Hey @Sara Almansoori,
If you heard there is a genetic component to acne, you are right! But there is more nuance to that. There could be a genetic predisposition for acne, however, there are always environmental triggers that start the process.
I once wrote an article (click here) about what causes acne with tips to resolve this skin issue. I recommend you to read it!
Did you see this handout in the B Better library? If you didn’t, you might find some additional root causes for acne with some other tips.
High levels of androgens, such as testosterone, DHT and DHEA increase the size and number of sebaceous glands and sebum production. The rise of androgens during puberty in teenagers can contribute to acne formation. Women with PCOS often experience elevations in androgens as well. In both cases, higher levels of insulin can cause higher levels of androgens. In these cases, removing sugar and refined carbohydrates can bring relief.
Oily skin products could also worsen acne since more oil could get trapped in the pores. If these are used you can try removing them.
You mentioned stress and anxiety. Stress and lack of sleep increase the production of cortisol, which encourages sebaceous glands to create more oil. Sebaceous glands also have receptors for catecholamines (epinephrine, norepinephrine, and dopamine), so when the production of these is higher (as with stress), there is an increase in sebum production.
I hope I provided you with some new angles to look at. Are there any you haven’t tried yet?
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