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I have, but I guess only before I discovered the dietary "cure". But I tried lots and lots of creams, gels, antibiotics, etc up to but not including accutane and some of it worked okay but the diet change blew all of that out of the water. I could try again, but from some basic research I don't have a ton of confidence that the sense that dermatology knows much about the food-acne connection yet, and even if it did, my reaction seems abnormal and idiosyncratic and not along the lines of "okay, sugar and/or dairy may influence acne" that I've read in articles here and there.
I think they've used that term for it before, yeah.
Rosacea is not acne, and it will not be treated with the same things as acne. It sounds like at least type 3. Antibiotics are the most common prescription for Rosacea, but topical Ivermectin is the 'it' new thing. There are new developments every year and it might be worth going back to a dermatologist or at the least go through something like https://www.dermatica.com/.
The problem doesn't lie in food (like an allergy), the problem lies in your gut biome. Can you try drinking homemade milk kefir and see if that's a trigger? You can make it with A2 milk, goat milk, any kind of fancy milk to see if you can tolerate it. If you can, after a few months you might find that you're able to tolerate a wider range of food (but probably not everything.)
I've tried both of these with not much effect unfortunately. Ivermectin in both topical and pill form even lol. I should probably go back to a dermatologist regardless though, as you mention it's good to keep up with new developments.
I've wondered if this might have something to do with it, because I seem to have exhausted most conventional explanations.
Dairy in general doesn't seem to bother me very much. I haven't looked too deeply into the gut side of things but I probably should because I have few other leads and it seems to have something to do with digestion. I take a probiotic pill regularly but I imagine that is not the optimal approach. I do like the kefir idea and might try that next.
If dairy works well for you, you can try to get more calories from heavy cream? Way cheaper than beef and might be easier on social gatherings (show up with tea filled with 1/3 cup of cream, that's a full meal and you probably won't look too weird compared to pulling out a chunk of meat.)
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