The thing that jumps out at me is the high blood sugar (i have the same issue too). The supplements look good except for the B6 (B vitamins should be taken as part of a group or so i've heard). Have you ever thought to address your acne from an insulin resistance perspective such as with a low carb diet?
get rid of the green tea and b6
milk thistle increases your estrogen unless its a seed extract so it can tip off your estrogen balance
saw palmetto for androgen and dim for estrogen
Ive been struggling to fully rap my head around which imbalance I have. Estrogen or testosterone (in either direction)
however I have been tested for testosterone progesterone rheas and eradiol and have somewhat "Normal rates"
(I understand its not always the amount, but the sensitivity)
Are there ways that you can tell? besides libido and tits