@leemoore13 I know exactly what you are going through. Scalp and neck psoriasis (along with other area psoriasis) cleared after using Methotrexate with Folic Acid (Methotrexate one day of the week, Folic Acid the other six days of he week) but had to stop after about four years because of concern it might affect my fatty liver disease. Was put on Stelara; no effect. Eighteen months later was switched to Skyrizi; no effect after almost two years. My dermatologist finally switched me to Bimzelx (government health plan in Ontario turned me down for Otezla) and within two weeks my scalp cleared up! I started Bimzelx in January, taking it once a month for five months, now taking it every eight weeks.

The only side effect I have had from Bimzelx is extreme fatigue for the first ten days to two weeks after the injection- small price to pay for finally having clear skin! I would prefer oral medication because I hate injections but … since this is working my government health plan will not let me switch and I won’t push it because I finally have something that is finally keeping my skin clear. Perhaps you could try it …?