Diet-evoked insulin and glucose levels exceeding a personal threshold can increase mTOR, which may feedback to androgen receptors, increase testosterone, and promote acne.

“when our diet increases the amount of insulin and glucose to a degree that is in excess of some threshold that's going to be different for everybody depending on your activity levels your metabolism the way you manage insulin when that happens you get increases in mtor that then can feed back on those Androgen receptors increase the levels of things like testosterone further that then feed back on the production of increased SE okay that oily stuff increased kosy proliferation and you get more acne”