Girls, I've tried everything does break outs before period have to happen?

I'm PISSED because I have been eating sooo healthy and working out for the last three months and I have reduced a lot of depression and anxiety but the week before my period I break out with cystic acne no matter what. And I also still get very bad pms symptoms. I've been drinking almost a gallon of water a day, no sweets, lots of protein and fiber, I take one a day vitamins, and I drink boost energy drinks, but my periods still feel dreadful and my face still break outs. Ugh is there no hope?
Girls, I've tried everything does break outs before period have to happen?
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