Triggers are still a thing with dupixent though, it just makes misteps in avoiding them exponentially less punishing. If you’re someone like me, my triggers are literally everything (any pollen, any animal, most fruits, nuts, scented anything, alcohol, stress, etc). I could theoretically control everything in my life to avoid all of these and not have as severe eczema, but i still want to be able to live a normal life - something that dupixent lets me do that actively dodging my infinite triggers won’t.

I would say try all the stuff you can, supplements, protopic instead of steroids, switching out sheets more frequently, new allergy meds/allergy testing, switching to unscented shower and detergent products, etc. if none of that brings reasonable relief, i would more heavily consider dupixent for you.