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why is it that the majority of people i see with acne/severe acne are skinny?

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#41 Vanbelle

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Posted 09 February 2012 - 02:06 PM

Just as many people have seen acne-ridden individuals that are overweight or not overweight. This suggests that there is no correlation, and therefore no need to discuss any causal relationship.

FYI malodrax, sebum contains fat, but no, it is not essentially fat you would see in adipose tissue. Sebum has a specific free fatty acid composition, including a natural antioxidant.

Dietary calories converted to and stored as adipocytes, which you guessed are being secreted out the pores, are generally metabolized at the cellular level to generate ketone bodies and adenosine triphosphate, the "energy molecules," via ketogenesis, gluconeogenesis and cellular respiration respectively. Fat is generally used for generating these energy molecules, unless you are inefficient at metabolizing fat, which would most likely make you a bit chubby. This lightly touches on the body fat percentage variance among any person, completely irrelevant to presence of acne, which is a product of hyperkerinization, overgrowth of bacteria and inflammation/overactive immune response.

Edited by Vanbelle, 09 February 2012 - 02:09 PM.


#42 WantThisAcneGone

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Posted 29 February 2012 - 10:48 AM

Well, this may not matter much but I 'kinda' see myself as fat. And I have mild cystic acne. I'm about 20 pounds overweight (which I'm trying to lose!). I've seen people of all sizes get acne, lol.

#43 Jenny P

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Posted 09 March 2012 - 04:25 PM

Yeah, but it is true that MOST people with REAL acne, are skinny. People should start accepting that fact and try to think of WHY it is so we can get closer to figuring out why people have acne and why others don't.

#44 jjn

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Posted 09 March 2012 - 10:06 PM

You cannot say the majority of people with acne are skinny/underweight. Do you have a study from a reputable medical journal to back that up? There is so much misinformation on this forum with regards to acne. People need to stop pulling facts out of their ass.

#45 whoartthou1

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Posted 28 August 2012 - 08:47 PM

Of all the people in my classes that had the worst acne, almost all of them were either : skinny, underweight, or muscular (toned muscular)

#46 Green Gables

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Posted 31 August 2012 - 12:53 PM

I'm going to echo what some others have said and add something.

1) Generally skinny people have a higher testosterone to estrogen ratio. Fat people have more estrogen. Estrogen = clear skin.
2) I question the idea that there are so few fat people with acne. I have known a bunch. Think of how many acne sufferers wear tons of makeup and/or never leave the house. Do you think an obese acne sufferer is gonna be out and about very often?
3) Sometimes we are skinny not because of testosterone but because of a malabsorption problem. If you don't have a good functioning gut, you can eat a ton and not gain weight because you're not properly absorbing the nutrients. With a leaky gut, though, you're basically leaking all sorts of stuff into your body in places it shouldn't go.

Edited by Green Gables, 31 August 2012 - 12:54 PM.


#47 whoartthou1

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Posted 31 August 2012 - 09:59 PM

I'm going to echo what some others have said and add something.

1) Generally skinny people have a higher testosterone to estrogen ratio. Fat people have more estrogen. Estrogen = clear skin.
2) I question the idea that there are so few fat people with acne. I have known a bunch. Think of how many acne sufferers wear tons of makeup and/or never leave the house. Do you think an obese acne sufferer is gonna be out and about very often?
3) Sometimes we are skinny not because of testosterone but because of a malabsorption problem. If you don't have a good functioning gut, you can eat a ton and not gain weight because you're not properly absorbing the nutrients. With a leaky gut, though, you're basically leaking all sorts of stuff into your body in places it shouldn't go.


yea i often thought about it in this way. I eat a lot of food (often nutrient dense) yet it seems (i feel this way) i get zero nutrients from my food.

#48 Exister

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Posted 31 August 2012 - 10:19 PM

Skinny people have no fat for the toxins to store themselves in, so they exit through our skin.

