Hormonal imbalance. It's known to cause excess sebum production, stubborn blemishes, and extreme dry patches. It's an inevitable bodily change and you can control how it affects your skin. It's treatable with our gentle blend of Salicylic + Azelaic + Mandelic Acids to regulate, soothe, and clear imperfections caused by hormones. Hey Dr.Jackie, I love your spirit and I trust your advice so I ordered your product and I am waiting for the results. It has not been a whole week of use, I'll follow up in two weeks. BLESS YOUThis stuff feels amazing on your skin. It’s non greasy yet hydrating and soothing. I love this.