Hey!
I've been in the same boat as you, and I did get offered accutane. I saw the side effects and thought absolutely not.
I knew my acne was hormonal, and I decided to do some research into what could cause these hormone fluctuations since I wasn't experiencing much stress and I was nearing the end of puberty. I saw that a poor gut microbiome could cause hormone fluctuations, and it is directly attributed to so many other problems I've been experiencing like lethargy and behavioural changes. I'm two and a half weeks in what I call my gut restoration project, and the breakout (from starting the project) is subsiding, my hyperpigmentation is starting to balance out, and my combination skin isn't really combination anymore, just more dry which I expected because of how it naturally was.
I'd genuinely give it ago, it's helped me a lot already and I'm excited to see what the outcome will be like in the next few months. Then you could see about isotretinoin.
Happy to answer questions!