Not sure if I will get any more tips in this thread but I wanted to add some information for anyone still reading. I measured some other metrics like HRV which was very high at 100+ most days, reaching over 130, indicating parasympathetic activity (good). I also measured deep sleep and I am getting over 2 hours each night, and over 2 hours REM also. I do not think dreaming indicates anything bad, otherwise my deep sleep would not be so high.

I also thought about the whole stress driven metabolism thing which seems unlikely considering these things and other bloods and I can almost guarantee that I am not too lean.

If anyone still has any advice I would appreciate it. I have experimented with the things in this thread and more but has not changed my situation one bit. My state now is even worse than when I wrote the post.

Edit: I want to thank the people that left some ideas, it is really appreciated!

@White Did you say hot showers were good for your skin?

That's surprising to me. Hot water is consistently bad for my skin. The colder the water is the better looking my skin and hair usually gets.

@TexugoDoMel Thank you