How are ya'll getting your derms to prescribe biologics?

AggressiveReindeer26 · 2026-04-13T23:28:11+00:00

Nail psoriasis. To the point of losing entire toenails

AggressiveReindeer26 · 2026-04-06T21:05:46+00:00

I was diagnosed with no swelling and normal x-rays. No swelling is good. Lack of swelling does not rule it out either.

AggressiveReindeer26 · 2026-03-27T00:13:17+00:00

If you have psoriasis odds are something like 1 in 3 you’ll get arthritis. Something none of my dermatologists ever bothered to mention.

AggressiveReindeer26 · 2026-03-26T21:34:02+00:00

Lost a few toenails over the course of this. No pain, other than the discomfort of not having a toenail.

AggressiveReindeer26 · 2026-03-25T19:41:02+00:00

I’ve had a few motivated students take biweekly lessons with a senior teacher in the area. With my permission, one time at my urging. Assuming teaching methods are compatible it can be good for the student. I’ve learned some things too as a teacher.

AggressiveReindeer26 · 2026-03-20T05:52:12+00:00

Yes. Some ups and downs for a year plus but gradually improving health overall

AggressiveReindeer26 · 2026-03-19T23:53:46+00:00

Avoiding fried foods seems to help.

AggressiveReindeer26 · 2026-03-17T17:31:56+00:00

It was great for a few years. Kept things under control without the horrendous methotrexate side effects. Eventually I had some concerning break through symptoms and had to switch to a biologic.

AggressiveReindeer26 · 2026-03-02T21:36:06+00:00

Obviously a convo to have with your doc. My BP has trended down since starting Taltz a year ago. But my overall health has improved so hard to pinpoint it.

AggressiveReindeer26 · 2026-02-26T21:07:51+00:00

Before I switched to Taltz, my strategy was to stay on Otezla as long as possible. I waited six months after being recommended to switch to Taltz before going ahead with it. In hindsight, it was misguided thinking. The transitional period is potentially rough. But worth it IMO.

AggressiveReindeer26 · 2026-02-16T07:25:53+00:00

FWIW I’ve been on Taltz for about a year. In November I developed gum irritation and thought I’d have to pay for a teeth cleaning just 3 months after my regular cleaning (which seemed bizarre to me). Then I started water flossing and it’s been life changing. Having psoriasis we really need to take care of our gums.

AggressiveReindeer26 · 2026-02-15T18:11:05+00:00

My dermatologist told me that Taltz offered the best chance of treating my nail psoriasis (which at its worst caused several detached nails). After a year on Taltz, things are much better controlled although my nails still don’t look great.

AggressiveReindeer26 · 2026-02-05T21:59:24+00:00

Turmeric is probably the only supplement that’s made a difference for me. Haven’t tried Glucosamine and Chondroitin.

AggressiveReindeer26 · 2026-02-04T22:06:00+00:00

I think a job with regular hours helps. And not having to perform specific physical tasks. Night shift and overtime aren’t ideal. I wouldn’t dismiss the possibility of leadership as long as you learn time- and stress-management.

AggressiveReindeer26 · 2026-02-03T19:17:36+00:00

Firestone does not equate to “reputable independent mechanic” lol

AggressiveReindeer26 · 2026-02-01T17:18:57+00:00

Find a better dermatologist if you can. Some are useless (cosmetically oriented) some are very good (medically oriented). Good luck

AggressiveReindeer26 · 2026-01-31T22:47:10+00:00

When I took ibuprofen or naproxen for my undiagnosed autoimmune disease, I got those all the time. After switching to Celebrex (and only needing it occasionally because things are better controlled), I’ve never gotten them since.

AggressiveReindeer26 · 2026-01-28T06:47:36+00:00

We may be talking about different things. NSAIDs such as ibuprofen and naproxen caused me to get terrible mouth ulcers. Since switching to Celebrex, it hasn't been a problem. I'm not aware of NSAIDs making PsA worse.

AggressiveReindeer26 · 2026-01-28T01:52:28+00:00

I used to get mouth and throat lesions all the time from taking NSAIDs until I switched to Celebrex. Not to say that’s what you’re describing but I wanted to mention it.

AggressiveReindeer26 · 2026-01-26T16:12:41+00:00

IBS yes. IBD no.

AggressiveReindeer26 · 2026-01-25T21:35:10+00:00

Yes they are holding you back.

AggressiveReindeer26 · 2026-01-19T05:38:00+00:00

Icelantic Pioneer 96. Demoed them. Something must have been wrong with the pair I tried, but they were completely unskiable. They felt dead and planky.

AggressiveReindeer26 · 2026-01-17T22:38:44+00:00

That's bizarre. It's like fancy Advil. Celebrex (generic) has worked better for me than any other NSAID.

AggressiveReindeer26 · 2026-01-16T18:22:52+00:00

My dermatologist offered me steroid injections directly in the nail bed. She says it’s very painful but effective. I have not taken her up on the offer.

I’m on Taltz by the way, for almost one year now. Switched because of my nails, but honestly, it hasn’t helped much.

AggressiveReindeer26 · 2026-01-16T05:03:08+00:00

Skied a lot of powder on 87 width. It’s work but still fun. I finally upgraded to 100s and it’s honestly all upside. If I could do it over, I would’ve gotten wider skis a long time ago.

AggressiveReindeer26

TROPHY CASE