Contrary to popular belief, acne is not caused by eating greasy, fried, fatty and sugary foods. While it can be exacerbated by a poor diet, acne is actually caused by bacteria which feed off of the sebum produced in hair follicles. The body's immune system, in an effort to kill the bacteria, damages the walls of the hair follicle which allows the sebum to leak into the skin forming a pimple.
Acne is caused by a number of things; acne can't be attributed to just one cause. In general, though, acne is the result of over productive sebaceous glands. These glands product excess oil, which mixes with dead skin cells and dirt, blocking the skin pores.
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