The following is for informational purposes on so you can educate yourself and have an informed discussion with your doctor. Never self diagnose and always seek medical attention.
Acne is a common skin concern for many people, and if you’re a gym enthusiast, you might find that your workouts, combined with sweat, oils, and environmental factors, can make it a bit more challenging to maintain clear skin. However, with the right approach to your fitness routine and skincare habits, you can minimize the risk of breakouts while staying on track with your fitness goals.
In addition, many people are also using synthetic hormones and that alone can be the biggest contributing factor. So let’s start with basic hygiene first.
Here’s how you can prevent acne as a gym enthusiast:
1. Clean Your Skin Before and After Exercise
Sweat is a natural byproduct of exercise, but it can also lead to clogged pores if left on the skin for too long. To prevent breakouts, it’s essential to cleanse your skin before and after your workouts.
- Before the Gym: Wash your face with a gentle, non-comedogenic cleanser to remove any excess oils, dirt, and makeup. This gives your skin a clean surface to breathe while you work out.
- After the Gym: Always wash your face immediately after exercising to remove sweat, oil, and bacteria that accumulate on the skin during your workout. Look for a cleanser with salicylic acid or benzoyl peroxide if you’re prone to acne, as these ingredients help treat and prevent breakouts.
Tip: If you’re on the go and can’t wash your face, keep a pack of oil-free, acne-fighting wipes in your gym bag.
2. Avoid Touching Your Face During Workouts
It’s tempting to wipe sweat off your face or adjust your hair during exercise, but touching your face can transfer bacteria, oils, and dirt from your hands to your skin, leading to clogged pores and acne. Make it a habit to keep your hands off your face during your workouts.
If you need to wipe your face, use a clean towel or a tissue instead of your hands.
3. Wear Breathable, Moisture-Wicking Clothing
Tight, non-breathable fabrics trap sweat and oil against your skin, which can contribute to breakouts. Make sure your workout clothes are made of moisture-wicking materials, which help pull sweat away from your skin and allow it to evaporate.
Also, wear loose-fitting clothes when possible, especially during intense cardio sessions. Avoid wearing hats, headbands, or other gear that might trap sweat against your forehead and face.
4. Shower Immediately After Exercising
A post-workout shower is crucial in keeping acne at bay. The longer sweat and oil sit on your skin, the more likely they are to clog pores and cause breakouts. Shower as soon as possible after your workout, using a gentle body wash or acne-fighting product if needed.
For facial acne, consider using a face wash that contains acne-fighting ingredients like salicylic acid, tea tree oil, or glycolic acid.
Tip: Pay extra attention to areas that are more prone to acne, such as your back (bacne), chest, and shoulders. These areas can also accumulate sweat and oils during exercise.
5. Change Out of Sweaty Clothes Quickly
After exercising, change out of your sweaty clothes as soon as possible. Sitting in sweaty gym clothes for an extended period can lead to the growth of bacteria and fungi, which can irritate your skin and worsen acne.
Make sure to keep a clean change of clothes in your gym bag, and if you can, shower at the gym to avoid wearing sweaty clothes for long periods after your workout.
6. Clean Your Gym Equipment and Gear
Gym equipment, mats, and shared workout gear can harbor bacteria, dirt, and oils. When you place your face or body on machines, mats, or benches, you’re exposing your skin to these contaminants, which can contribute to breakouts.
- Wipe down equipment before use with disinfectant wipes or sprays.
- Bring your own clean towel or mat if you’re doing floor exercises.
- Always wash your gym clothes regularly to avoid transferring bacteria or oils onto your skin.
7. Hydrate Well and Maintain a Healthy Diet
Hydration plays an essential role in maintaining healthy skin. When you’re working out regularly, you lose a lot of water through sweat, and dehydration can contribute to dryness and irritation, which can worsen acne. Drink plenty of water before, during, and after your workouts to keep your skin hydrated.
Eating a balanced diet full of fruits, vegetables, and healthy fats also supports skin health. Try to avoid excessive consumption of sugary or greasy foods, as they can increase the likelihood of acne flare-ups.
