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1 Drugs containing corticosteroids, androgens or lithium can worsen acne. 2  Diet. 3  Studies indicate that certain dietary factors, including dairy products and carbohydrate-rich foods â such as bread, bagels and chips â may trigger acne. 4  Chocolate has long been suspected of making acne worse.
Photo: Levi Brown/Trunk Archive. Acne is a complex issueâthereâs no single cause of breakouts, and what triggers a pimple in one person might be benign to another. With that said, if topical treatments havenât made a difference, it may be time to change what you eat. More doctors and estheticians than ever believe in a diet-acne connection, and some common foods are now believed to be breakout triggers. Here, 7 foods that can make acne worse. (On the bright side, chocolate is not on the list.).