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</html><thumbnail_url>https://www.pruksaclinic.com/wp-content/uploads/2025/07/26.png</thumbnail_url><thumbnail_width>1040</thumbnail_width><thumbnail_height>1040</thumbnail_height><description>What causes acne? It is normal that acne treatment must begin with understanding that acne has many causes. The causes of acne include both internal and external factors. Important internal factors include hormonal changes, especially testosterone, genetics, stress, insufficient sleep, and the body&#x2019;s immune system. External factors that affect acne include pollution and environmental conditions,</description></oembed>
