I don’t think that going to a dermatologist causes significant hormonal changes

I don’t think you’ve ever been to a dermatologist

???

You don’t think acne is biochemical or hormonal?

It increases self-confidence, helps to improve self-image, etc

I could say exactly the same of the dermatologist.

anyone who thinks the answer isn’t “hit the gym” is coping.

I’d put “hit the dermatologist” above it. Plenty of girls go for the skinny or husky builds. But blemishes are a universal turn off