Parallel Health vs Peach Slices

Parallel Health could be worth looking into since they do custom topicals and can combine different mechanisms of action, plus derm consults through telehealth so you dont have to wait forever for an appointment.

Parallel Health is worth checking out for what you're dealing with. They test your skin microbiome to identify which bacteria are actually causing your inflammatory acne, then use phage therapy to selectively kill those problem bacteria while leaving the good ones alone. They also do custom topical prescriptions that can work alongside the phage treatment (including stuff for hormonal acne if that's part of it), plus they have peptides that help with PIE and discoloration which seems relevant for you.

I came across Parallel Health recently when I was reading about stubborn acne that doesn't respond to normal products. They do microbiome testing to figure out what bacteria are actually causing your breakouts, then use phage therapy to target those specific bad bacteria without killing the good ones. They also have custom topical prescriptions if you need them, and apparently they're HSA/FSA eligible which is cool.

Parallel Health does microbiome testing to see which bacteria are causing your breakouts, then they compound phage serums that target those specific bad bacteria without messing with the good ones.

Since you mentioned being sick of guessing, you might want to look into Parallel Health. They do skin microbiome testing to figure out exactly which bacteria are causing your breakouts, then use targeted phage therapy to eliminate those specific pathogens without nuking your whole skin barrier like antibiotics do.

Peach slices has a little better formula and they are pretty much on par when it comes to pricing.

Peach slices has some microdart dots for dark spots

I use Peach Slices for blemishes

The peach slices is very gentle I use it everyday

Salicylic acid might help. Peach slices has a good one. Much cheaper than Paulas choice.