Good amount of oil production or dirt are not responsible for acne condition on the back. Stress may act badly on facial acne but it does not affect back acne.
It has a short shelf life. Reports of less than 6 months is not uncommon, so purchase in small amounts, and store it in a cool dry place (refrigerate after opening) in a colored bottle.
Adult acne, which is really just the same as teenage acne, can start in women who have just given birth because of changes in hormone levels, and can appear in women who had little or no acne as teenagers. It can become very severe, and can lead to pustule and papule formation.
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