So for the past 3 years I have been getting acne once a year which lasts about 2 months. After 2 months it goes away. I have been using regimen for 3 years pretty consistently specially during my breakout times. But for some reason every year it comes back and I cant seem to figure out why it comes back every year. 

Right now along side with the regimen im on doxycycline, Vitamin D (1000IU), Vitamin A (20,000IU). 

Is there anything else I can do to control my acne outbreak? Its pretty frustrating knowing there are "no miracle" when acne has been around for so long haha. I have never taken Accutane.