@katie360 I have very bad psoriasis on my scalp too. Methotrexate was very effective but u fortunately Inhad to stop taking that because of concern it might affect my fatty liver disease. Then I was given Stelara, a biologic injection that did nothing for me. Was switched to Skyrizi after eighteen months and it too did nothing for me so I was switched to Bimzelx injection every eight weeks and it has cleared my psoriasis almost 100%. There is just one, dime sized stubborn patch on my elbow which refuses to clear but that is okay because it is not too severe. Moisturizer keeps it from flaking much.