breakoutLabs painless arm collection device
19 biomarkers across hormones, blood sugar and metabolism, liver and kidney, and nutrients
@bellawaggoner22 before @bellawaggoner22 after
BeforeAfter@bellawaggoner22
Stick, click, done: the painless arm device on an upper arm
In my opinion, this test can be a useful tool to help determine whether hormonal imbalances may be contributing to a patient's skin issues.
Dr. Akash A. Patel
Dr. Akash A. PatelBoard-certified dermatologist
Megan B. before and after BeforeAfterMegan B.

Worth the try!!

I struggled with acne for years and hated going out in public because I was so self-conscious about my skin. … My skin has improved more than I ever thought possible, and I rarely get breakouts anymore.

StephTrustpilot · Jun 17, 2026
Samantha's review with her before and after
The Acne Root Cause Test kit box

Acne Root Cause Test

Rated 4.82/5
  • Easy at-home collection (discreet, simple, and accurate)
  • Physician-reviewed insights with a clear, personalized plan
  • Clarity & control you'll never get from skincare alone
Limited tests this week84% Sold
  • HSA/FSA eligible
  • Pay in 4 with Klarna.
  • 30-day money-back guarantee
What customers are saying

Clear by my wedding day

About a month before my wedding, after a lot of stress and travel, my skin suddenly flared again … My testing showed low iron and ferritin, along with vitamin D deficiency. … By the time my wedding arrived, my skin was CLEAR. … After 15 years of struggling, I finally feel like I’ve found some peace with mine.

Lindsay P.Oct 2026

this helped me gain back my confidence

this service has been the best in terms of seeing whats under the hood and making the change based on bloodwork . i always thought it was cause i wasnt cleaning my back well enough turns out it was from SHBG hormone. finally was able to fix this issue and gain back my confidence.

Nathan A.Oct 15, 2026

I have battled with acne for 20 years

I have dealt with acne for about 20 years and have never truly known the reason for my breakouts. … After doing my bloodwork with Breakoutlabs and understanding the root cause of my acne, I was able to move forward in the right direction to help improve my skin. … I am wearing less makeup and I feel like my skin is glowing.

ShaylaAug 10, 2026

Worth the try!!

I struggled with acne for years and hated going out in public because I was so self-conscious about my skin. … I was connected with Brittany, who created a personalized skincare routine for me … My skin has improved more than I ever thought possible, and I rarely get breakouts anymore.

StephJun 17, 2026

I came across Breakout Lab on Instagram

I always struggled with back acne and acne around my forehead. The test kit had clear instructions and easy to follow. Very personalized experience from start to finish. I’m satisfied and definitely would recommend it if you’re dealing with acne.

YounessJun 5, 2026

I’ve struggled with skin issues for years

This was one of the first times I felt like I was getting personalized guidance rather than a one-size-fits-all recommendation. My experience was positive from start to finish, and I’d absolutely recommend giving it a try.

Alizae T.Jun 4, 2026

Parent of 2

What made this experience different was that it felt focused on finding potential root causes rather than simply managing symptoms. … Most importantly, my son’s skin has improved more in the past few months than it had after years of bouncing between treatments.

TonyJun 4, 2026
Developed by Research from
HarvardStanfordMayoHopkinsUcsf

How it Works

Look inside first. Then fix what you find.

Collect Your Sample at Home
1

Collect Your Sample at Home

Simple at-home testing with a painless arm device, using our easy collection kit.

Get Your Personalized Results
2

Get Your Personalized Results

Your test transforms into a clear, personalized report that explains exactly what your skin needs.

Follow Your Plan
3

Follow Your Plan

Your personalized action plan shows exactly what to do next, what to avoid, and how to support clearer skin from the inside out.

Why it works

1 test. Clear answers.

Breakouts are often a signal from inside your body. Here's how one test turns that signal into a plan you can follow.

The Acne Root Cause Test kit and the painless arm collection device
  1. 01

    One sample at home

    Collected in about 2 minutes with the painless arm device.

  2. 02

    A CLIA-certified lab

    Your sample is analyzed by a CLIA-certified lab.

  3. 03

    19 biomarkers

    Across hormones, blood sugar & metabolism, liver & kidney, and vitamin D.

  4. 04

    Physician-reviewed

    Your results are physician-reviewed and interpreted specifically for acne.

  5. 05

    Your Clear Skin Blueprint

    A personalized plan that shows you exactly what to fix first.

Creams treat what you can see. Your Blueprint starts with what's happening inside.

What we measure

19 biomarkers that show what's happening inside, analyzed in CLIA-certified labs and interpreted specifically for acne.

