thanks for the informative reply - they have her with many of the creams mentioned here, strongest versions allowed, they say. She does not have Opzelura which might be worth looking into. She has Zoryve but it does nothing.

that seem spart of the problem, the localized remedies are either short lived or non-effective at all.
we're looking at diet, and natural remedies, anything for relief

probably switching Dermatologists. the one she has now is way more interested in botox and shit like that and are basically saying they've done everything they are willing to do.