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In this field, the main challenges are represented by data quality management, standardization of statistical models, and normalization methods across different pipelines and, ultimately, the biological interpretation and validation of findings

Retinal cultures show an increase in mitophagy in response to AGEs treatment supporting the disruption of mitophagy in response to hyperglycemia and oxidative stress

Key Hormonal Triggers: Androgens (testosterone, DHEA) : Stimulate oil production Insulin and IGF-1 : Promote androgens and sebum Estrogen/progesterone imbalance : Influences skin inflammation Cortisol : Chronic stress promotes inflammation and sebum Clues You May Have Hormonal Acne: Flares before your period Acne on jawline, chin, neck Oily skin with irregular cycles Acne + PCOS symptoms (hair loss, facial hair, weight gain) Functional Testing: HUMAP Test (urine hormones) Serum DHEA, testosterone, fasting insulin, LH/FSH Treatment Strategies: Balance blood sugar (see insulin section) Support estrogen metabolism with: Normalize androgens : Zinc, spearmint tea, reishi mushroom For insulin resistance-related hormonal acne, retatrutide or tesamorelin may also help by restoring metabolic function

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