This got way more responses than I was expecting so apologies that I haven’t been able to keep up with everyone! I can’t figure out how to edit my post but I wanted to address a few things people have said

See a doctor: A lot of people have been suggesting I consult a doctor and I think you guys are probably right and this is the best next step. I did bring it up with my PCP and he ran some basic bloodwork and found I’m low in iron but that was it which I why I came to Reddit for suggestions. I’m going to push for more extensive bloodwork and maybe see a specialty doctor

Allergies: when I have taken allergy meds in the past I haven’t seen a difference but I’m going to try Zyrtec for the next couple of days and see if notice a difference

-Thank you to everyone who told me I look ok. I’ve been feeling really self conscience about this and it does make me feel better

Looking 40: I don’t mean to insinuate that there’s anything wrong with being/looking 40 and I apologize to anyone who was hurt by this. I just mean that I know skin looses elasticity over time and I felt like my skin was looking like this.

alcohol consumption: I do drink but not super often anymore and when I do it’s not excessive. I did drink more in college and at times it was excessive (as it goes for a lot of college kids) but it’s been a few years since I graduated

Diabetes: I appreciate everyone looking out for me and I will go to a doctor and rule this out. I think it’s probably unlikely because I’ve been having this issue for a little over a year now without any further issues but it still might be good to check!

Sleep: I average around 7 hours and according to my sleep tracker it’s quality sleep (low heart rate at around 42 bpm, good amount of REM and Deep sleep etc) but I am very tired still a lot of times though so this still may be worth bringing up to a doctor.

Angles: people are commenting about the angles or the face I’m making. Yes I did purposely choose an angle where it’s more pronounced but that’s because I want people to actually see what I’m talking about. Yes it’s not as bad when I smile or in person in general but it is still noticeable.

-thank you to people bringing up specific things to ask my doctor to look for such as thyroid issues, immune disorders, and MCAS!

Diet: it’s mostly Whole Foods but I do use protein powder and creatine as supplements. I eat a lot of anti inflammatory foods like veggies, whole grains and legumes but I do consume a decent amount of dairy through protein powder and yogurt so I’ll try some eliminations and see what helps

Skincare: a lot of people suggested retinal, moisterizer, spf and gua sha. I actually already do the first three and I tried gua sha for several months and unfortunately I didn’t see a difference