I know I've been a bit of anomaly in what I've experienced on the Paleo diet. My diet was pretty clean before Paleo, so really the only foods Ive added to my diet are different kinds of meat (vegetarian before), and eliminated the rice, (occasional) corn, and legumes, and yogurt. No dairy now. And I've been off nuts for several weeks too to see if it would help my very inflamed liver and gallbladder. It hasn't. For years, I've eaten lots of nuts, ghee, coconut, and my acne was under control. I'm sure my omega 6 to 3 ratio was very high, but my body didn't have a lot of inflammation. After I cut out gluten a few years back, inflammation and acne virtually disappeared.
Three months ago, I also added in a DHA supplement. First from fish, then from algae. I've had cystic acne on my face - showed up about a week or two after I started the DHA. Week by week, it had gotten worse. Definitely worse around that time of the month. I didn't make the connection at first until I thought back to a few years ago. I tried fish oil caps and broke out. I tried flax oil and broke out. I was drinking soymilk that had algae DHA in it, and broke out. Is it from the elevated testosterone? I've not taken the DHA for 10 days now, and the breakouts are clearing. My GB and liver are still in distress, but that has eased up some as last week I cut my meat intake back to once a day or every other day, and have upped my greens to be the majority of my diet.
I've read about other people breaking out from DHA, but just wondering if anyone has theories on why? Oh, and I have done several liver cleanses in the past, so I think that sucker is pretty clean!