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Some doctors think that this 80% genetic figure is a big exaggeration. They emphasise the significant rise in the prevalence of acne in Western societies over recent years and sensibly point out that this is most likely to be due to environmental factors rather than genetic ones.
Increased consumption of unhealthy “junk food” is often mentioned, and of course, twins are likely to be brought up together and therefore to be eating similar diets as well as being exposed to other similar risk factors.
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