Saving Lives By Treating Acne With Diet

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The Dietary Link Between Acne & Cancer

Acne is an epidemic skin disease of industrialized countries, reaching prevalence rates of over 85 percent of teenagers. In nearly half of American men and women, acne even continues after adolescence and into the third decade of life.

Acne is considered a disease of Western civilization, as in places like Okinawa, Japan, acne is rare or even nonexistent. So, acne is not some “physiological” phenomenon of puberty, but may represent “a visible risk indicator pointing to aberrant nutrient signaling promoting chronic epidemic diseases of civilization,” according to a group of German researchers (See Saving Lives By Treating Acne With Diet). What they mean is that the dairy, junk foods, meat, and egg proteins in Western diets all conspire to raise the activity of the enzyme TOR, contributing to acne and obesity. Therefore, using diet to suppress TOR may not only improve acne, but may also prevent the march to more serious chronic TOR-driven diseases of civilization. The excessive TOR stimulation induced by the standard American diet may initially manifest as premature puberty and acne, but then may later contribute to obesity, diabetes, cancer, and Alzheimer’s.

A lot of this research is relatively new. Until recently, for example, only a weak association had been accepted for the role of milk and other dairy products in acne formation.  However, there is now substantial evidence supporting the effects of milk and dairy products as enhancers of acne aggravation. Milk is not just food, but appears to represent a most sophisticated hormone signaling system activating TOR, which is of critical concern given that TOR is recognized as the fundamental driving force for a number of serious chronic diseases.

If milk is naturally supposed to stimulate TOR, why the problem? Because we’re drinking milk from the wrong species. Cow’s milk is designed for calves. Baby cows grow nearly 40 times faster than human infants. Cow’s milk has three times more leucine, the primary activator of TOR, than breast milk; so, cow’s milk may over-stimulate TOR when consumed by humans. It’s like giving donkey milk to rats—it doesn’t make sense. Furthermore, milk is for babies; so, the continued consumption of any kind of milk during adolescence and adulthood is something that never really happened naturally and may have long-term adverse effects on human health.

In this regard, it’s kind of frightening to realize that more than 85 percent of teens in Western countries exhibit acne; it implies that the “majority of our population is living with over-activated TOR signaling, a major disease-causing factor, which may pave the way for the development of other more serious diseases.” A history of acne has been associated with breast cancer risk in women, for example, and prostate cancer in men.

So, early dietary counseling of teenage acne patients is thus a great opportunity for dermatologists, who will not only help to improve acne but may reduce the long-term adverse effects of Western diet on more serious TOR-driven diseases. So, just like urologists use erectile dysfunction as an opportunity to save lives by putting people on heart-healthy diets, dermatologists can use acne as a way to save lives by putting people on a cancer prevention diet.

How do you turn acne on and off via dietary manipulation of TOR? A “comprehensive dietary strategy to treat acne can only be achieved by higher consumption of vegetables and fruit and reduction of animal-derived food,” given preliminary evidence for the effectiveness of natural plant-derived TOR inhibitors in the treatment of acne.

TOR is considered the engine-of-aging enzyme detailed in Why Do We Age? and Caloric Restriction vs. Animal Protein Restriction, as well as my video Prevent Cancer From Going on TOR.

I’ve touched on this topic before in Acne and Cancer and covered acne and dairy in:

Urologists saving the lives of men is detailed in Survival of the Firmest: Erectile Dysfunction and Death and 50 Shades of Greens.

What else are Okinawans doing right? See The Okinawa Diet: Living to 100.

-Michael Greger, M.D.

PS: If you haven’t yet, you can subscribe to my free videos here and watch my live year-in-review presentations Uprooting the Leading Causes of DeathMore Than an Apple a DayFrom Table to Able, and Food as Medicine.


Michael Greger M.D., FACLM

Michael Greger, M.D. FACLM, is a physician, New York Times bestselling author, and internationally recognized professional speaker on a number of important public health issues. Dr. Greger has lectured at the Conference on World Affairs, the National Institutes of Health, and the International Bird Flu Summit, testified before Congress, appeared on The Dr. Oz Show and The Colbert Report, and was invited as an expert witness in defense of Oprah Winfrey at the infamous "meat defamation" trial.

