This isn’t a hygiene issue. High androgen levels increase sebaceous gland activity, driving excess sebum production, clogged pores, bacterial overgrowth, and inflammation. The same mechanism applies whether those androgens are rising naturally during puberty or coming from exogenous hormones. Genetics—especially DHT sensitivity—largely determine who develops severe acne and who doesn’t. | Garrett Holt
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Dihydrotestosterone (DHT) is a potent hormone derived from testosterone, responsible for male characteristics, and high levels can be initiated by factors such as androgenic hormones, genetics, and age.Hormonal imbalances, particularly androgens such as testosterone and dihydrotestosterone (DHT), may contribute to the development of seborrheic dermatitis by increasing sebum production in the skin. DHT is thought to have a stronger effect on sebaceous gland activity compared to testosterone.Howev
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