The symptoms of acne and problem skin are seen on the surface but the source of problem skin is almost always found within. The major sources of breakouts are hormones and inflammation. Diet affects insulin and IGF-1 levels, the two hormonal cornerstones behind increased sebum production and skin cell growth. Inflammation is the trigger that starts the acne formation process and an individual’s immune system function determines how acne develops. If our body does not have the necessary building blocks to help regulate hormones and inflammation response, break outs will always continue to reoccur no matter what treatments we use on the outside.