What can help with acne if nothing else works anymore?

To address acne effectively:

1. Consider adopting a healthy keto diet combined with intermittent fasting, which may help regulate hormone spikes contributing to acne.

2. Manage stress levels, as stress can elevate androgens linked to acne.

3. Address DHT with remedies like saw palmetto, stinging nettle root, or black cohosh.

4. Address estrogen dominance with stinging nettle root, cruciferous vegetables, or DIM to manage hormone conversion by aromatase.

5. Support liver function with milk thistle to regulate excessive hormones, including estrogen.

6. Reduce insulin levels by avoiding high-carb diets and dairy, which can exacerbate acne.

7. Implement lifestyle changes such as avoiding dairy and refined carbs, managing stress, taking targeted herbs, supplementing with zinc and cod liver oil, and minimizing fluoride exposure.