New York had a big influence on me growing up and I was really part of the club scene - the Mudd Club and Studio 54. When you're living in New York you are just bombarded with style trying to figure out how to be cool and how to feel relaxed at the same time.
Our typical Western diet is full of inflammatory fats - saturated fats trans fats too many omega-6 inflammatory processed vegetable oils like soy and corn oils. These increase IGF-1 and stimulate pimple follicles.