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On the other hand, closed comedones, commonly referred to as whiteheads, are primarily a result of excess sebum production and the accumulation of dead skin cells that block hair follicles

J Cosmet Dermatol 17(3):461466 Baliwag J, Barnes DH, Johnston A (2015) Cytokines in psoriasis

These evaluations are used to help predict host in vivo probiotic benefits and therefore indicate that LfQi6 may provide significant probiotic benefits in the human host when administered as preformed biofilms rather than as planktonic cultures