There was a study on acne among different populations, people like inuits and eskimos had zero skin issues. Also there was another study on acne through the decades and lo and behold, back when people ate real food i. e. meat and veg there was a much lower rate of the problem, the western diet has a huge amount to answer for in terms of ailments
https://publiclab.org/notes/print/41559
https://groups.google.com/g/aasguide/c/yJCZodHvzY0
https://publiclab.org/notes/print/44771
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