86 responses to “The Dietary Link Between Acne & Cancer

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  1. I recently interviewed Dr. Bodo Melnik, one of the German researchers studying the connection between milk, acne and prostate cancer. He says that leucine stimulates the oil-producing glands and leads to the production of a very potent form of testosterone. He’s particularly concerned about dairy products during puberty because the pituitary gland is already secreting large amounts of growth hormone.

    See for a longer discussion of that interview and for Melnik’s most recent research.

      1. Hope it works for you. I quit dairy about 25 yrs ago to eliminate animal products from my diet and had read in several places that we were not designed but for one kind of milk – our mothers. When i quit i got a pleasant side effect – My sore throats disappeared that i had been having since childhood. At least once a year they would go into strep throat and i would be sick for a week or longer. It was caused by my sinus’s draining down into my throat and irritating it. No one ever told me that it could be the milk. I sure am thankful i gave up the milk!!!!

    1. Yeah, I’d like to know the answer to this too. What is wrong in the diet of plant based eaters who still exhibit acne as adults while consuming zero dairy or animal products?

        1. Do you eat soy? Soy, in whatever form (tempeh, tofu, soy milk etc) always gives me spots, especially on the neck. Maybe try cutting soy out, and getting protein, calcium etc just from veggies, nuts, seeds, beans and lentils…?

          1. Soy and wheat products could cause skin breakouts. Personally, I’ve had fewer lesions forming as a result of avoiding wheat products.

        2. Try drinking a strong pro-biotic with meals like kefir. I found this is helping me with candita and acne, you need to really cut down on sugars even fruit sugars. If your worried about the milk kefir try drinking water kefir when the sugar in the water has been consumed by the bacteria or take a pro biotic medication.

      1. Another factor associated with acne is “stress”. Stress/anxiety cause the nerve endings to fire overstimulating the tissue. Keep your skin clean and moisturized and do not let it dry out. Regular exfoliation using facial clay masks also help keep the skin layers breathing. Reduce stress in every way possible even it means making major life changes and you will see a marked improvement. I speak from personal experience with this problem.

      2. I used to get an allergy – like reaction on my cheeks near the jaw, after eating dried apricots.
        Also used to get them from Flat whites (full of coffee & dairy) during my student years.
        I stopped consuming both.

    2. Plant-based is arguably alleviating the severity of what could be atrocious acne in you, but to say genetics do not play some minor role is just false. Some people have more oily skin, harbor different bacteria, and there are many other facets to what could contribute to acne besides just diet. Diet is most certainly important, but by no means the exclusive contributor to acne.

    3. High stress levels? Using products that clog your pores? Not washing hands prior to touching your face, or mindlessly touching your face throughout the day?

    4. Besides dairy, sugar and processed foods, wheat can cause acne in some of us. It’s easy to find out–try ditching all wheat and gluten and see if your skin clears.

    5. One data point – My 14-yr old daughter with mild acne on her face and moderate acne on her back switched to a vegan diet for nutrition/athletics reasons. Her acne largely disappeared over the course of 6 months, but some remained. Then she cut out ALL processed foods and oils and is completely clear of acne. She recently allowed :) me to add a little bit of oil back into her diet, and we’ll see what happens. She is also a competitive cyclist and trains intensively, so that may play a role as well. However, the intensity of her training hasn’t varied significantly pre and post vegan diet.

      1. Christina: I bet you are one proud mom. Many people of any age have trouble eating healthy for any reason. That your 14 year old made that change is worth noting. And a great data point/story. Thanks for sharing.