Tip: Omega-3 fatty acids found in fish, flaxseeds, and walnuts are known for their anti-inflammatory properties and may help reduce acne.
8. Don’t Overdo It with Acne Treatments
While it’s important to treat and prevent acne, overusing harsh acne treatments can dry out and irritate your skin, leading to more breakouts. Avoid using excessive amounts of acne creams, toners, or spot treatments on the skin, especially if you’re also using a sunscreen or other skincare products.
It’s best to stick to a simple skincare routine with a gentle cleanser, a non-comedogenic moisturizer, and an acne treatment if necessary. Always be mindful of how your skin reacts to products and adjust your routine accordingly.
9. Use Non-Comedogenic Sunscreen
When you’re working out outdoors, protecting your skin from the sun’s harmful rays is essential. However, many sunscreens can be greasy or clog pores. Choose a sunscreen labeled as “non-comedogenic” or “oil-free” to prevent acne breakouts.
Physical sunscreens with zinc oxide or titanium dioxide are often a good choice for sensitive or acne-prone skin.
10. Manage Stress
Stress can trigger the release of hormones like cortisol, which may lead to increased oil production in the skin, potentially causing acne. Managing stress is vital for both your mental and skin health.
Incorporate stress-reducing activities such as yoga, meditation, or deep breathing exercises into your routine. Not only will this help your overall well-being, but it can also reduce the likelihood of stress-related breakouts.
Supplements that cause Acne:
While herbs and supplements are often used for their health benefits, certain ones can trigger acne or make existing acne worse. These triggers can be linked to hormonal changes, inflammation, or increased oil production, which can clog pores and contribute to breakouts. Below are some herbs and supplements that may potentially cause or worsen acne:
1. Testosterone-Boosting Supplements
Supplements that boost testosterone levels can increase oil production in the skin, which may contribute to acne. This is particularly relevant for people who are prone to hormonal acne.
- Tribulus Terrestris: Often used to increase testosterone levels and enhance athletic performance, this herb may raise androgen levels and cause acne in some individuals.
- DHEA (Dehydroepiandrosterone): This hormone precursor is sometimes used to boost energy or treat aging-related symptoms. It can increase androgen levels, leading to acne flare-ups, especially in individuals who are prone to hormonal breakouts.
- Maca Root: While some people use maca for its potential to balance hormones, it may also elevate androgen levels, contributing to acne in susceptible individuals.
2. Whey Protein
Whey protein is a popular supplement for athletes and bodybuilders due to its ability to promote muscle growth and recovery. However, it has been linked to acne in some cases.
- Why it triggers acne: Whey protein can increase insulin-like growth factor (IGF-1) levels, which in turn can stimulate oil production in the skin and cause acne. People with acne-prone skin may experience breakouts as a result.
3. Iodine and Iodine-Rich Supplements
Iodine is an essential mineral for thyroid function, but excessive iodine can contribute to acne, especially in people who are sensitive to it.
- Kelp and Seaweed: These are common natural sources of iodine, and consuming them in large quantities may increase the likelihood of developing acne, especially on the back or jawline.
- Iodine Supplements: High doses of iodine supplements may irritate the skin and trigger acne. This is more likely to happen in individuals who are sensitive to iodine.
4. B Vitamins
Certain B vitamins, particularly B6 (pyridoxine) and B12 (cobalamin), have been reported to contribute to acne, especially when taken in high doses.
- Vitamin B12: B12 has been associated with acne, particularly cystic acne, because it may influence the activity of certain bacteria in the skin, such as Propionibacterium acnes. Some studies suggest that B12 supplementation could exacerbate or trigger acne, especially in individuals who are already prone to it.
- Vitamin B6: While B6 is sometimes used to manage hormonal acne, high doses of it might actually trigger acne in some people. This could be due to its effect on estrogen and progesterone balance.
5. Milk Thistle
Milk thistle is often used as a liver detoxifier and to support liver function. Although it’s generally considered safe for most people, there are some reports that it may cause acne in certain individuals.
