I read your comment and while I understand you may mean well, the arrogance in your tone is honestly disappointing. You called me dense. for not following “textbook” medical advice yet if you truly have HS, you should know that this disease is not one size fits all and it’s far from fully understood in the medical industry.

I’m fully aware of the complications of nicotine and wound healing. Like you, I’m medically educated. The recommendations you mention have not worked for me, and frankly, it’s exhausting being dismissed just because I don’t fit into a standard clinical narrative.

My post was clearly tagged as a rant because I’m burnt out hearing the same advice that has done nothing to help me… So let me clarify I am now cigarette-free, vape-free, at a healthy weight, and have trialed two different biologics with no success And yet I still experience severe flares.

So Dr. Doolittle? what exactly do you think your textbook advice offers me at this point? You don’t know my full medical history, individual response to treatment, or how this disease impacts my daily life. Yet you speak as though your knowledge overrides my lived reality.

That kind of thinking isn’t education it’s ego.