first of all i need to tell you i'm not a doctor, second i have great news and bad news to tell you, the great news is that all your bloodwork is mostly unremarkable, nothing really stands out, no signs of diabetes, kidney/liver dysfunction, anemia, infection, or major hormonal imbalances, all biomarkers are within normal ranges except for the thyroid function, here's where the bad news come in, as for what it seems your a have subclinical hypothyroidism, your TSH is fairly elevated at 6.58, now the thyroid function affects a lot of stuff, hormone balances, skin cell turnover and the epidermal barrier function amongst a lot of other things and also how the facial oil glands behave, as this bloodwork doesn't have an antibodies test it's not possible to tell the cause behind your hypothyroidism, it could be either an autoimmune disease, iodine deficiency, medications etc, the thyroid is one of the most under looked causes of severe cystic and chronic acne and has a direct correlation and causation with acne, now this is as far as i can help you cause im not a doctor, but i would 100% suggest you go with an endocrinologist cause subclinical hypothyroidism can become worse over time and affect your brain chemistry and libido cause it affects the SHBG. Mark as solution.