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To understand what causes Acne, we need to talk about androgen. To start, androgen can enlarge the sebaceous glands in hair follicles, leading to greater amounts of oily sebum being produced and resulting in acne. Androgen is a hormone which promotes male characteristics such as facial hair growth and deepening of the voice. At puberty there is an increase of this hormone in both men and women causing a thickening of the outer layer of skin which may result in hair follicles becoming clogged with dead skin cells (keratin). Androgen hormones are present in females as well as males. A sudden increase in these hormones takes place at puberty.

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