Actually I have heard that menopause can cause acne because of the fluxuating hormones, perhaps she is going through the early stages.
As for random adults, god I have been there and I also find it highly offensive. Espeically when they recommend some prodcut their preteen uses, like I am the same person or something. Obviously I am no longer a teenager and those products didn't work for me or I wouldn't have acne.
I think people have the best of intentions but it is really hurtful and makes you realize just how much people notice your acne. It takes away the hope that people aren't noticing it and are noticing you for a change.
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