#49 TheSavyBanana

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Posted 01 September 2012 - 06:01 PM

My thought is that we all have health issues/ and/ or do bad things to our bodies. Maybe our bodies just deal with them in different ways: some people gain weight from eating unhealthy foods, while others' skin reflects their issues. But honestly, I don't really feel there is a connection between being skiiny and having acne.

Edited by TheSavyBanana, 01 September 2012 - 06:03 PM.


#50 crashoran

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Posted 08 September 2012 - 10:34 AM

I'm convinced that diet has nothing to do with my acne. Even when I eat healthy I still get acne. And I've spent money on gluten/milk intolerance tests and everything says I'm fine. I am 6' 145lbs and pretty skinny. My testosterone levels have got to be through the roof because my facial hair grows at least twice as fast as normal guys (I've measured) and I produce tons of oil.
I agree that 95% of the people I see with acne are skinny.

#51 billz7

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Posted 17 September 2012 - 10:10 AM

I'm 43.5 kg and I'm 5ft 1 , I've been this size for a while now and I'm 22 , I used to be even tinier tho when I was 18! I have had persistent acne that goes n comes back for 3 years now , I obv have a fast metabolism , I mainly eat well and drink lots of water and don't drink alcohol much , I smoke which may be a factor, and I cut dairy out , caffeine , gluten for a whole and it made no change so I brought it back into my diet which didn't cause any problems to my skin , it just stayed the same

#52 Peony7

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Posted 19 September 2012 - 01:54 PM

I think the key to it is the weight and fat ratio we had when we first started getting acne. I think that sets up the pattern for the rest of our lives. I've had my horrmones checked many times and they are considered normal. Although my Dr thinks I have PCOS. I was extremely thin when I started going through puberty. I've seen this as a theory put forward for thin women with pcos. Of course there are women with pcos who are overweight and I think the same applies - some sort of pattern got set up at puberty and even if the hormones level out at a later date there is other damage by that point which perpetuates the cycle.

The same would apply to men, since they can also have metabolic problems similar to pcos.

#53 knarfia

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Posted 19 October 2012 - 02:50 PM

I definitely think there's a connection with testosterone. I've always been skinny and never had to worry about my weight until I started spiro. Then with saw palmetto, wild yam, and stinging nettle I really ballooned quickly.

#54 discovery

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Posted 28 November 2012 - 10:18 PM

I think the above poster - Anti - Em - which linked less acne with a higher estrogen (estradiol) is getting close.

That is probably the direct link to the indirect observation of the OP.

High estrogen/estradiol = central obesity (fat face, fat belly, the rest skinny) = not necessarily overall morbidly obese.

High estrogen = harder to lose weight (hence why men lose weight faster than women)

Skinny people = high Testosterone (T):low estrogen ratio.

High T == High Free T (FT)
High FT == High DHT

High DHT == increased sebum production

local Linoleic Acid deficiency (in the skin, not systemic) = poor skin shedding

Increased Sebum + Poor Skin Shedding = Comedone / Whitehead / Blackheads

Comedone + Bacteria = Acne.

*** EDIT: BTW, this why is a lot of athletes / bodybuilders who took creatine/whey are getting acne. It is due to the high T / DHT which was triggered by the whey intake (only for those who are genetically predisposed to it (probably autoimmune disease).

*** THE SAME REASON WHY SAW PALMETTO (Beta-Sitosterol) WORKS IN REDUCING OIL PRODUCTION, AND STOPPING MALE PATTERN BALDNESS! i.e., blocking 5-AR Type I enzyme to stop DHT Production. WARNING THOUGH, CAUSES MANBOOBS (high estrogen : Low testosterone ratio duh).




Skinny people = high Testosterone (T):low estrogen ratio.


Can we safely say then that Acne is really a androgen problem and not some of the food we eat? I am sure their are plenty of food alergies, but as far as i know, their has never been a link to food alergies and cystic Acne?

