Thank you for your thoughts! Unfortunately I cut out gluten in June of this year, so it can't be that. And yeah, I get regular blood tests and it's not anything weird hormonally - I had those kinds of problems last year and they are thankfully cleared up now. Every time I feel like my acne is starting to improve, I break out more! Usually I break out the worst in the same general areas, but now the small breakouts in other areas of my face are worsening. I don't know what I should do, but whatever I'm doing certainly isn't working.