Thanks everyone for all the comments. My acne was causing me a lot of anxiety for the past few weeks so I haven't been super active. I've been getting some help for that, though, and so I'm feeling better.
I've added meat back into my diet and also because I was feeling so anxious I have been eating a lot of "junk" lately because it seems to go down easy when you have an upset stomach from anxiety. I've still been eating my green smoothies, oatmeal, fruits, and veggies, but I've been more relaxed about bread, and I've let myself go out to restaurants and have some sweets. I don't plan to keep eating junk as much as I have been because I know it's not great for me long term, but what's interesting is that even though I haven't been eating that great, my skin is actually looking better. Maybe diet doesn't play as big a role in my acne as I thought. I think a healthy diet is great, and I plan to keep my "acne diet," but I no longer think that perfecting my diet is going to get rid of the last of my acne. I'm going to be trying belara (an anti-androgen birth control pill) soon, and if that doesn't work I might go back to accutane.
I should also add that I think what I put on my face contributes to my acne way more than what I eat. Recently, I tried traditional makeup instead of my usual mineral makeup, and I got a ton of inflamed under the skin bumps which I never get. I also notice a similar phenomenon with cleansers, moisturizers, and sunscreen. Right now the only cleanser which my skin seems to be ok with is Neutrogena Anti-Blemish Anti-wrinkle cleanser. I can't use moisturizers or sunscreen at all, and anything with mineral oil in it is an absolute disaster.
To be entirely honest using too many acne products (face washes) and makeup is rather bad for your skin. And I'm not talking acne, I'm referring to the condition and appearance of your skin. You should cease product use entirely on your face or keep in minimal in general use a gentle face wash and topical (only if it's required) and that's it.
Neutragena is a rather mediocre brand and their sunscreen burned the hell out of my face like nothing I've ever used before and I don't even have sensitive skin.
Oh, I do keep things minimal and have for a while. I only use mineral makeup and a cleanser. I've tried so many cleansers and they were all making my face worse except for the neutrogena anti-blemish ant-wrinkle, so I'm just going to stick with it. Other things I've tried to cleanse with in the past: oils (mineral, watermelon seed, safflower, sunflower, grapeseed, passionfruit seed, hemp), soapnuts, soapwort root, yucca root, stevia powder, purpose, cetaphil, cerave, sanitas, sage facial shampoo, jan marini bioglycolic cleanser, mario badescu, DDF, simple, basis, etc. Honestly, I've tried too many cleansers to even remember them all. The neutrogena does not seem to irritate my skin. It's SLS, SLES, ALS, ALES, and glycerin free.