    6. It should be kept in mind that the cause of acne is multi-factorial; that is, there are many causes
      besides diet and these causes can overlap. Acne can arise from the disruption of the normal bacteria flora found in the gut and increase in intestinal permeability which causes endotoxins to enter the
      systemic circulation and induce inflammation and oxidative stress which play a role in acne. The change in gut microflora can be due to faulty diet and also psychological distress. Interestingly, fermented
      milk/dairy such as yogurt has not been associated with acne.
      As mentioned, mental distress has been associated with acne severity and of course those with acne usually stress out more with their skin condition which is counterproductive. There is some evidence, although equivocal, that cigarette smoking causes acne. Inflammation in the sebaceous glands can contribute to the pathology of acne although this isn’t always the case and the acne bacteria P. acnes can contribute to inflammation. Evidence suggest that fish oil can benefit those with mild to moderate acne by reducing inflammatory mediators. In women, the hormonal influence of acne is seen around the menstrual cycle when flareups occur.

      Whitney P Bowe, Alan C Logan, Acne vulgaris, probiotics and the gut-brain-skin axis – back to the
      future? Gut Pathogens 2011, 3:1
      Jon A Halvorsen, Florence Dalgard, Magne Thoresen, Espen Bjertness and Lars Lien, Is the association between acne and mental distress influenced by diet? Results from a cross-sectional population study among 3775 late adolescents in Oslo, Norway, BMC Public Health 2009, 9:340
      Golandam Khayef, Julia Young, Bonny Burns-Whitmore and Thomas Spalding, Effects of fish oil
      supplementation on inflammatory acne, Lipids in Health and Disease 2012,11:165
      Tobechi L. Ebede, MD,a Emily L. Arch, MD,b and Diane Berson, MD Hormonal Treatment of Acne in Women J Clin Aesthet Dermatol. 2009 Dec; 2(12): 16–22.

    7. Coincidentally just read an interesting article in Dr McDougall’s December 2015 newsletter re diet and acne. Identical twins, raised on a WFPB, developed severe acne after some changes to their diet. They share before and after photos – the difference is quite dramatic. It is worth reading. Their story is contained within a link in the main story.

    8. I recently read in a book called “Orthomolecular Medicine for Everyone” about a doctor’s success in treating it with vitamin and mineral supplements. I read elsewhere of people who got rid of it by switching from showering to bathing. Others see it disappear when they are on antibiotics. I’m not a medical professional but I think it must be a very complicated issue.

    9. In which case, the acne may be caused by candida overgrowth. You may have to heal the gut, as candida aggravates inflammatory bowel syndrome, disrupting bacterial balance (you can do research on the link between the gut and clear skin).
      What has worked for me personally, and many, is not only consuming predominantly raw fruits and veggies in addition to completely eliminating meat, dairy, refined sugars, and gluten, and taking an abundance of probiotic supplements, but also ensuring *Proper Food Combining* (there are many articles, and proper food combining charts, available). Proper food combining is essential to ~healthy digestion~ which balances candida, heals the gut, and results in clear skin.

    10. Do you consume anything made out of wheat? Try avoiding wheat for a while and see what happens. I have had fewer lesions forming on my face as a result.

    11. I never had acne as a kid eating an omnivorous diet. Years later, having been vegan for 10 years I had a serious case of adult acne. I cured it with traditional acne skin creams. I attribute the fact that it appeared to my specific diet that year… I was a fruitarian and ate a lot of (a LOT of) non organic fruit with its peel (namely mangoes, yes mangoes with peel). Honestly I don’t know what I was thinking. I’m now back in a starch based diet and my skin cleared up. If I eat a lot of fruit it reappears, if I go back to cooked starches my skin clears up. That is my experience.

      1. JV, mango peel may be a culprit; mangoes are related to poison ivy/oak, as are cashews, so the smaller irritants in the peel may be enough to tip scales.

        1. Thanks for the info!! Thankfully I ditched the habit (and the fruitarianism) and am now back on a starch based diet, my skin looks healthy again! :)

    12. We have been vegan for nearly 4 years now and my son has fairly bad acne also. I would be willing to believe that dairy could exacerbate symptoms but I know it is not caused by dairy otherwise he would not have the acne he does. This past summer he went to an intense wrestling camp and when he came back his face was clearer than normal. He ate vegan while he was there as I packed him food. We told him good job putting on his medicine while he was away and that his face looked great. He said he forgot his medicine and never put it on. We tried replicating the items he lacked or had more of during camp…. cutting out oils and peanut butter cutting out sugars, drinking more water (they drank over 2 gallons a day), etc. Nothing seems to work! Ugh! Now he has acne scars.

