Help!!! My Combination Extremes Are Tearing Me Apart!

My combination skin is extreme. Sometimes it's very oily and mildly to moderately broken out, other times it's extremely dry, flakey, and very broken out. I changed my foundation to BareMinerals and my skin was better than it has been in quite some time. Then bam, I'm starting all over again. When my acne flairs it can be quite embarrassing with large painful pimples that I cannot just ignore.  So what do I do at that point? I put acne medication on and the dryness is unbearable. There are a few factors to my skin problems such as working in a restaurant, my monthly period, and changes in the weather.  I'm 28 with the self-confidence of a tween girl hitting puberty. What can I do to balance this out?

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