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friend who has cystic acne

he started to develop acne around the age of 14 and he's now 15 and half and now has cystic acne. You can't properly see the cysts as they are on the sides of his face and he covers them with his hoodie.

Does anyone know what specifically causes cystic acne?

I should add he smokes and drinks and his diet isn't the best. He uses a clearasil face wash which is probably just for spots not acne.

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friend who has cystic acne.

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I've seen that dead look so many times. Smoking, drinking, bad diet, over washing, not exercising, not getting enough sun (vit D) probably all contribute. He also looks young so puberty and genetics are also in play. Getting rid of the cigs and the alcohol and running shirtless in the sun would be a good first step.

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I agree with "Twosteps". However, I personally think that the main culprit is genetics. I used to have acne that looked really similar to that and the reason why for me was genetics. He needs to get rid of cigs and alcohol because not only do they contribute to acne, they also contribute to other health problems. Anyways, tell him to stop smoking and drinking or at least tell him to go see a dermatologist. They'll probably put him on accutane but it's worth it in the end. Good luck with your friend.

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I have been suffering from cystic acne since 3-4 years.I am currently 22 and have tried almost everything (not accutane) I have tried benzoyl peroxide ,salicylic acid,prescription antibiotics and many other products . but the only success I can see coming is from the natural ayurvedic treatment.  Trust me this has been the best treatment and its only been 4 weeks and the acne is 75% better ...I did not create an I'd on any forum when I was suffering from severe acne but now coz I want to tell people what actually works .am from India so here the ayurvedic treatments are easily available but the products can be purchased even on the internet . the most beneficial thing has been the divya kantilep..its a face pack that has to be applied overnight...besides I have been given tablets containing natural acne fighting ingredients like neem and turmeric ,these are very safe compared to anything else...and I would request everybody suffering from cystic acne to try it...even if u r considering taking accutane u can give it a try because we all know what havoc acne treatments can bring on our body ...
currently am taking a syrup khadiraristha and four tablets namely arogyavardini,kaishore guggul,neem ghanvatghanvati and kayakalpvati all containing natural ingredients and my acne is 70% better in 4 weeks and I have not experienced any side effects whatsoever
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