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In short, the transformation is gradual but rewardingproving that before-and-after photos may show gradual brightening

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Causes Around puberty, hormones lead to a combination of overactive sebaceous (oil-producing) glands that produce more sebum, and an increase in cells that block oil pores

Effects are likely mediated via circumventricular organs (brain regions lacking a complete blood-brain barrier) and vagal afferent pathways, with limited direct penetration

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