That sounds really stressful. High fat dairy and nuts have been a good portion of my primal diet (along with fruits,veggies and meat.) The first two weeks were tough and then it got a lot better. I would say forget the ultra limiting rules and pick foods you enjoy. Maybe just start off cutting out processed sugar and grains and see if that works. I have had good improvement in my acne/skin even though I'm using lots of butter, cream & half & half. I had to do some emergency runs for fried and roasted chicken to get me through the first couple weeks. It helps me to plan out some meals and snacks weekly and make sure I have the ingredients in the house.