My personal experience pro biotics caused breakouts and so did fish oil. I also found that organic face washes cause breakouts. I know you are trying to stay natural and organic but people often have allergies to the plant and flowers oils in natural washes and lotions. After accutane didnt completely clear me, i first went strict organic and it only kept me as clear as your picture is showing. Then i quit all my supplements and I got a lot clearer and then I began washing my face with head and shoulders shampoo. I have been completely clear for 6 weeks. I still eat well and exercise but I have cheat days. And with the addition of head and shoulder I'm completely clear.
Are you still clear from the shampoo? What is your regimen?