Table of contents
Acne is a skin condition with many possible causes. Hormonal fluctuations, poor gut health, poor nutrition and poor hygiene are just some possible ones. You can't just fix it with a pill, it requires a broader lifestyle approach. However, there are some supplements that have been shown to make a serious difference in scientific studies. Here are the best ones.
#1 Zinc

Zinc is known to support the skin both as an anti-inflammatory [s] and by promoting wound healing [s].
A systematic review on Zinc for inflammatory skin diseases such as acne found 14 studies that showed a benefit of Zinc supplementation. [s]
You can find a full overview of all studies right here.
But just to highlight a study that shows the benefits of Zinc:
👉 Michaëlsson et al. (1977): Zinc supplementation was just as effective as an antibiotic treatment. A 65.4% reduction in 12 weeks. [s]
🍳 Best Food Sources of Zinc (per 100g)
Animal-based foods are the most bioavailable sources:
🦪 Oysters – 605% RDA (66.8 mg)
🥩 Beef (braised chuck) – 45% RDA (4.9 mg)
🍖 Lamb shoulder – 39% RDA (4.3 mg)
🐖 Pork shoulder – 29% RDA (3.2 mg)
🍗 Chicken thigh – 15% RDA (1.7 mg)
🦃 Turkey – 12% RDA (1.3 mg)
🧀 Cheddar cheese – 10% RDA (1.1 mg)
🥚 Egg yolks – 8% RDA (0.9 mg)
Notable plant-based additions:
🍄 Shiitake mushrooms – 9% RDA
🥑 Avocado – 7% RDA
💊 Supplement Dosing
For acne, higher doses (e.g., 100 mg/day) are sometimes used in clinical trials (see the table). But, this is well above the RDA (11 mg for men, 8 mg for women). [s]
✅ Practical suggestion:
Start with 10 mg and gradually increase to 40 mg/day, unless advised otherwise by a professional. [s]
📉 Be mindful of elemental zinc content :
Zinc Picolinate = 20% elemental zinc
Zinc Citrate = 31%
Zinc Sulfate = 23%
So as an example, 100 mg of Zinc Picolinate gives you just 20 mg of actual zinc.
⚠️ Long-term high doses (>40 mg/day) can cause side effects like copper deficiency — so it’s best to supplement cautiously and monitor how your body responds.
#2 Black Seed Oil

Black seed oil (Nigella sativa) is gaining traction in skincare — and with good reason. A recent double-blind, placebo-controlled clinical trial confirmed its effectiveness in treating acne. [s]
In the study, participants applied black seed oil (standardized for thymoquinone , its key active compound) twice daily for 60 days. The results were striking:
78% reduction in acne severity vs. just 3.3% in the placebo group
Significant decreases in comedones, papules, and pustules
63% improvement in acne-related quality of life
No reported side effects
These effects are attributed to thymoquinone, which is uniquely found in high concentrations in black seed oil, and has anti-inflammatory, antibacterial, and antioxidant properties.
If you buy, go for a cold-pressed and organic black seed oil. This ensures that your product has the highest concentration of Thymoquinone, and is free of pesticides.
#3 NAC & Milk Thistle

A 2012 clinical study showed that the powerful combination of antioxidants — NAC (N-acetylcysteine) and Milk Thistle (silymarin) — can significantly reduce acne and inflammation. [s]
🧪 How they work:
Both boost glutathione, your body’s master antioxidant
Reduce oxidative stress and inflammatory markers like IL-8
📉 The results (after 8 weeks):
NAC (1200 mg/day):
👉205% increase in glutathione
👉72% drop in inflammation
👉50% fewer acne lesionsMilk Thistle (210 mg/day):
👉271% increase in glutathione
👉80% drop in inflammation
👉53% fewer acne lesions
#4 Vitamin B5

A 12-week clinical trial tested a pantothenic acid (vitamin B5) supplement in adults with mild to moderate acne (2.2 grams per day) — and the results were impressive. [s]
📉 Key Results
68% reduction in total facial acne lesions
Significant drop in both inflammatory and non-inflammatory blemishes
42.9% of users had skin rated “almost clear” vs. 14.3% on placebo
💬 Bonus
Participants also reported better quality of life
No safety concerns or side effects
🔍 Why It Works
Pantothenic acid (vitamin B5) plays a vital role in your body’s ability to process fats and regenerate skin. It supports the production of Coenzyme A , which helps regulate sebum (oil) production — one of the key drivers of acne.
B5 also helps reduce inflammation , speeds up wound healing , and supports healthy skin cell turnover . Together, these effects may reduce clogged pores, calm existing breakouts, and support clearer skin over time — from the inside out.
✨ Takeaway
Pantothenic acid may be a gentle, effective way to support clearer skin — naturally, and without harsh topicals.
#5 Green Tea Extract

