I have tried everything for rosacea. Feeling extremely hopeless. Could it be seb derm?

I have been struggling with (what I thought was) rosacea for probably eight years now, since college. As soon as I stopped actively getting acne, it’s like the rosacea set in immediately after. I have redness, but my main issue is texture, tiny little bumps, and shininess. My skin feels pretty smooth to the touch, but it looks terrible.

I have tried - niacinimide - Rosehip oil - Azelaic acid - Sulfur bar soap - Probiotics - Whole30 diet - Walgreens ivermectin (at least 3 months) - Soolantra (currently using, it has been almost 3 months and nothing) - Visaxinum D - a European herbal supplement for skin (currently taking, almost couple of months)

My current morning routine: - wash with vanicream - Moisturize with DML forte - If going outside, most days use la roche posay or cerave tinted mineral sunscreen My current night routine: - DHC oil cleanser (if wearing sunscreen or makeup) - Vanicream cleanser - Soolantra - DML forte moisturizer

Could it alternatively be (if not rosacea): - KPRF? - Seb derm?

I think the only thing I HAVEN’T tried at this point is antibiotics which I’m not very keen on taking. Does anyone have any other suggestions or ideas of what could potentially help, or have similar skin? Any personal stories or suggestions would be greatly appreciated. Alternatively, if it’s possible that this isn’t rosacea and maybe something else, would love your thoughts as well. Thank you so much! I can’t explain how heartbreaking and hopeless I feel, I feel like my youth is slipping away as I’m suffering through this skin through my entire 20’s.