What fixes mine is 500mg of niacin daily. Once I felt I was dialed in I stopped it and the acne came roaring back. Went back on the niacin and it’s gone again, back under control. Some people can’t tolerate it. At first you get a rush from it called niacin flush, if feels like your entire body is sunburned for about 15 minutes. This only lasts a week or so then it stopped for me.