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my first thought was PCOS too.
because of the time when it started, and how it doesnt respond to traditional treatments.
i also recommend you see a good endocrinologist and a naturapath. they can see if your hormones are out of balance and help regulate them if needed.
you might also want to boost your vitamin b levels. some people have found that an undetected vitamin b deficiency leads to acne. this may help a bit, not that it will be a cure.
some people have had great results with the prescription cream called "duac". one of my clients had an acne situation similar to yours and also tried everything. she got some very good results from this particular prescription. she uses the "duac" in the morning and "differen" prescription cream at night. the combo helped her tremendously. perhaps ask your derm if this could help you.
sorry to hear about this. i can imagine how distressing the situation is for you.
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