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Genetic factors, baseline metabolic health, dietary compliance, physical activity levels, and even gut microbiome composition likely contribute to this variability

However, excessive consumption of B12 is generally what can potentially lead to acne breakouts

Banerjee C., Tripathy D., Kumar D., and Chakraborty J., Monoamine Oxidase and Neurodegeneration: Mechanisms, Inhibitors and Natural Compounds for Therapeutic Intervention, Neurochemistry International 179 (2024): 105831

That was supported by DCA-induced increase in serum ketone bodies 12, 13