A 2016 randomized, double-blind, placebo-controlled clinical trial tested the effect of decaffeinated green tea extract (GTE), standardized to 856 mg of EGCG per day, in women with acne. After just 4 weeks, several acne-prone areas showed measurable improvements. [s]
📉 Key Results
16.9% reduction in inflammatory lesions on the forehead
8.2% reduction on the cheeks
12.1% total reduction in inflammatory lesions across the whole face
The chin, nose, and area around the mouth also showed statistically significant improvement
🔍 Why It Works
The key active compound in green tea, EGCG (epigallocatechin gallate) , has multiple skin-relevant effects.
💧 Modulates Sebum Production
Emerging evidence indicates that EGCG can interfere with the PI3K-Akt-mTORC1 pathway, which is overactive in acne and drives excess sebum production. [s]
Specifically:
EGCG reduces mTORC1 activity in sebocytes (the cells that produce sebum)
It may also inhibit lipogenesis (fat production) within these cells
Clinical studies of topical green tea have shown up to a 60% reduction in sebum output after 8 weeks
This suggests that EGCG may help rebalance oil levels from within.
🔥 Anti-inflammatory action
EGCG downregulates key inflammatory markers like TNF-α and IL-1β, which are elevated in acne-prone skin. This can help calm redness and swelling in inflamed lesions.
🦠 Antibacterial effects
EGCG has been shown to inhibit the growth of Cutibacterium acnes, the bacteria associated with acne development — without disrupting the overall skin microbiome. [s]
🧬 Antioxidant support
As a potent antioxidant, EGCG helps neutralize oxidative stress in the skin, which can otherwise trigger inflammation and damage skin barrier function.
✨ Takeaway
Green tea extract won’t clear every pimple, but it has science-backed potential to reduce inflammatory and hormone-related breakouts, especially in the lower face and T-zone. It’s a gentle, natural option worth considering.
#6 Vitamin A & Vitamin E

A clinical study measured blood levels of vitamin A and vitamin E in 100 people with acne and compared them to healthy individuals [s]. The result? People with acne had significantly lower levels of both.
📉 Key Findings
Acne patients had 20% lower vitamin A levels than controls (P = 0.007)
They also had lower vitamin E levels (P = 0.05)
The more severe the acne, the lower the levels of both vitamins
Suggests a clear link between antioxidant deficiency and acne severity
🟠 Why Vitamin A Works [s]
Regulates skin cell turnover and helps prevent clogged pores
Essential for controlling keratin production — often disrupted in acne
Modulates the immune response in the skin, reducing bacterial overgrowth and inflammation [s]
🟠 Top Animal-Based Sources of Vitamin A (Retinol) – per 100 kcal
Beef liver – ~1,500% RDA
Cod liver oil – ~900% RDA
Butter – ~7% RDA
Egg yolks – ~5% RDA
Cheddar cheese – ~3% RDA
🟣 Why Vitamin E Works
Acts as a powerful antioxidant, protecting skin cells from oxidative stress
Helps maintain a healthy lipid (fatty) barrier in the skin by preventing its degradation
Calms inflammation and supports healing
🟣 Top Sources of Vitamin E – per 100 kcal
Sunflower seeds – ~160% RDA
Almonds – ~105% RDA
Hazelnuts – ~65% RDA
Avocado – ~25% RDA
Salmon – ~13% RDA
Egg yolks – ~6% RDA
✨ Takeaway
Low levels of vitamin A and E may worsen acne — especially in severe cases. These vitamins help regulate skin cell turnover, fight inflammation, and protect your skin barrier. To keep your levels optimal, focus on nutrient-dense animal foods like liver, egg yolks, and fatty fish — with plant-based options like carrots, almonds, and sunflower seeds as potential great additions.
#7 Vitamin D

Vitamin D is best known for supporting bones and immunity — but it might also play a role in acne. A recent meta-analysis looked at data from 13 studies involving over 2,400 people, comparing vitamin D levels in acne patients versus healthy controls. [s]
📉 Key Findings
Acne patients had significantly lower vitamin D levels than people without acne
Vitamin D deficiency was 3x more common in those with acne
The lower the vitamin D, the more severe the acne
This isn’t just a small effect — on average, acne patients had vitamin D levels that were 9 ng/mL lower than those with clear skin (p < 0.0001).
🔍 Why It Works
Vitamin D plays several roles in skin health that may help prevent or reduce acne:
🛡️ Immune modulation
It helps regulate your skin’s immune response, reducing the overactive inflammation common in acne.
🧪 Antimicrobial effects
Vitamin D promotes production of antimicrobial peptides like cathelicidin, which help fight acne-causing bacteria on the skin. [s]
🔄 Sebum and keratinocyte regulation
It may help normalize both oil production and skin cell turnover, preventing clogged pores.
🍳 Top 5 Food Sources of Vitamin D – per 100 kcal
(RDA: 600 IU for adults; ideally 1,000–2,000 IU/day for optimal health)
Cod liver oil – ~10,000 IU (over 1,500% RDA)
Sockeye salmon – ~700 IU
Mackerel – ~450 IU
Egg yolks – ~90 IU
Beef liver – ~50 IU
📝 Most people get too little vitamin D from food alone — that’s why sun exposure and/or supplementation is often essential, especially in winter.
✨ Takeaway
Vitamin D deficiency is common in acne patients and strongly linked to worse skin severity . Supporting healthy levels — through sun, food, or supplements — could be a simple but powerful way to reduce inflammation, rebalance your skin, and support clearer skin from within.