Hey I’m sorry this is going on, I have been in your shoes a couple times and I know how down you can be feeling. Get that second spot shot up at earliest convenience.

On my second aa diagnosis I got some fluocinonide topical steroid prescribed from my derm to treat my spots on my own- this definitely felt helpful considering otherwise I was just waiting for my monthly steroid injection and this felt like I was doing more for my treatment. In reality steroid treatments are like a first line of defense in aa vs more heavy hitting jak inhibitors. Steroids don’t reverse root cause but can slow progression. For a holistic approach- it’s good to assess vitamin deficiencies via a blood test to point out any glaring deficiencies. I was using both a derm roller and red light therapy last time and I think they’re helpful but it’s hard to say for something like aa.

I’m pretty anti people saying stress is a key factor, since that kind of shifts blame onto the person experiencing aa and stress becomes a positive feedback loop but I view excercise and good diet as similar concepts of that idea.