medicine and Department of Dermatology conclude (International Journal of Molecular Sciences, Sept. 9, 2016): 

“There is increasing evidence that different forms of polyphenols used orally and topically may be beneficial for skin health and, more specifically, for prevention of sunburns. Many naturally occurring products contain polyphenols, including green tea, chocolate, red wine, Romanian propolis, Calluna vulgaris extract, grape seeds, honeybush extract, and Lepidium meyenii (maca), as reviewed here. Physicians and other health care professionals should be aware of the studies examining the beneficial effects of polyphenols as they could potentially be used as alternatives in skin care and protection from the damaging UV rays.”

The authors encourage “prudent sun exposure, the use of sun-protective clothing, and the diligent use of sunscreens…”

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How Good are Sunscreens in Preventing Skin Cancer?

Dermatologists understandably want to prevent skin cancer. That is one of the primary reasons they are so adamant that people slather on the sunscreen. But how good is the evidence that sunscreens accomplish this goal?

Here is a heretical article you might want to read:

How Well Do Sunscreens Work to Prevent Skin Cancer?

One systematic review of the medical literature concluded (European Journal of Dermatology, April 1, 2018

“While the current evidence suggests no increased risk of skin cancer related to sunscreen use, this systematic review does not confirm the expected protective benefits of sunscreen against skin cancer in the general population.”

We find that pretty shocking given the enthusiastic embrace of sunscreens by the dermatology community.

The Bottom Line When it Comes to Preventing Skin Damage Without Sunscreens:

It is possible to prevent skin damage without sunscreen by avoiding sunlight. That is not practical for most people. Next best is limiting exposure during peak hours (10 am till 3:00 pm).

If you go out during the midday sun, wear a good hat and protective clothing with built-in UV protection. If you cannot find a shade tree for your picnic, bring along your own shade in the form of a beach umbrella.

If you are going swimming, wear a special UV protected shirt while you swim. The Environmental Working Group (EWG) recommends zinc oxide and titanium dioxide mineral sunscreens because:

• “They provide strong sun protection with few health concerns;
• They don’t break down in the sun; and
• Zinc oxide offers good protection from UVA rays. Titanium dioxide’s protection isn’t as strong, but it’s better than most other active ingredients.”

If you are worried about absorption of zinc and titanium, here is what EWG has to say on that front:

“Nanoparticles in sunscreen don’t penetrate the skin. Some studies indicate that nanoparticles can harm living cells and organs when administered in large doses. But a large number of studies have produced no evidence that zinc oxide nanoparticles can cross the skin in significant amounts.”

Do NOT breathe in any sunscreen! We discourage aerosol sprays for this reason. Use a tube and apply the cream with your fingers the old-fashioned way.

Not surprisingly, we have taken some hits from angry dermatologists. You may wish to read this response to our previous article on this topic:

Does Sunscreen Prevent Skin Cancer? Dermatologist Is Irate!

Share your own thoughts in the comment section below.

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About the Author
Joe Graedon is a pharmacologist who has dedicated his career to making drug information understandable to consumers. His best-selling book, The People’s Pharmacy, was published in 1976 and led to a syndicated newspaper column, syndicated public radio show and web site. In 2006, Long Island University awarded him an honorary doctorate as “one of the country's leading drug experts for the consumer.” .
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  • Matta, M. K., et al, "Effect of Sunscreen Application Under Maximal Use Conditions on Plasma Concentration of Sunscreen Active Ingredients A Randomized Clinical Trial," JAMA, May 6, 2019, doi:10.1001/jama.2019.5586
  • Singh, C. K., et al, "Chemoprotective Effects of Dietary Grape Powder on UVB Radiation-Mediated Skin Carcinogenesis in SKH-1 Hairless Mice," Journal of Investigative Dermatology, March, 2019, doi: 10.1016/j.jid.2018.09.028
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Had anyone heard about taking asprin before going out in the sun to help prevent sunburn?

Polypodium is a supplement that can prevent sun damage. Also, I’ve noticed I’m much more resistant to burning since I’ve been eating paleo. I’ve read this is because of avoiding omega-6 oils (vegetable oil and seed oils).

Over ten years ago every May I started getting migraines and developing breast lumps which by June found be at the doctors getting checked, tests etc. When I realized it was happening every year put two and two together and realized I had stated to use sun screens with SPF factors of 50 or more as I was outside wearing shorts, short sleeves shirts and in the hot sun at pools. Did some research and read about how the Swedes had discovered that sunscreen in some woman caused their estrogen to rise . My migraines were always when my hormones changed . Quit using sunscreens and wear SPF Shirts with long sleeves and a hat on long car rides and when out in sun for over thirty minutes now. No headaches,,no more breast lumps.

I couldn’t care less about skin cancer, but I DO use sunscreen (sparingly) because I don’t want sun damage to age my skin!!!!! However I may be fooling myself; i.e., perhaps it’s the HEAT of the sun rather than the specific tanning rays that age one’s skin. If I found out that is the case, then of course I’d never consider using sunscreen again. Comments?

So far as we know, it is the ultraviolet light that does the damage.