  2. Dear Michael, I am a vegan for few years now, 50 years old, have fit body weight, and still has acne in my face that comes and goes all the time. I do use soya milk in coffee. what can be the problem ?

    1. I hate to be the bearer of bad news but it could be the coffee itself… sadly some people react more to the acidity of coffee than others and it shows up as acne (amongst othe things like stomach issues). Personally whenever I manage to break my addiction to soy lattes my skin always clears up (I’m vegan and I still eat/drink plenty of soy when not drinking coffee). Every time I cave and go back … back come the acne issues. If you can manage it try cutting out coffe for a couple of weeks/months and see if it helps…

  3. The link between acne and cancer is as follows: Doctors prescribe Tetracycline or other antibiotics for acne. Antibiotics are known to initiate cancer by damaging mitochondrial DNA in stem cells. A study found a 120% increased risk of breast cancer in women who have used Tetracycline and other antibiotics even for short intervals. Antibiotics directly cause cancer through mitochondrial damage. Mitochondria are nearly identical to bacterium and are sensitive to antibiotics and can sustain irreversible damage. If anyone would like more info on this, contact me at

    1. But what if you have to take tetracycline? I ask because I live and work in an area of the country known for high rates of Lyme disease and even being very careful, I feel that it is only a question of when someone like me (whose work is primarily outdoors) gets infected. Tetracycline is the main way this is treated plus breast cancer runs in my family so this information you presented concerns me greatly.

      1. I had hormonal acne outbreaks through my 40s. I ate few processed foods. Then I cut out ALL dairy products. All acne gone from then on. It returned over Christmas when I indulged in a few days of sweets and dairy filled desserts.

        1. MaryC: That’s very interesting. And hopefully encouraging to people. But I do know people who really have cut out all dairy for years and still deal with monthly flair ups. So, I don’t think this is the answer for everyone. But maybe the devil is in the details and it is the answer for everyone. :-) Glad you figured your situation out.

  4. I drank a lot of milk growing up. In fact, I never drank a soda until I was 16. However, I’ve long since given up milk for almond, rice or soy milk, and I still get the occasional breakout as a 50-something-year-old. Never thought I’d be dealing with wrinkles and acne simultaneously.

  5. One caveat… Indians in India drink a lot of milk and eat cheese. They do not show acne. Could it be the difference between how Indian cows are treated/fed and Western cows that change the milk composition?

    1. Actually on a per capita basis Indians don’t consume much dairy. I found this list of per capita consumption of dairy by country.

      For 2007 milk consumption from all sources and in all forms for India is listed at 68.2 kg/person/yr while the United States is listed at 254 kg/person/yr. So it more likely that they still don’t guzzle milk or gorge on cheese like the US does. BTW, the top consumer from this source is Finland at 361 kg/person/yr with Sweden and Netherlands not far behind. Interestingly Greece is shown as consuming 315 kg/person/yr. So much for that low fat, low animal product super healthy Mediterranean diet!

      The lowest are a bunch of countries in Africa and southeast Asia where dairy consumption is in the low single digits to maybe 20 kg/person/yr (and I bet most of that is by urban dwellers who have more money and are trying to be more western).

      1. would be interesting to see the breakdown within India of Dairy Consumption: big north/south split. The dairy they do consume is the fat, ghee, and fermented milk.

    1. If Dr Ornish’s protocol of a WFPB diet w/no added oil, + 3 tablespoons of flax/daily helps arrest prostate cancer, and if there is a link between prostate cancer and acne, I wonder if this combo might be effective for ‘some’ people that continue to have acne. Might be worth trying.

  6. I had severe acne as a teen, but I was “lucky”that it was mostly on my back and chest. I sometimes had to change my tee-shirt a couple times a day because it would get so bloodied from impacted acne. My doctor told me I’d have it my whole life. But it all cleared up decades ago when I went in a plant based diet. Good to know about the prostate risk.

    This is a very important video. Thanks Dr Greger!

  7. “…so the continued consumption of any kind of milk during adolescence and
    adulthood is something that never really happened naturally and may have
    long-term adverse effects on human health.”

