Try Effezel

Get tested for the Epstein-Barr virus. If it's that, then the treatment needs to be more serious.

If you've got severe acne - retinoid (vit. A), all the spots will dry up, just like that! But discuss the regimen and all that with a dermatologist. P.S. Some use creams with benzoyl peroxide, they're carcinogenic, there was a warning article!

I want to add, you've been treating yourself for 6!!!! years, you've used everything, according to your words, but out of everything you've only mentioned probiotics and diet, is that all?? For six long years, just this?? It means, acne doesn't bother you much, otherwise you would have found a way long ago.

There's a belief that acne doesn't come from diet.

Who prescribed your treatment? If it was a beautician, then you'll be going for another year at least. You need to see a dermatologist. Alternatively, go to the pharmacy and buy isotretinoin-based products. For dry and normal skin, this is Tretinoin cream; if your skin tends to be oily, then it's Retasol. Apply twice a day, to dry and clean skin. When going outside, use protective creams with SPF.

You've correctly switched to external treatment, which is symptomatic treatment, but we need to look deeper. You're on the right track, the gut. But it seems you weren't fully guided. If you're interested, I can help you.

It's hard to offer any advice, one needs to seek the cause, get examined, consult with specialists. I cured my acne with Zineryt, applied it every day for a month and a half to two months, morning and evening, all my spots cleared up, although I also thought that I would never get rid of them.

The son suffered for many years. Only a complete refusal of dairy products helped.

I completed a course of Roaccutane and it helped me immensely. I'm NOT encouraging you to rush to the pharmacy for it, I'm urging you to definitely see a doctor, as they are the ones who prescribe such medications. If in your case it's necessary and there are no contraindications, the doctor will prescribe the correct dosage and duration of intake. It's important to note that, like any strong medication, there are side effects, such as dry skin, and you'll have to temporarily give up alcohol and sports, but it can solve your problem. After stopping the course, all side effects will pass, but the effect of the treatment will remain.

Cleanse at least twice a day (first with Seracin gel, then a deep pore cleansing lotion, followed by a serum/night cream-forte with azelaic acid, also Seracin Libriderm).

Easy to cure, the moderators won't allow it😟.

I'm not an expert, just sharing personal experience, but one must understand that there's no universal panacea. I treated spots for about 2 months with Retin-A cream, applying it daily to my face, and after the course, there were definitely fewer spots.

This could be so-called fungal acne, Malassezia folliculitis. Or it could be acne due to rosacea or the Demodex mite. Further consultation is needed.