Remember that what works for someone else isn't necessarily going to work for you. There are so many types to choose from; even the forms they are sold in may differ. The topical antimicrobials and retinoids are very popular as they can be applied right on the skin. Lately however, it has become popular to combine products as well as using hormone therapy as another way to treat problem acne.
Living in a rural setting protects against acne! The quality of meals may have a lower ability to raise blood sugar following a meal (low glycaemic index). A high glycaemic index meal is more prevalent in urban areas and stimulates the release of insulin necessary for transport of sugar into cells where they are metabolized. Insulin stimulates adrenal and gonadal androgen production with increased sebum production and possibly acne.
Well, there are several reasons. First, it is hard to pin point what causes acne. There are many possible factors that can lead to the condition. Second, different people respond to different treatments. You may have the exactly the same condition as your friend but that does not mean both of you will respond equally well to the same treatment.
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