Do not take accutane.
You are in a bad situation, but it could be worse, because accutane is teratogenic, and if you were female and pregnant you would have a child with serious birth defects.
Other than that, you already know what your intended lifestyle is going to do to your liver and onions.
I think I met you at the Walmart parking lot when I was time-travelling recently. It was around the year 2023 or 2024, and you were asking for spare change. I didn't give you any, but said I'd buy you a hamburger, and you spat at me. You are very hard to help. Sorry.