Cystic Hormonal Acne

I'm having SERIOUSSSSS issues with it! It's been constant for a year now. I'm seriously at a loss on what to do or how to fix it! I was planning on calling my doctor to see if she could run blood work to check all my hormones. I eating fairly decent but thinking about switching to whole foods and plant based diet.

Does anyone suffer from it and can give me some recommendations? TIA