    Wondering if this would include kefir? I recently started drinking kefir (Evolve brand) for all its good probiotics. However it is made from pasturized-homogenized milk. But fermented.

    1. Unless fermentation changes the amount of leucine present, which I strongly doubt, then raw, pasturized or fermented would make no difference.

    2. Dommy-
      Check out Dr Greger’s video on benign enlarged prostates and the main causes. I wish I had known this info when I was young bcuz even if you stop, the consequences continue later in life. It’s too late for me, but save yourself. With an enlarged prostate you can only sleep an hour or two and must get up to use the bathroom all through the night every night! And once your prostate swells you can’t shrink it back down! Dump the keifer! Eat live sauerkraut (sp) instead. Good luck.
      Mark G.

      1. I second the ‘kraut recommendation. Mine is now homemade kimchi so I get all the chili antioxidants too. Really hits the umami button better than cheese! I learned on Youtube. Ordered some good bacteria for other veg that is reluctant to ferment: beets carrots etc. Will try kefir too soon from coconut water

      1. I just looked at the link you sent and don’t see anything about using non-dairy milks to make it. Do you have any special instructions or do you just replace the cow’s milk with a non-dairy milk?

        1. You just use date paste (1/4 tsp per cup of milk) to give the kefir grains something to eat. The process for making non-dairy kefir is described in her book “Cultured Foods for Health”, page 59. Sorry, I thought it would be on her website as well.

  8. Heavy metal accumulation in leafy greens?

    While rice does have a higher uptake of arsenic than many plants, there are other offenders as well, such as root vegetables and leafy greens. With root vegetables, simply peeling them will reduce much of your arsenic exposure, but dark leafy greens, such as arugula, lettuce, cabbage and other similar greens can actually accumulate arsenic as well. In fact, according to John M. Duxbury, PhD, a professor of soil science and international agriculture at Cornell University in Ithaca, N.Y., “Concentrations in leaves of plants are much higher than grains of plants. Thus, leafy vegetables can contain higher levels of arsenic than rice, especially when they are grown on arsenic-contaminated soils.”

  9. I posted a comment the other day on the “How to Suppress the Aging Enzyme TOR” article. I’m finding these articles terribly fascinating, as I take rapamycin (a TOR inhibitor) for a rare lung
    disease called lymphangioleiomyomatosis. A common side-effect (which I can personally attest to, unfortunately) of rapamycin use is acne. Why would taking this TOR inhibitor cause acne considering the above?

  10. “What they mean is that the dairy, junk foods, meat, and egg proteins in Western diets all conspire to raise the activity of the enzyme TOR, contributing to acne and obesity.”

    Actually, the researchers concluded that dairy and high glycemic load in the diet was to blame, and they advocated using a paleolithic style diet to treat acne. It’s right in the abstract.

  11. I’ve been vegan for 8 years but since March 2015 till today- Jan 2016- I’ve had terrible acne on my left cheek. I’m mostly raw and mostly fruitarian. I work from 7pm till sometimes 7am 4-5 nights a week. I think my left cheek specific acne is sleep oriented. Help?

  12. Hi there! I’m 45 and have struggled with acne since my late late teens, never had it as a young teenager though. I haven’t had dairy or gluten in a very long time but continue to break out, I eat a very clean diet with loads of fruits and veg and haven’t had a soda in 5 years, not even diet! I drink about 100 oz of water a day, workout 4-5 days a week etc etc. But i’m still breaking out! My derm has me on Aczone which is really doing nothing and after a year I stopped because I cannot believe it is good for me long term. I take a daily probiotic and omega 3, I am at my whits end with these breakouts and it’s enough already! I have tried every face wash, toner, moisturizer known to man, natural to synthetic and I just don’t know what to do! My derm asked a question last time regarding Asthma, which runs big time in my family, and said there is now a study linking asthma and acne, have you heard this? Basically telling me my gene switch was either asthma or acne, which was interesting because my nephew, who has asthma, has clear skin, smooth as a babies same with my niece and my sister………but me and both of my kids have acne but no asthma. Any advice would be SO helpful!!! THank you so much, love following you! Best, Stephanie

    1. Stephanie – maybe try cutting out the omega 3? I say that because I’ve noticed that I ALWAYS breakout when I take omega 3 supplements and/or flax oil. It is possible to get too much omega 3. If that doesn’t work you may want to try laying off skin washes and allowing your skin to restore its natural microbiome. Just wash with water. Look up a product called Mother Dirt. Good luck!