- Why it could trigger acne: Milk thistle is thought to promote detoxification, and some people may experience skin reactions like acne as the body eliminates toxins. This could be more noticeable in individuals who are already prone to hormonal imbalances or skin issues.
6. Fenugreek
Fenugreek is a popular herb used to support digestion and lactation, and it is often found in supplements aimed at boosting milk production. It can also influence hormone levels, which may trigger acne in some cases.
- Why it could trigger acne: Fenugreek may have mild estrogenic effects, and hormones can play a significant role in acne development. In people who are sensitive to hormonal changes, this could lead to breakouts, especially on the chin or jawline.
7. Gamma-Linolenic Acid (GLA) Supplements
GLA is an omega-6 fatty acid found in supplements like evening primrose oil, borage oil, and black currant seed oil. Although it is often used for its anti-inflammatory effects, it may cause skin flare-ups in some individuals.
- Why it could trigger acne: While omega-6 fatty acids are essential for health, they can also promote inflammation when consumed in excess, which might exacerbate acne in people who are already prone to it. The key is balancing omega-6 intake with omega-3s.
8. High-Dose Vitamin A (Retinol)
Vitamin A is a fat-soluble vitamin that plays an important role in skin health, and it’s commonly found in acne treatments. However, high doses of vitamin A, especially in supplement form, can cause skin irritation and lead to acne breakouts.
- Why it could trigger acne: In high doses, vitamin A can cause “retinoid dermatitis,” which can include acne-like eruptions or irritation. This effect is more common with prescription retinoids, but it’s important to be cautious with high-dose vitamin A supplements as well.
9. Zinc Supplements
Zinc is often used to treat acne due to its anti-inflammatory properties and its ability to regulate oil production. However, while zinc is generally considered beneficial for acne, in some cases, taking it in excessive amounts may cause skin issues.
- Why it could trigger acne: Very high doses of zinc can lead to copper deficiency, which may result in skin rashes or acne-like breakouts. It’s important to stick to the recommended dose.
10. Creatine
Creatine is another common supplement used for muscle building, but it may contribute to acne in some individuals.
- Why it could trigger acne: Creatine can increase the levels of dihydrotestosterone (DHT), a potent androgen. Elevated DHT can increase sebum production, potentially leading to clogged pores and acne. Those prone to hormonal acne might notice flare-ups when using creatine.
11. Yohimbine
Yohimbine is often used as a fat-burning supplement, but it can also have a range of side effects, including acne.
- Why it could trigger acne: Yohimbine can increase cortisol (a stress hormone) levels, which may lead to higher levels of sebum production and contribute to acne. The effects are more likely in those with oily or acne-prone skin.
12. Caffeine and Stimulants
Supplements that contain stimulants, such as caffeine, may indirectly contribute to acne. This can occur because stimulants can increase stress and elevate cortisol levels, which in turn may lead to acne.
- Why it could trigger acne: High caffeine intake can exacerbate stress and elevate blood sugar levels, both of which may increase acne. Additionally, stimulants may promote the release of insulin-like growth factor (IGF-1), further contributing to acne.
13. Ashwagandha
Ashwagandha, an adaptogenic herb used in traditional Ayurvedic medicine, is popular for its stress-relieving and hormone-balancing effects. While many people use ashwagandha without experiencing side effects, some individuals may notice acne breakouts after using it. The mechanism behind this isn’t fully understood, but there are several possible explanations for how ashwagandha could contribute to acne development but I believe the two below are the biggest culprit.
1. Hormonal Imbalance (Increase in Testosterone)
Ashwagandha is known to have an impact on the endocrine system, particularly by increasing levels of certain hormones like testosterone. In some people, especially those who are more sensitive to hormonal fluctuations, higher testosterone levels can stimulate sebaceous (oil) glands in the skin. This can lead to an overproduction of oil, clogging pores and potentially causing acne.
