You might consider "high-meat" as a last resort. it's mainly recommended for long-term RPDers but some newbies somestimes feel the need to try it earlier. Also, a number of us have food-intolerance/allergies towards coconut oil - best to avoid it(raw coconut oil  gave me even worse digestive issues than raw dairy). And the sprouted bread should go at some stage, too.

I had no idea about coconut oil. I've been eating it almost every day one way or another for a year.

What exactly is high-meat? Zero carb approach I would assume is one, but is there anything else?

How old are you?  Your size? Weight?  How long have you had cystic acne?
What kind of detoxes have you done? Colon cleanse, kidney cleanse, liver flushes, skin detoxes?
What drugs are you taking?
What supplements are you taking?
What chemicals do you put on your skin? Soap, shampoo, lotion, laundry soap, dishwashing soap, etc.

Paleo diet means organic / grass fed / wild everything. Are your eggs fertilized?  Is your salmon wild?

Have you tried fasting?  Any kind of fasting?

I used to have cystic acne when I was in my teens so I know what dermatologist injections and steroids felt like.

Accutane was given to me way back in 1986, I now see that accutane damaged my liver.  I formed lots of liver stones, I had full blown eczema in 2005.  I had to do 20+ liver flushes and go on a 14 day orange juice fast and go wai diet then raw paleo which has done the trick.

Lots of questions... thanks for the reply. I'll try to cover everything.

I am 22. I'm 5'11 and about 144lbs. Fluctuates a lot. I've had acne since I was 15. Accutane always does the trick but it always comes back.

I've done one liver flush and that's it, no other detoxes other than being on a raw vegan diet for a few months. I have the internal cleansing kit from blessedherbs.com here and was thinking of doing it soon. Contains the colon cleansing kit as well. Supposed to be the best kit out there.

I take absolutely no drugs at all. I never take caffeine, never eat or drink refined sugars. No smoking, no alcohol. Only drug I have taken in the past years has been a very small amount of marijuana in rare occasions, and accutane.

Right now I am not taking many supplements, but I have taken all sorts of supplements. I take colostrum on an empty stomach in the morning, as well as Candida Clear, vitamin D3 (5000 IU) and liquid zeolites. Some New Chapter vitamin C as well. Before bed I take 5-htp with b6 and a sleeping formula called theanine serene from source naturals which helps me get really good, long night sleeps. I am also about to start taking a product called SuperIonic with fulvic acid from Omica Health.

The soaps that I use are MSM soaps or Dr. Bronners soaps. Shampoo from Aubrey Organics a couple times a week. Skin lotion is an MSM lotion with Tea Tree Oil and another one from Home Health containing Salicylic Acid. I alternate between both, have had good results using them. Laundy and dishwashing soaps are commercial garbage that my roommates buys.

My eggs are not fertilized. I cannot find them anywhere in Quebec. I ate wild salmon whenever available.

Never fasted.

I have been facing many different health challenges and I feel like it is the end of the road here. When I look back at all the efforts I have put into changing my lifestyle and diet in the past year - all the money I have spent on supplements and books, it depresses me.

I have done 3 rounds of accutane in the past, and still have severe cystic acne on my face, back and chest. I have never had nice skin for longer than a few months at tops. It is extremely painful because whenever I have good skin I feel great and my social life is great, but as soon as it comes back I generally tend to isolate myself from most people and my mood is greatly affected. It depresses me because I feel like I am putting a stop on my life every time just because of my damn skin, but I can't help it - I cannot function well in the outside world without healthy looking skin. It contributes greatly to my well-being in general.

Another problem is that I have had blood in my stools as well as some mucus for multiple months now as well, and can't seem to get rid of them. I have cut out all dairy a couple weeks ago and was suspecting it to be the culprit for the acne and perhaps mucus in stools, but so far I still am having problems. I cut out pasteurized dairy (organic kefir, yogurt, goat cheese) before that and when I realized there was no progress I cut out raw cheese as well. It seems that my skin doesn't break out as much, but I still don't have an acceptable level of acne. I'm starting to think that it has absolutely nothing to do with diet, and that no matter what I do I will be plagued by it for the rest of my life. Not pleasant.

I am thinking of trying zero carb because it is the only thing that I can see that I have not tried yet. I am ready to give up after that and be dependant on accutane for the rest of my life (if necessary). I've tried so many different diets from raw veganism/vegetarianism to Wai to raw omnivorous and I am still plagued by acne. I have tried so many skin care products as well, and nothing seems to work as well as my urine, which still doesn't work as well as I'd want to. If anyone has any suggestions for me it would be greatly appreciated.