HORRIBLE ACNE PLZ HELP!!!

Hi I’m my name is London I’m a 26 year old black woman who suffers from BAD adult acne/hormonal acne.. I am reaching out for help… I don’t know what to do… my acne have not cleared up and I’ve spend over $500 on products and special skin care products and nothing seems to work.. I get these pimples and then I get these disgusting dark spots with it as well.. my skin tone is uneven and I feel so unattractive and insecure… I just want clear skin, I have the PMD personal Microdermabrasion the newest released one, I change my sheets and pillow cases twice a week, I wipe down my iPhone and I don’t really eat sweets all like that and I am a Diabetic since age 9. I also used African black soap, aloe , and aloe wash. I don’t know what to do… I’ve been to SEVERAL dermatologists and nothing seems to work… if ANYONE can point me in the right direction I would greatly appreciate it. Oooo


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