2. Cortisol Reduction and Increased Androgen Activity
Ashwagandha is often used to lower cortisol, the “stress hormone.” While lowering cortisol generally helps with stress-related acne, for some individuals, this change can trigger an increase in the activity of other hormones, particularly androgens (male hormones like testosterone). Higher androgen activity can increase the size and activity of sebaceous glands, which in turn could lead to clogged pores and acne.
Final Thoughts on Supplements and herbs
While herbs and supplements can offer numerous health benefits, it’s essential to pay attention to how they affect your skin. If you are prone to acne, some of these herbs and supplements may exacerbate breakouts. The key is to monitor your skin’s response to any new supplement or herb, and if you’re unsure about the potential for acne, consult with a healthcare professional or a dermatologist before starting a new regimen.
If you’re already experiencing acne flare-ups and suspect it might be related to supplements, consider keeping a log of what you’re taking and how your skin is reacting. This can help you identify any specific culprits that may be contributing to your skin issues.
What to Do if You Experience Acne
When it comes to treating acne, both topical and oral medications can be effective, depending on the severity and type of acne. Here’s a breakdown of some of the most commonly used topical and oral medications:
Topical Medications for Acne
- Benzoyl Peroxide
- How it works: Benzoyl peroxide is one of the most common over-the-counter (OTC) treatments for acne. It kills acne-causing bacteria, helps to reduce inflammation, and helps to unclog pores by removing dead skin cells.
- Strength: Available in concentrations ranging from 2.5% to 10%.
- Common products: Clean & Clear Advantage, PanOxyl, Neutrogena On-the-Spot.
- Salicylic Acid
- How it works: Salicylic acid is a beta hydroxy acid (BHA) that helps to exfoliate the skin by dissolving the bonds between dead skin cells, preventing clogged pores. It also has anti-inflammatory properties.
- Strength: Typically available in concentrations of 0.5% to 2%.
- Common products: Stridex, Neutrogena Oil-Free Acne Wash, Clean & Clear Continuous Control.
- Retinoids (Topical)
- How it works: Retinoids, like tretinoin, adapalene (Differin), and tazarotene, promote cell turnover, preventing clogged pores and reducing inflammation. They are especially effective for treating comedonal acne (blackheads and whiteheads).
- Strength: Adapalene (Differin) is available over-the-counter in a 0.1% gel, while tretinoin and tazarotene typically require a prescription.
- Common products: Differin, Retin-A (tretinoin), Tazorac (tazarotene).
- Side effects: Retinoids can cause dryness, peeling, and irritation, so it’s often recommended to start slowly and use a moisturizer.
- Topical Antibiotics
- How it works: Topical antibiotics, such as clindamycin and erythromycin, work by reducing the number of acne-causing bacteria (Propionibacterium acnes) and decreasing inflammation.
- Common products: Clindamycin (Cleocin T, Clindagel), Erythromycin (Erygel).
- Use: Typically used for inflammatory acne, such as pustules or papules, and are often combined with other treatments like benzoyl peroxide.
- Azelaic Acid
- How it works: Azelaic acid has antibacterial, anti-inflammatory, and comedolytic properties, making it effective for treating acne and rosacea. It can help to reduce acne-causing bacteria, unclog pores, and lighten hyperpigmentation (dark spots).
- Strength: Available in 15% and 20% formulations (the 20% formulation typically requires a prescription).
- Common products: Azelex, Finacea.
- Sulfur
- How it works: Sulfur has both antibacterial and keratolytic (exfoliating) properties. It helps to dry out acne lesions and prevent new ones from forming. It’s often used in combination with other active ingredients.
- Common products: Mario Badescu Drying Lotion, De La Cruz Sulfur Ointment.
Oral Medications for Acne
- Oral Antibiotics
- How they work: Oral antibiotics like tetracyclines (doxycycline, minocycline), clindamycin, and tetracycline reduce inflammation and kill acne-causing bacteria. They are typically prescribed for moderate to severe inflammatory acne.
