The information on this page is educational. It describes how Reforge Health thinks about metabolic health. It is not medical advice, diagnosis, or a treatment recommendation. Consult a qualified healthcare provider before making changes to your health regimen.

Acne
Acne. The skin is showing you what the blood work missed.
Dermatology treats acne topically. Antibiotics, retinoids, benzoyl peroxide, and for severe cases, isotretinoin. The skin clears. The underlying driver persists.
Acne connects to the metabolic spectrum through insulin resistance (which drives sebum production via IGF-1), androgen excess (which stimulates the sebaceous gland), gut dysbiosis (which modulates systemic inflammation), and dietary patterns that most dermatologists do not investigate.
We read acne as a metabolic signal. The skin is an output organ. What it shows you is a reflection of what is happening inside: insulin, hormones, gut health, inflammation. Clear the internal picture and the skin follows.
**TARGET AUDIENCE NOTE:** Acne is intensely emotional, particularly for younger members. Copy must be clinically precise and validating without being patronising.
The spectrum does not wait for a diagnosis.
If you recognise yourself in any of these conditions, or in the spaces between them, the Metabolic Questionnaire is a good starting point. It is not a diagnosis. It is a structured way to map your symptoms and history so that the right conversation can follow.
