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Several things can cause this condition: Insulin issues : When your body makes too much insulin (a hormone that controls blood sugar), it can affect skin cells and cause AN Weight changes : Being above a healthy weight is often linked to these skin changes Hormones : Changes in hormone levels can start this process Medications : Some drugs, like birth control pills or steroids, might trigger it Other health problems : Sometimes AN points to other health issues that need care At Isya Aesthetics, we look at all these possible causes when helping you