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Reduced insulin levels can lead to decreased androgen production and increased SHBG, potentially reducing sebum production and acne severity in susceptible individuals

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doi: 10.1080/10641963.2018.1481420 122 IshikawaSE

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[3] In exclusively breastfed infants of vegan mothers, undetected and untreated deficiency can lead to poor growth, poor development, and difficulties with movement

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