Acne is rarely a "topical deficiency"; it is typically an external sign of internal imbalances in the gut, immune system, and nervous system. Dr. Abby emphasizes that treatments like birth control or creams often mask symptoms rather than curing the imbalance.

Clinical Case Findings (please note - this is a specific case and not generalized advice)

• Gut Issues: Testing revealed "leaky gut," dysbiosis (overgrowth), and a high sensitivity to gluten.
• Hormonal Imbalance: High DHEA-S indicated adrenal overdrive, while testosterone was being metabolized into a more potent form (DHT), driving cystic breakouts.
• Immune State