Fat may contribute but doesn't cause. The pores aren't actually clogging from the outside. Your immune system is telling your white blood cells to attack your own skin. Until words like "oder" and "obese" are removed from the info available we will all continue to get treated like gross dirty fatties. And up to 7 years for a diagnosis? I'm 39 ans just got diagnosed. After Hashitmottos (autoimmune thyroid disease) and Ankylosing Spondylitis (relative of rheumatoid arthritis). I've had symptoms since puberty. So try 20+ years misdiagnosed and fat shamed by my doctors into not going in for the boils for over 10 years. Until a beautiful angel of a dermatologist told me my other doctors were WRONG and I didn't have to live this way. Anyone else with a story like mine? Or read the description of the condition on a website supposedly here to support us and still felt like having HS was a personality flaw. Say something....respond to this with something witty and clever or just say "I have HS and I don't have to feel ashamed " say "sorry, I'm too fat for the box you keep shoving me into, so I'm making my own box." Did you know this condition also actually causes muscle and joint pain that can mimic RA? did you know your actual skin is inflamed? It's why it's always warmer to the touch, it's your immune system with the issue not your skin or hair follicles or sweat glands. It's not even real infection in the boils unless you get a secondary bacterial infection. It's just a collection of white cells your immune system sent to fight an invisible army. Did you notice the ads on here to pay for the site? Look for the real truth about HS. I did.