I can't look in the mirror, my skin is so pale and white, it looks sick and I have some acne spots, how can it look healthy?

People say you're exaggerating that's how most people's skin is, but it never reassures me. I can't go out without wearing make-up on my skin, I can't even look at myself in the mirror at home, and it makes me extremely uneasy to look like this to people. There are red dots on the pale white skin that looks sick, and even though I'm young, it makes me look very tired. I don't know why. My skin is like in the photo. Are there any skincare products you can recommend?
I cant look in the mirror, my skin is so pale and white, it looks sick and I have some acne spots, how can it look healthy?
I can't look in the mirror, my skin is so pale and white, it looks sick and I have some acne spots, how can it look healthy?
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