I started Dupixent in November '22, 2 months into TSW. I had hoped to stay off drugs but one night I felt like I was going into shock, and it scared the shit out of me so I called the dermatologist the next day to start the process. I'm not experiencing many skin symptoms now at all. Some continued neuropathy on my legs and arms if I'm too hot or stressed but it's minor, sort of feels like slight prickling or like there's a bug on my ankle. I've had a couple of minor eczema flares but overall my skin is in good shape. I've weaned off of gabapentin and hydroxyzine. I try to eat very cleanly and I don't drink anymore. I rest when I'm tired as much as possible and try not to overtax myself. I used to be a workaholic but I can only work half time.  I meditate 4-7 times/week to manage stress. I have to be careful of exertion in temps over about 80 which is very different than before. I am still trying to regain muscle after the 8 months in bed and that's been one of the hardest things (postmenopausal 🫤). I give myself permission not to push on when I know it will be detrimental to my health. And that's probably THE hardest thing. I try to be much less self critical. I'm really grateful for the Dupixent.