hormones
For most people with acne, it begins at puberty. This is when the body starts to produce hormones called androgens. Androgens cause the enlargement and overstimulation of the sebaceous glands in people with acne. Sensitivity to these androgens also cause acne to appear during the menstrual cycle and sometimes in pregnancy. The extra sebum (oil) that the sebaceous glands produce mixes with dead skin cells and bacteria on the skin's surface and this blocks pores. Inside the blocked pore, bacteria multiply and cause inflammation leading to the spots and pustules associated with acne.
stress
Stress can also cause the production of hormones, such as cortisol, which can aggravate acne.
what doesn't cause acne
* Dirt/lack of hygiene, unless you get your face dirty on a daily basis (e.g. a mechanic)
* Catching it from someone else - it is not contagious
why is diet important?
Refined carbs/sugar = more insulin = more hormones = more sebum (oil) = more bacteria = more acne
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