I have done everything still my acne is unstoppable 🥺

When dealing with acne, especially persistent cases, it’s crucial to consider both the external and internal factors affecting your skin. Given you’ve tried topical treatments like niacinamide and salicylic acid, along with consulting dermatologists and an Ayurvedic doctor, the stubbornness of the acne suggests that there might be underlying factors that need addressing. Since you’re allergic to dust and your skin changes from dry to oily fairly quickly, it’s possible that your skin’s barrier function and oil regulation are out of balance. Firstly, it would be prudent to ensure that you’re not over-washing your face, as this can disrupt the skin’s natural barrier and lead to overproduction of oil. Use a gentle cleanser, preferably one that’s pH balanced, twice a day only. For hydration, a non-comedogenic moisturizer with ingredients like hyaluronic acid could help maintain moisture without clogging pores. Exploring oral medication, like a specific antibiotic or hormonal treatments such as birth control pills or spironolactone, might be beneficial if acne is hormonally driven. It’s worth discussing these options with your dermatologist. An allergy test could help determine if other environmental factors besides dust are contributing to flare-ups. Dietary influences such as high glycemic index foods or dairy can worsen acne for some people, so consider if any dietary changes might be helpful. If other treatments have not worked, sometimes a course of isotretinoin is considered for its long-term remission in acne cases, though this is typically a last resort due to side effects. Regular follow-ups with your healthcare provider can guide adjustments to your treatment as necessary. Remember, finding the right combination can take time and varies between individuals.