● 2,317+ Root Causes Found
Your acne has a root cause. We find it
Your acne has a root cause.We find it
One at-home blood test measures the 8 biomarkers most linked to stubborn acne. Not another cream. The actual answer.
73%
of adult acne is hormonal
7
days to your results
8
biomarkers tested
73%
of adult acne is hormonal
7
days to your results
8
days to your results
Sarah M.
Verified Customer
"I spent thousands on serums, creams and face masks and nothing worked. This test finally showed me my acne was hormone-related. For the first time, I understood what my skin was trying to tell me. Now my skin is healthier than ever."
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The Acne Root Cause Test
8 biomarkers · CLIA-certified lab · Physician-reviewed
$199
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30-Day Clear Skin Guarantee
If you don't understand your root cause within 30 days, we'll make it right.
Our lab processes a limited number of kits per week to guarantee physician-reviewed results within 7 days. Order now to secure your spot.
Developed Using Research From
Acne isn't a skin problem. It's a Biology problem.
Every cream, prescription, and derm visit works on the surface. None of them can reach what's actually driving your breakouts from inside your body.
0/8
Biomarkers Tested
Standard Derm Visit
8/8
Biomarkers Tested
BreakoutLabs
Skincare
Works on the pore. Can't reach testosterone or cortisol.
Prescriptions
Suppress acne while you take
them. Stop the drug, it comes back.
Dermatologist
Treats what's visible. Hormone
panels almost never ordered. 0/8
biomarkers tested in standard visit.
BreakoutLabs
Treats what's visible. Hormone
panels almost never ordered. 0/8
biomarkers tested in standard visit.
The problem isn't what you've been putting on your skin.
It's that nobody has tested what's happening inside it. Hormones, blood sugar, and stress levels are measurable — and they're almost never checked.
Your Breakout Location is a Clue.
Different parts of your face are controlled by different internal systems. Where you break out tells us which biomarker to look at first.
Chin & Jawline
Most Common
Testosterone + DHEA-S
Deep, cystic, painful bumps. Same spots every time. Worse before your period or under stress.
Cheeks
Upto 38% affetcted
Insulin + Blood Sugar
Texture, congestion, breakouts that don't respond to diet changes. Tied to blood sugar spikes
Forehead & Temples
Stress-driven pattern
Cortisol
Stress breakouts. Flare before big events or during poor sleep. Skin stays inflamed when life gets intense.
BreakoutLabs tests the exact biomarkers behind each zone. Most people have more than one driver. Your results show the full picture.
Your breakouts are trying to tell you something.
Do any of these sound familiar? The location, timing, and pattern of your breakouts are actually clues — your body communicating what's happening inside.
● Testosterone + DHEA-S
Hormonal acne — the most common root cause
Elevated testosterone tells oil glands to overproduce — especially on the chin and jaw. Even "normal" testosterone can do this if SHBG is low, leaving more active hormone circulating in your body.
Sound like you? Cystic bumps in the same spots, worse before your period, or acne that came back after Accutane.
● Insulin + Blood Sugar
Metabolic acne — the one most people miss
When insulin is chronically elevated, it amplifies androgen production and keeps pores congested. Diet changes alone often don't fix this because the insulin resistance runs deeper than food choices.
Sound like you? Persistent cheek texture, breakouts that don't respond to diet, or skin that feels congested all the time.
● Cortisol
Stress acne — it's not in your head
Cortisol directly triggers oil gland activity and drives androgen production. Chronically elevated cortisol keeps skin in an inflammatory state — which is why "manage your stress" alone never clears the skin.
Sound like you? Skin that flares during stressful weeks, before presentations, or when you're not sleeping well.
● Vitamin D
The deficiency most people don't know they have
Vitamin D acts like a hormone in the skin — regulating immune response and repair. Deficiency is extremely common and directly linked to increased inflammation and slower healing.
Sound like you? Breakouts that take forever to heal, persistent redness, or skin that's noticeably worse in winter.
All 8 Biomarkers in Your Test
Testosterone
DHEA-S
Cortisol
Fasting Insulin
HbA1c
Vitamin D
Free Testosterone
SHBG
Most people have more than one driver. Your Clear Skin Blueprint explains which combination is causing your acne — and what to do about each one.
You Can't Fix What You Don't Measure.
One test. All 8 biomarkers. Results in 7 days.
Add to Cart · $199
From guessing to knowing in 7 days.
Day 1
Collect at home
A simple finger-prick — smaller than a diabetic glucose test. Takes under 5 minutes. Lancet, collection card, and prepaid mailer all included.
Day 1 - 2
Mail to our lab
Drop your sealed sample in any mailbox. Prepaid envelope included. Processed in a CLIA-certified lab — same standard used by hospitals.
Day 7-10
Get your answers
Your personalized results dashboard and Clear Skin Blueprint arrive by email. Physician-reviewed. Every result explained in plain language.
