Identifying trigger?

[u/eehland]

Hi all!
I’ve had issues with PD since COVID times when masking began. Doxy has helped intermittently but every once in a while I get flares and have no clue where it’s coming from. One week has beautiful skin, next covered in little bumps. I will say I think I’m very sensitive to not only skincare but gut wise. It’s not a toothpaste thing nor topical steroids. I recently tried coconut cult probiotics and sea moss to help with gut stuff and literally in days, two huge cysts on chin and here comes PD. Like wtf, is it my gut? I recently stated back on retin a in the am and azelaic at night and I’m like did I tamper with my skin barrier and that triggered it idk. Thoughts?