Hi, dear, good evening.
-i studied your query and understood your concerns, in which context find my reply herewith.
-your main worry is why you have acne inspite of all your efforts done.
a-for acne-there are many reasons which need to be ruled out by the clinical examination.
B-for clinical examination I would advise to consult your family doctor and send its brief up for more tips to get free from acne-which is very resistant and non-responding to treatments you had.
C-in the mean while-i would advise following lifestyle changes and health tips to reduce acne - as follows-
i-wash up the face and reduce skin oils before you sleep and take 8 hrs sleep,
ii-take plenty of fruits -especially -seasonal and citrus at least one times a day.
Iii-take balnd high protein diet
with spinach soup before sleeping for 1 wk.
Revert by your clinical examination report asap in 5 days time on my lybrate clinic by private paid query.
-hope the health tips would recoup you fast.
-and hope I have solved your immediate problem but do report after the cbc report and family doctors report on acne, andupload it on this forum.
-wishing you early recovery. Have a good day!