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Post-acne dark spots, also known as post-inflammatory hyperpigmentation, are a common concern after breakouts heal

doi: 10.3390/ijms242115773 169 KimSLeeSKimTYLeeSHSeoSUKweonMN

Large meta-analyses involving over 4,000 stool samples from North America, Europe, and Asia show that PD is associated with a reproducible pattern of gut dysbiosis characterized by SCFA-producing genera depletion, opportunistic pathobiont enrichment, and consistent shifts in functional pathway gene expression [187]