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Interesting you bring this up under Business Women Tips.....
Since this is my life's passion, I'll tell you what I know and think to be true. Acne is caused by the inherited propensity of the pores to shed dead skin cells at a much faster rate than normal pores. The dead skin cells sludge up with the sebum to form a plug. If the body sees that plug as an invader, it sends white blood cells to fight it - which is a pimple/pustule. If it doesn't see it as an invader it turns into just a blackhead/whitehead. This is why antibiotics don't work for acne - acne is not "caused" by bacteria. Bacteria is a side effect of the actual cause.
Hormones, stress, certain foods that are high in iodides or are androgenic, drugs (some drugs cause acne), fabric softeners, water softeners, comedogenic ingredients in products all exacerbate acne (but most of these things done "cause" it). Certain conditions like PCOS which are androgen-dominant conditions cause acne.
There are certain industrial chemicals like coal tars, cutting oils, dioxin and chlorinated industrials chemicals that can cause it and/or make it worse. Drugs such as lithium, corticosteroids, gonadotrophin, phentermine, thyroid preparations can all cause/worsen acne. Recreational drugs such as marijuana, cocaine, speeds and bromine (yes, what you see in cough syrup... and there are bromide addicts out there) can make acne worse.
I have tons of free information on my website and blog. I also have a training dvd that goes in to GREAT detail about all of this and how to treat it. Another GREAT resource is Dr. Fulton's book, Acne Rx.
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