My skin is generally always clear while I lived in the U.S. Lived in Germany for 6 months, broke out more than I ever have in my life. I left for the U.S. for 3 months and again, barely broke out there. Back in Germany and it has started this shit again. What can I do? I am using acne washes and moisturizing... same as USA. I lived in NE USA and currently NW germany.