It is not necessary to wear expensive, special protective clothing, and I am suspicious of claimed UPF ratings of some clothing, when I can see light through the fabric. Consumer Reports found some ordinary clothing (no UPF rating) that worked well, including when wet. I think that it is also important that fabric is not tight fitting. Stretching would allow more light to pass through. In water, I wear two layers of shirts, one loose fitting long sleeve and one tight fitting short sleeve, to keep the clothing in place.

long range driving may have contributed to the melanoma recently removed from my neck. Sun came in a just the right angle through the drivers side window. Also the front window. Through years of travel in northern Canada and the PNW. Now its a neck scarf to cover up. Gloves , long sleeved shirt too.

What good is it for me to comment and to have the gestapo delete it? Comments aren’t meant for you to agree but to provide a forum of ideas. Joe, you claim to be a professor–I would give you hell if I was in your class and would relish every minute of it because it’s not YOUR way. You’re NOT to run a propaganda mill and think others won’t call you on it. A propaganda mill to keep the cancer industry alive with dollars and sickness with patients fooled into getting cancer because the medical mafia wants their money. And health. I have noted this URL and will freely comment on it on other sites where appropriate. I provided good solid advice in my comment–advice that if followed would prevent cancers not create them and make the unsophisticated get sicker and need doctors involved. Your website About tag is interesting as I have one of Joe’s books which I will look at more closely. My lifeguard passed two years ago at 95. He was in the sun all day, every day on the Miami Beach shore with a tan envied by those who do not succumb to the medical mafia’s frightmongers. I can only guess at the good things you might say about oral ingestion of alcohol as you are a shill for the cancer industry to keep it monetized.

Perhaps you have not read our Comment Policy. We welcome a range of opinions, but we try not to publish personal attacks.

Our hands when driving are exposed more than we think. I wear cosmetic gloves when driving in the daytime.

I use sunscreen religiously but it’s an imperfect protectant, in part because people don’t use enough, or they miss areas like ears. Both grandfathers were coal miners, out of the sun weekdays. When outdoors at other times they wore long sleeve shirts and hats, as customary in that era. Their skin was remarkably smooth and free of spots in their 70’s, though they’d never used sunscreen. Sun avoidance is best.

Not mentioned is the damage caused to OTHER creatures by our use of sunscreens. The ocean, the earth and ALL its
creatures need a break from chemicals and pharmaceuticals…

i was facing an operation for hysterectomy and bladder lift. A friend who was a raw foodist told me that if I ate only raw I wouldn’t need the operation. She loaded me down with books and videos. I read and watched and decided to give it a try. That was 10 years ago and I still have not had that operation.
In the reading was the claim that the skin of a raw foodist would not burn in the sun. Being skeptical, I filed that away for further review. Then one day, due to a delay, I stood in the Florida sun for 2 hours, without sunscreen. I mentally prepared how I would take care of the impending sunburn. There was none, not even a tan line from my sandals.
Eating raw is not a simple lifestyle. But with a juicer, high speed blender, and a dehydrator it can be varied and delicious, and labor intensive, as well as a skin protector.

I hate using sunscreens and feel a bit vindicated. Since the skin is literally porous, why wouldn’t the ingredients be absorbed (ingested) when applied to the skin? I am fascinated to read that grape juice or grapes assist in skin protection. No wonder I love red grapes!

I am an avid gardener, growing a large proportion of my own food, which means I’m outside in the sun quite a bit. I also live in Georgia, where the sun can be brutal, especially in the summer. I do not use commercial sunblocks, however; I make my own, with coconut oil, zinc oxide, and various essential oils, some of which are good for the skin, and others are known to have natural sunblock agents, as does coconut oil. Of course, I also wear a cap with a brim to shade my face. So far, so good: I have not been burned once, and I don’t see even a bit of color added to my face, even though I’ve been using this recipe for more than a year.

Hmm, no one mentioned the benefits of organic coconut oil in assisting with protection from the sun. I have found it to be very beneficial as a sunscreen, combined with prudence re exposure, as well as in other areas.

I have hashimoto’s and discovered about 40 years ago that sun exposure gives me hives everywhere on my body except for my face. When doing yard work or watching my grandson’s soccer game, I am totally covered from head to toe ~ even in the hottest weather. No sunscreen for me, but I do use an umbrella if it’s not too windy.

Sunscreen prevents the absorption of Vitamin D, or how it is made in the body. Less vitamin D lowers the immune response in our bodies. It seems to be a double edged sword. Do you use sunscreen or not. I think moderation is the key.

Just a thought: Some readers may need it spelled out that grape juice, green tea, etc. are drunk or eaten, not applied to the skin. “Systemic” may have no meaning for them.

Thanks. Good point. The grape juice should be drunk. Same for green tea, although we have heard of people pouring cooled green tea on the skin to soothe red skin.

The best protection is still a light tan…

Dermatologists would respond that the tan is an indication of skin damage.

What about research on tomato paste eaten daily for skin health?

There is research suggesting it can help prevent sunburn, though you still need to be sensible about sun exposure.

In addition to the concerns of absorption for us, non- zinc oxide sunscreens are also damaging to coral. Another reason to seek alternatives.

Several years ago on a trip to Europe, I purchased sunscreen. I used it only on my forearms as the rest of my body was protected by clothes and a hat. I developed an itchy rash on my forearms…nowhere else. Since then, I have been unable to use any sunscreen, because I itch! After spending enough money on various sunscreens to break the bank, I have decided to just cover up. I might add that it is becoming increasingly hard to find good everyday face creams that do not contain sunscreen.

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