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There is no evidence that chocolate itself causes acne.” But, not all chocolate is created equal. If you’re eating chocolate that’s full of corn syrup, sugar, fillers, dairy, and additives, you’re ingesting things that can definitely contribute to a breakout.
The authors of that study hypothesized that this is because chocolate flavonoids can cause your body to release more cytokines, a protein that tells your immune system to create more inflammation to fight off potential infection.
Diet could tend to make acne worse, but it wasn’t the primary cause. So chocolate was not the reason for pimples. However, a 2021 review of 53 recent studies found a relationship between high glycemic index and glycemic load foods and the increased promotion of acne.