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As a result, the acne bacteria could concentrate instead on using their cellular machinery to churn out more compounds to attack our face and induce inflammation in acne. Indeed, as you can see here and at 3:53 in my video , without excess B12 on the skin (with B12 shown in green), the bacteria have to make most of it on their own at the expense of porphyrins (shown in red), which can trigger acne inflammation

doi: 10.1002/14651858.CD004655.pub2

Initial metabolomics investigations unveiled a noteworthy correlation between urinary MNAM levels and BMI (Salek et al., 2007