#55 armadillo

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Posted 29 November 2012 - 08:30 AM

Now this is a good question. I think there are several reasons:

- people with acne are often health conscious and eat well and exercise, thus are a healthy weight
- some people with acne might have Body Dysmorphic Disorder, and are obsessed by their looks, thus lose weight to look better [in their opinion]
- anorexia/bulimia - if a person feels their skin is horrible and they can't do anything about it [in their mind], they start obsessing over another aspect of their looks - their body weight, which they can actually control, thus giving them satisfaction and/or release from the emotional turmoil of acne
- some people are not anorexic or anything, but they might become obsessed by a certain diet that got rid of their acne, and cut out important nutrients from their diet, becoming malnourished, not on purpose.

#56 Bodie81

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Posted 30 November 2012 - 12:57 AM

Now this is a good question. I think there are several reasons:

- people with acne are often health conscious and eat well and exercise, thus are a healthy weight
- some people with acne might have Body Dysmorphic Disorder, and are obsessed by their looks, thus lose weight to look better [in their opinion]
- anorexia/bulimia - if a person feels their skin is horrible and they can't do anything about it [in their mind], they start obsessing over another aspect of their looks - their body weight, which they can actually control, thus giving them satisfaction and/or release from the emotional turmoil of acne
- some people are not anorexic or anything, but they might become obsessed by a certain diet that got rid of their acne, and cut out important nutrients from their diet, becoming malnourished, not on purpose.


Armadillo, I can definitely relate to most of the points that you make.

When my acne was really bad, although I never suffered from anorexia or bulimia, I became obsessed with my diet and exercise. My way of thinking was that if I could not control my acne, I could at least do my best to be slim and fit - although I still felt crap about my skin, at least I felt a little bit positive in another area.

I no longer have bad acne but I am still obsessive about diet but now it is down to the fear of the acne returning. I started a thread about this a while back:- http://www.acne.org/...ic/322891-diet/

In answer to the original question, I don`t think it makes any difference what weight you are, I think genetics, hormones and to a lesser extent lifestyle choices are the main factors which determine who does or doesn`t get acne.

#57 Lee1234

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Posted 30 November 2012 - 03:43 AM

- anorexia/bulimia - if a person feels their skin is horrible and they can't do anything about it [in their mind], they start obsessing over another aspect of their looks - their body weight, which they can actually control, thus giving them satisfaction and/or release from the emotional turmoil of acne


Whoa, quoted for undeniable truth.

#58 crashoran

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Posted 09 December 2012 - 10:02 PM

- anorexia/bulimia - if a person feels their skin is horrible and they can't do anything about it [in their mind], they start obsessing over another aspect of their looks - their body weight, which they can actually control, thus giving them satisfaction and/or release from the emotional turmoil of acne


Whoa, quoted for undeniable truth.


Horribly flawed logic. What about the people that want to GAIN weight?

#59 crevin

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Posted 14 December 2012 - 02:04 AM

Interesting post. Like many of you, I am very skinny and can eat fast food 9 times a day for 5 years and maybe put on 3 pounds. I have a crazy fast metabolism and am always hungry. I can't say I know of any heavy-set people with acne, but that doesn't really mean anything-- could just be the crowd I am hanging around. I just know that I fit your description and a close friend of mine who also has bad acne also fits it! Both of my siblings have much slower metabolisms than I and put on weight much eaiser and they both have completely clear skin. Who knows...

#60 alaskanborn88

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Posted 23 December 2012 - 09:58 AM

For the past few years I've been bordering on being chubby and never had any skin issues to speak of. Recently however I landed a very labor intensive job, and over the past 8 months I've lost around 25 pounds and am now what people would consider to be skinny. Ever since I've begun losing weight it seems as if my acne problems are finally surfacing. I haven't changed my diet one bit, I eat the same things I did before with no other change that I can think of besides the weight loss. Combining my personal experience with what I've seen from other people and it definitely seems like there is a strong correlation between the two.

Edited by alaskanborn88, 23 December 2012 - 09:59 AM.