What 2,317+ Customers Discovered About Themselves
94%
found at least one actionable imbalance
Insulin
Resistance
81%
Hormonal
Imbalance
73%
Vitamin D
Deficiency
67%
Elevated
Cortisol
58%
Low SHBG
(Hidden Androgen Excess)
44%
Based on aggregate anonymized customer data. Individual results vary.
The Question Nobody Ever Asked Them Before.
Before
After
"I honestly cried when I read my report. For the first time, I knew WHY my skin was breaking out — high cortisol and low Vitamin D. Having answers gave me so much peace of mind, and now my skin and confidence are both improving."
Root Cause
High Cortisol
Low Vitamin D
Sarah M.
Verified Customer . Adult Acne
Before
After
What Dermatologists Are Saying About BreakoutLabs
Our test is reviewed by board-certified physicians who understand what most acne treatments miss.
Dr. Mi Hye Elisa Song
Dermatology
"Rather than looking at biomarkers in isolation, a dermatologist can see how different markers work together and which ones may be most relevant for each individual. Two people might both have elevated testosterone, but other findings like low vitamin D or high cortisol may influence how their results are interpreted"
Dr. Manhong Ma, MD
Board-Certified Dermatologist
"This custom approach can be way better. Instead of guessing via trial-and-error, this can more effectively identify the underlying causes of those skin problems."
Dr. Akash A. Patel
Board-Certified Physician
"This test can be a useful tool to help determine whether hormonal imbalances may be contributing to a patient's skin issues. Two people with the same symptom can have completely different root causes — this helps identify which."
What happens When You Know The Cause
Rachel S., 29
Verified Customer . Adult Acne
"I'd been to 4 dermatologists. Tried every prescription. Spent $4,200+ on skincare. Nobody ever tested my hormones. BreakoutLabs found elevated DHEA-S and insulin resistance — the two things driving every breakout I'd had for 8 years."
DHEA-S ↑ + Insulin ↑
Root cause found
4 prescriptions failed
Previous treatments
85% improvement
Skin at 12 weeks
Breakout severity over time
Before
Severe
Week 2
Moderate
Week 6
Mild
Week 12
Clear
Following personalized Clear Skin Blueprint
What Your Dermatologist Prescribed vs. Tested.
Most derm visits focus on treating what's visible. The internal drivers rarely get checked — not because your doctor doesn't care, but because that's not how the system is set up.
Standard Acne Visit
Tretinoin prescribed
Antibiotics prescribed
Hormone panel ordered
Cortisol measured
Insulin checked
Vitamin D measured
Root cause identified
"Dermatologists treat what's visible. BreakoutLabs tests what's driving it."
Testosterone | DHEA-S | Cortisol | Insulin | Vitamin D | One at-home test | Results in 7 days
BreakoutLabs vs. Everything You've Tried
Tests hormone root cause
Personalized to your biology
At-home, no appointment
Results in 7 days
Physician-reviewed results
CLIA-certified lab
HSA/FSA eligible
BreakoutLabs
$199
Others
Our Promise to You
If you don't receive clear, actionable insights about what's driving your acne within 10 days of your sample arriving — we'll make it right. No questions asked.
“If you don't understand your root cause, we haven't done our job.”
Get Your Test · $199
Everything You Need to Know Before You Test
How does the at-home collection work?
Your kit includes a sterile finger-prick lancet, a collection card, alcohol wipes, and a prepaid return mailer. You prick your fingertip — similar to a diabetic glucose test — let a few drops land on the card, wait 30 minutes for it to dry, then mail it back. Under 5 minutes total.
Is at-home testing as accurate as a lab draw?
Yes. Dried blood spot testing has been validated in clinical research for over 30 years and produces results comparable to standard venous blood draws for the markers we test. All samples are processed in CLIA-certified labs and reviewed by a licensed physician before being released to you.
What do I actually get with my results?
Your results include a personalized dashboard showing each biomarker level with context and reference ranges, plus a Clear Skin Blueprint — a specific, prioritized action plan based on your individual pattern. Not generic advice. Built around your exact biology.
How long does it take to get results?
7–10 business days from when your sample arrives at the lab. You'll get an email with a secure link to your personalized dashboard.
Who is this test for?
Anyone with persistent acne that hasn't responded to standard treatments. Particularly valuable for adults with hormonal patterns (chin/jaw, cyclical, stress breakouts), people who relapsed after Accutane, and parents of teenagers considering Accutane. Available for teens and adults.
Is this covered by HSA or FSA?
Yes. The BreakoutLabs Acne Root Cause Test is eligible for payment with most HSA and FSA accounts.
How is this different from seeing a dermatologist?
Dermatologists are trained to treat skin — not to investigate internal biomarkers. Hormone panels, cortisol, and insulin testing require a specific patient request, which most people never make. BreakoutLabs tests exactly these internal drivers, giving you data your dermatologist likely never ran.
Stop guessing. Start knowing.
2,317+ people already know their root cause. Join them.
Get Your Root Cause Test · $199
Results in 7 days
CLIA Certified
HSA / FSA eligible