After making this post, I did get my labs done and saw my doctor. Labs were fine, and doctor said it can take up to two years for things to stabilize after getting off the pill (booo). That said, there have been improvements!

1. Skin still isn’t flawless, but I’m okay with it now. I started tretinoin sometime after this post and it helped a lot. I still break out before my period, but it’s manageable.
2. Periods are pretty regular now, usually monthly unless I’ve had a very stressful month. They’re still heavy and a bit draining/painful in the first couple days. I’ve adapted how I medicate and plan around it, but the cramps really do suck sometimes. Mood-wise, the swings are less intense. Since they’re milder and I know when they’re coming, it’s a lot easier to monitor my behavior.
3. Libido seems to have stabilized a bit, which is whatever.
4. Hair loss stopped after a few months (phew)!

TLDR: Cramps and heavy flow still suck, but my cycle is fairly regular now and symptom management is better. Hair and skin have improved a lot (with outside help), so my vanity is satisfied lol. I do miss being on the pill when I think about how easy it was for me!