Hormones

What's driving the oil + breakouts

Free TestosteroneTotal TestosteroneSHBGDHEA-SFree Androgen IndexAlbuminTSHFree T4TPO

Metabolism

The swings that amplify your hormones

HbA1cAverage GlucoseTotal CholesterolHDLLDLVLDLTriglyceridesChol/HDL RatioLDL/HDL Ratio

Internal health

How your body handles meds + supplements

ALTCreatinineeGFRASTALPGGTBilirubinTotal proteinBUN

Nutrient foundation

What your skin needs to heal

Vitamin DFerritinIronUIBCTIBCTSAT
Get The Test

Reviewed by board-certified physicians

This at-home blood test is designed to help identify internal factors that may be contributing to acne. I like that the results are reviewed by dermatologists who can help translate the data in a clear way to patients.
Dr. Mi Hye Elisa Song, MD, FAAD
Dr. Mi Hye Elisa Song, MD, FAADBoard-certified dermatologist
Emerging research suggests that some individuals with acne have higher testosterone and DHEA-S levels compared to those without acne, so measuring these hormones can be important for acne evaluation and care. … In my opinion, this test can be a useful tool to help determine whether hormonal imbalances may be contributing to a patient's skin issues.
Dr. Akash A. Patel
Dr. Akash A. PatelBoard-certified dermatologist
This custom approach can be a much better fit for people that have not had success with skincare products in the past. Instead of guessing via trial-and-error, I think this in-depth can more effectively identify the underlying causes of those skin problems.
Dr. Manhong Ma, MD
Dr. Manhong Ma, MDBoard-certified dermatologist

They stopped guessing. Their skin noticed.

Real customers who found what was driving their breakouts from the inside, then followed their plan.

Lindsay P. before and after BeforeAfter
★★★★★

“By the time my wedding arrived, my skin was CLEAR.”

Lindsay P.✓ Verified member
Jessica G. before and after BeforeAfter
★★★★★

“I used to dread my period because I knew the jawline breakouts were coming. Now I actually feel in control.”

Jessica G.✓ Verified member
Megan B. BeforeAfter
★★★★★
Megan B.✓ Verified member
Nicole before and after BeforeAfter
★★★★★
Nicole✓ Verified member · 8 weeks after testing
Jessica K. before and after BeforeAfter
★★★★★

“I spent probably $3,000 worth of skincare every year. My skin isn't perfect yet but for the first time in my adult life, I actually understand what's happening.”

Jessica K.✓ Verified member

Skincare can't fix what starts inside

Your skin is showing you what's going on inside. Creams work on the surface. BreakoutLabs finds what's driving your breakouts underneath.

BreakoutLabs
Conventional Skincare
Finds and addresses the real root cause
Treats surface symptoms only
One simple test = clear answers
Endless trial-and-error with products
Identifies hormone, blood sugar & nutrient triggers
No explanation for why acne keeps coming back
Personalized Clear Skin Blueprint
Generic routines made for everyone
One test, expert-reviewed results, actionable plan
Expensive facials, prescriptions, repeat costs
Long-term clarity, confidence, and control
Temporary cover-up of breakouts
Get The Test

Frequently asked questions

Who is this test for?
Anyone dealing with persistent acne who wants to understand the root cause.
How does billing work?
$199 today, then $199 every 12 weeks. That covers your Blueprint and updates, skin specialist access, unlimited Clara, and your quarterly retest.
Can I buy just one test?
Yes. A one-time test is $249 with no subscription. You get the 19-biomarker panel and your Clear Skin Blueprint. The Test + Care Plan adds a new kit every quarter, specialist calls and Clara for $199 per quarter.
Can I cancel or pause?
Yes, anytime, from your account, in about two clicks. No cancellation fees, no phone calls.
What if I've already tried prescriptions?
Prescriptions target the breakout, not what keeps causing them. If acne comes back after every round of treatment, the internal driver was never found. This measures the hormone, blood sugar, nutrient and lipid imbalances that antibiotics can't see.
What if I've been tested before and everything came back normal?
Standard labs use generic reference ranges: 'normal' isn't the same as optimal for your skin. We interpret your levels specifically for acne, where being at the edge of a range can still drive breakouts.
Can I use this with my dermatologist?
Yes, your report includes your actual lab values, so you can bring it straight to your derm. Most acne appointments never include this panel, so it makes that visit far more productive.
Do I need a prescription?
No. You can measure the internal factors associated with your breakouts without a referral or an appointment.
Does the collection hurt? Are there needles?
Collection uses a painless arm device, not a syringe, not a vein draw. Most people finish in about 2 minutes.
Why not just get bloodwork at my doctor's?
A typical acne visit rarely includes a 19-biomarker panel, and standard lab reports use generic ranges with no skin-specific interpretation. We run the full panel from home, interpret it for acne, and retest every 90 days.
How fast do I get results?
Kits ship within 1 to 2 business days. Results and your Blueprint typically arrive within 7 days of the lab receiving your sample.
What if my panel comes back completely normal?
If your panel comes back entirely clean, our 30-day money-back guarantee applies: a full refund. Fewer than 1% of customers ever use it.
Can I use HSA/FSA funds?
Yes, testing and the plan are HSA/FSA eligible, so you can pay with pre-tax dollars.
What's in your kit?
A painless arm-collection device, prepaid return shipping, and step-by-step instructions. Collection takes about 2 minutes. No visits, no vein draws.
What do you test?
19 biomarkers, including hormones (Total T, Free T, SHBG, Albumin, DHEA-S, Free Androgen Index), blood sugar (HbA1c, average glucose), lipids (a full lipid panel) and nutrients (Vitamin D).

Money-back guarantee

No guessing. No risk. If your panel comes back entirely clean, you get a full refund. Fewer than 1% of customers ever use it.

Get The Test
$249$199 Get The Test