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According to studies hormonal changes during adolescence causes the sebaceous glands to over produce sebum, hence the awkward oily face. Hormonal activity such as menstrual cycles and puberty causes the glands to get larger and make more sebum. Stress is also said to be a main cause of acne. It increases output of hormones from the adrenal or stress glands. Likewise, family or genetic history of a person is also a significant factor whether a person is more prone to acne. For example, if the rest of the family were suffering from acne during their adolescent period, expect the same with the younger siblings.

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