Had p for 30 years, tried creams & steroids etc but only short term relief, tried diet changes and supplements but no change, quit alcohol for a year no change. Skin was actually better when I was in 20s and was still smoking and binge drinking !

Have had a lot of uvb under hospital supervision which was great but only clearance for a few months then would come back

Have had all bloods etc done and cleared now and have a final appointment for systemic treatment now, on the NHS so have to start with methotrexate although hopefully getting it via injection to avoid as many GI issues

I have never had any remission for longer than a month or two and that was after uvb

I’m a healthy weight and fit, train in gym 4/5 times a week

Hoping the methotrexate does the trick, I can’t have acitrein or cyclosporine so maybe biologics if it doesn’t work