    2. I had been struggling with acne only later in life–in my 60’s. I’ve cut out all animal products and products including fat or oil, and it is 95% better. At first I thought it was wheat, but eliminating all fat/oil seems to really be helping–and I’ve lost a handful of pounds, too. I got the idea from reading something on Dr. McDougall’s site. ( Have you seen it?

    3. Stephanie, maybe “supplement” your probiotic supplement with cultured foods. Flooding the body with tons of probiotics from fermented vegetables, non-dairy kefir and kombucha eliminated Donna Schwenk’s daughter’s acne and her friend’s son’s asthma. The little boy would cry in the kitchen for his kefir as he knew his asthma symptoms would return without it. You can get info from her website or new book.

  13. i have had moderate/sever face acne and very severe back acne ever since i was put on amox. antibiotic for two weeks 3 years ago. i had perfect skin before taking those pills. i literally have been waking up with 5-10 new white heads every morning for 3 years straight which has scarred my face. no one in my family suffers from acne from either my dads or moms side. they virtually all eat like garbage, smoke and drink and yet have flawless skin – just like i did before taking the antibiotic.

  14. I just sent your great article to my granddaughter. I hope it helps if she tries your suggestions.
    I wonder if there is any nutritional idea that will help me? I follow all the plant based ideas but still appear to have Sjogrens Syndrome. I have dry mouth, dry eyes and small fiber neuropathy give me burning pains in my lower legs, especially at night. The pain in my legs is the worst symptom. Is there any research out there indicating that eating a certain way can help with Sjogren’s Syndrome? Nothing I have tried yet seems to help. Thanks so much! I love your book and videos.

    1. I was wondering the same thing. I have been taking acne meds(doxycycline 20 mg and metrogel) for years to prevent pustular rosacea. Now that I am on a clean vegan diet, I may experiment with discontinuing my prescriptions.

  15. I very much like milk, but I say the same: why in the world would people drink animal’s milk?????? Why? It makes no sense. Finally someone said it. Phew…. Once again, thank you NutritionFacts!!!!

  16. Hi Dr. Greger, I searched web and youtube after a video on ovarian problems as cysts and such but did not find any, so I need to kindly ask you if you would be interested in doing one. I think many of us need one about that topic. In my case I’m a 2 years vegan young woman who is struggling with a very stubborn endometrial cyst that is making my life a living hell. I’ve searched and searched information on how to cure this without surgery or taking hormons for the rest of my life. So far everyone seems to be on the same page about lowering estrogen levels and body mass, but it would mean the world to me (and other women i’m sure of) if you would share your knowledge about this subject. I’m a great follower of yours and thanks to you I’ve learned almost everything i know about nutrition and nutrition-related problems (and solutions). Please read this message! Best wishes and thank you for tons of vital information you share with all of us.

  17. I take : Zinc (30mg/1 a day), Omega-3 ( 1 gel capsule/3 times a day) and B-complex. These supplements helped me a lot.
    Use a good face cleaner ( without paraben), drink a lot of filtered water, clean your pillow cases( once every week).
    Do some sport and meditation ( download the app RespiRelax) , it well help you to breath “correctly”. Try to sleep 7-8 hours.

    I hope this could help some of you guys.

    1. I developed cystic acne in college, where sugar was ubiquitous in the cafeterias. Even now at age 50, just two grams of sugar per serving will cause a breakout. Eliminating oils or dairy doesn’t have much effect either way on me personally – with the note that many dairy products contain enough lactose per serving to give me a breakout.
      My heart goes out to those who are dealing with scars and the emotional impact; I urge anyone affected to at least try a very low sugar diet for a couple of weeks to see. This means staying away from most fruit and grain, which I realize is difficult, but the results speak for themselves.

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