Written by Tabish Mehraj, PhD. At 20 weeks, the almond group showed greater improvements in acne outcomes than controls, with total lesion counts reduced by −22.2% vs. −9.8%, inflammatory lesions by −8.3% vs. +12%, and non-inflammatory lesions by −26.1% vs. −20.4%. Objective lesion severity also decreased significantly (p ≤ 0.001), including reductions in lesion volume, area, and height. In addition, almond consumption increased skin microbial diversity (Shannon index: 2.6 → 3.4, p = 0.039; Chao1 index: 266.9 → 835.2, p < 0.001) and improved acne-related quality of life (p < 0.001) and anxiety symptoms (p = 0.016).