Hi there, I am sorry to hear that you are still struggling with acne related concerns.
Breakouts are mostly caused by hormonal imbalances (such as before you period is due) or it can also be due to inflammation in the body, sometimes it is both.
Cutting out certain foods might help, but you are going to have to do a process of elimination to see exactly what it might be that is causing systemic inflammation.
We have a variety of treatments available to help with breakouts, such as chemical peel, laser and light therapies. But these treatments will only help long term if it is combined with systemic intervention. Drinking a probiotic daily will help with internal inflammation. You can visit https://www.healthrenewal.co.za/acne1 to get more info on how your health and acne is related.