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I would have expected to see a lot more on the cheek area if it was hormonal but thats just me guessing.

you got some other type of skin disorder or type of acne.your pic aint the greatest but someone with more knowledge will come and give you the right advice.

do you have this on your scalp,under your hair?

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a friend once had a similar issue - he tried BP which you can get over the counter and it helped a lot. Though it maybe your diet which is the root cause maybe so worth looking into that or if you wear a hat or cover your forehead and sweat a lot i.e cycling with a helmet on

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