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Haven't read back through the thread yet but my psoriasis started up about seven years ago due to a particularly stressful time in my life. Guttate psoriasis all over, arms, legs, back, chest, the whole shebang.
I went to the doctor and tried various steroid creams and that sort of thing but meanwhile I did plenty of research on diet and found what was supposed to be a guaranteed way to clear it up with a super clean diet. No sugars. No alcohol. No fried greasy foods. It cleared up so quickly it was a bit hard to believe.
Combination of work stress and dietary indulgence meant it came back again maybe three years ago but only as a patch in the middle of my chest with occasional patches on the sides of my nose and around the scalp but I manage it reasonably well by diet, sugar and alcohol are the two worst culprits.
I've started taking cbd oil in the last week and it seems to be really helping but it's too early to say with any certainty.
TL;DR I've had no success with medication. As an ailment which is actually affecting the immune system all the creams will really do is minimise the symptoms. If you can isolate what's causing the stress on your immune system and reduce it it'll make the biggest difference.
Shampoo: Alpecin Anti-Dandruff is the best I've found.
Body scrubs are pretty great too, you're better scrubbing off the build up of skin as often as possible so as not to let it cause sores or lesions.
I made my own with coffee grounds and coconut oil for a while and it was lovely. Just became impractical for me as I travel for work almost every day.
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I've gone from steroids to UV therapy back down to steroids when i moved to london then up to methotrexate (which worked) then off methotrexate when my dermatologist said if you're going for kids you need to stop. A massive flare up and now I'm lumbered with psoriatic arthritis. Which is now sort of under controlled with benapali (biological) and methotrexate.
I tried diet. That's not worked.UK Dermatologists are very risk averse and will, in my experience, do fuck all.
My US dermatologist had me in on UV therapy after not very long and it cleared it the fuck up. However, UV damage.Can you move somewhere sunny is what I was asked once ...
Bump.
Mines been creeping up on me again. Generally fucks off by this time of year but lingering like a fart on the Central line.
To date I’ve only seen gp and been on topicals(calcitrol and betnovate), time to ask for a referral and try and get on something like Stelara or Otezla? A little research shows these run at around £10k/year so presume the nhs doesn’t dole them out to everyone.
I don’t have massive patches but it’s really starting to bum me out this time around and is fucking with my bodies ability to heal minor cuts and scrapes now..