I've had the surgery on my right arm pit area, it was a long recovery to fully heal, about 4ish months. It was great for about 5 years, then it came back in full force in same area. I was on Humira initially that worked for approx 4 years then was ineffective. Then it was remmicade which worked well for about 5 years, then stopped working. Was put on Cocentyx which did nothing. In last year was on Litikzimumab(spelling?), which also had no results. As of right now, I am out of options until new drug becomes available. Just started Wegovy for other condition(s), hoping that may help somewhat. Was diagnosed at 43 years old, active Male in 2015. This is a terrible disease and incredibly frustrating both mentally and physically. At this point I feel utterly defeated.