- Doxycycline (e.g., Vibramycin, Oracea)
- Minocycline (e.g., Solodyn, Minocin)
- Tetracycline
- Clindamycin (although often used topically, it can be used orally in some cases)
- Seysara or Sarecycline -a newer FDA approved acne antibiotic that targets the acne bacteria specifically. It’s for the treatment of moderate-to-severe acne vulgaris. Unlike its predecessors, this new drug has specificity for C. acnes and other clinically-relevant Gram-positive bacteria. Not like a broad spectrum antibiotic like many others.
- Side effects: Can cause photosensitivity (sensitivity to sunlight), gastrointestinal upset, and, in rare cases, allergic reactions. Minocycline may also be associated with side effects like dizziness and skin discoloration.
- How they work: Oral antibiotics like tetracyclines (doxycycline, minocycline), clindamycin, and tetracycline reduce inflammation and kill acne-causing bacteria. They are typically prescribed for moderate to severe inflammatory acne.
- Oral Contraceptives (Birth Control Pills)
- How they work: Certain oral contraceptives that contain estrogen and progestin can help regulate hormone levels, particularly by reducing the production of androgens (male hormones), which can contribute to increased oil production and acne. Birth control pills can be particularly effective for female patients with hormonal acne.
- Common formulations:
- Yasmin (drospirenone/ethinyl estradiol)
- Ortho Tri-Cyclen (norgestimate/ethinyl estradiol)
- Estrostep
- Side effects: Side effects may include nausea, headaches, mood changes, and an increased risk of blood clots (in rare cases). It’s important to discuss risks with a doctor before starting birth control for acne.
- Spironolactone
- How it works: Spironolactone is a potassium-sparing diuretic that has anti-androgen effects, meaning it blocks the effects of male hormones (androgens) like testosterone. This helps reduce oil production, making it useful for treating hormonal acne in women.
- Common brand names: Aldactone.
- Side effects: It can cause dizziness, lightheadedness, and menstrual irregularities. Regular blood pressure monitoring is important since it can lower blood pressure.
- Isotretinoin (Accutane)
- How it works: Isotretinoin is a potent retinoid that works by significantly reducing sebaceous gland size and oil production, preventing clogged pores, and reducing inflammation. It’s typically prescribed for severe, cystic, or nodular acne that doesn’t respond to other treatments.
- Common brand names: Accutane (brand name), Amnesteem, Claravis.
- Side effects: Isotretinoin can have significant side effects, including dry skin, joint pain, birth defects (when taken during pregnancy), mood changes, and potential liver enzyme changes. Regular blood tests and pregnancy tests are required while on this medication.
- Oral Zinc
- How it works: Zinc supplements can help reduce inflammation and regulate oil production. Some studies have suggested that zinc can be as effective as antibiotics for treating mild to moderate acne.
- Common dosages: Zinc gluconate or zinc sulfate is often used in doses of 30-100 mg per day, depending on the severity of acne.
- Side effects: High doses of zinc can cause gastrointestinal upset and interfere with copper absorption.
Combination Treatments
In many cases, dermatologists use combination therapies, such as pairing topical treatments (like benzoyl peroxide or retinoids) with oral medications (like antibiotics or oral contraceptives), to achieve the best results. A dermatologist may also suggest adding a gentle cleanser, moisturizer, or exfoliator to the regimen to maintain skin health.
When to See a Dermatologist
- If over-the-counter treatments don’t work after 4-6 weeks.
- If you have severe acne (cystic acne or nodules).
- If acne leaves scars or causes significant distress.
- If you experience side effects from treatments, such as irritation, dryness, or allergic reactions.
Preventing acne as a gym enthusiast requires a combination of good hygiene, proper skincare, and healthy habits both inside and outside the gym. By cleaning your skin before and after workouts, wearing breathable clothing, staying hydrated, and maintaining a consistent skincare routine, you can reduce the likelihood of breakouts while still enjoying the benefits of your fitness routine.
Remember, acne is a common issue and everyone’s skin reacts differently. If you’re struggling with persistent or severe acne, it’s always a good idea to consult with a dermatologist who can help you create a tailored skincare plan.