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I recommend trying out 2 things:
Try out s. boulardii (floraster) for one month and see if you react to foods afterwards. Boulardii is the most anti-inflammatory substance I have ever tried and should reverse your leaky gut within one week potentially (if you take it at a high dose).
The second thing I recommend is trying out my ND’s liver cleanse that takes a few months:
I don’t remember you focusing on liver health in the past so I would give it a try. Costs maybe $40-50 or so and you should reap long term benefits as well (such as better digestion, etc). Your liver health is likely tied to your acne and skin health.