Today we’re breaking down acne—why it happens, why it’s not always your fault, and why treatments like spironolactone are suddenly everywhere. Acne is often blamed on poor hygiene, but the truth is much deeper. Hormones play one of the biggest roles.

Today we’re breaking down acne—why it happens, why it’s not always your fault, and why treatments like spironolactone are suddenly everywhere. Acne is often blamed on poor hygiene, but the truth is much deeper. Hormones play one of the biggest roles.

When your hormone levels fluctuate—during teenage years, stress, changes in birth control, lack of sleep, or even intense workouts—your oil glands can switch into overdrive. More oil mixes with dead skin cells, blocks pores, and leads to inflammation that shows up as breakouts.

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