More adults are dealing with acne, not fewer—and the issue is particularly acute for women.

One viral social media video on the topic is drawing attention to the surge that some experts say may be linked to systemic changes in health, hormones, and environment.

“I wanted to bring awareness to the possibility that something systemic may be contributing to this increase,” Dr. Mamina Turegano, a triple board-certified dermatologist and creator of the TikTok clip , told Newsweek . “We’re also seeing rises in infertility, hair loss, PCOS, thyroid disorders, and other endocrine issues, which makes me wonder whether environmental factors could be playing a role.”

Turegano’s September video—posted under @dr.mamina—has now been viewed over 122,000 times. In it, she tells viewers: “It’s been

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