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Elevated hormone levels stimulate sebaceous glands to produce more oil, also called sebum, which is normally released through the hair shaft to lubricate and protect the skin. Sebum combines with dead cells, forming a plug in the skin pore. The plug clogs the pore and bacteria grow under the surface of the skin in the mixture of sebum and cells. The trapped mixture leaks into adjacent tissues and causes inflammation, redness, and pus.
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