Potential Root Causes of Acne

Acne is often seen as a surface-level concern, but in many cases, it reflects a more complex picture of what’s happening internally. Persistent or recurring breakouts may indicate imbalances in areas such as hormonal health, digestive function, and systemic inflammation.

Here are some of the most common internal contributors:

1. Hormonal Fluctuations
   Hormonal activity plays a key role in the development of acne, particularly androgens such as testosterone. These hormones can increase sebum (oil) production, leading to clogged pores and inflammation. Hormonal imbalances are often observed around menstruation, periods of heightened stress, or during transitions such as stopping the oral contraceptive pill.

2. Gut-Skin Axis Disruption
   The gut and skin communicate closely through what is known as the gut-skin axis. Imbalances in the gut microbiome, low-grade inflammation, or poor digestive function may contribute to acne through systemic inflammation or impaired nutrient absorption. In some cases, food sensitivities or dysbiosis (an imbalance of gut bacteria) may be involved.

3. Blood Sugar Instability
   Frequent fluctuations in blood sugar levels can increase insulin, which in turn can drive excess androgen production and inflammation—both known contributors to acne. A consistently balanced blood sugar response supports hormonal stability and reduces internal stress on the body.

4. Impaired Detoxification
   The skin is one of the body’s secondary elimination pathways. If the liver, bowels, or lymphatic system are under-functioning or overburdened, the skin may be forced to take on a greater detoxification role. This can contribute to congestion, blemishes, and reactive skin. Supporting efficient elimination through these pathways is a key consideration in long-term acne management.

5. Nutrient Deficiencies
   Certain nutrients play vital roles in skin repair, immune modulation, and oil regulation. Zinc, vitamin A, omega-3 fatty acids, and antioxidants are among the most critical. Even when dietary intake appears sufficient, factors such as poor absorption or increased demand can lead to functional deficiencies that affect the skin.