Why does adult female have acne when hormones are normal and top acne treatments and proactive

I struggled with these questions for over ten years and thanks to trial and error, which is probably the worst way to go, I finally got some help and found treatments that tackled my acne for good.
What about the people who have chronic acne who cant avoid the acne simply by avoiding certain products or washing their face more often? Many of these people turn to harsh prescription and over the counter drugs. Many of these medications dry out the skin often resulting in worse acne.
Now, looking at things from the chemical product perspective, there exist certain pills that one may take in order to flush the body out of the bodily products that can go towards creating acne in the first place. Whilst these treatment methods are effective, they also have side effects, and therefore consultation with a dermatologist is essential before embarking upon such a treatment method.
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