You have my sympathy!! Hope by now you have found a dermatologist who understands Demodex. I found my opthalmologist to be most receptive. My dermatologist is now on board. I have had them for 8 months though I am happy to say that I am much better over the past two weeks. My sense is that I have them “under control” as they are not gone. I have been doing many things so unfortunately can’t point to one thing that alone can help. I first had two rounds of oral ivermectin. That seemed to eliminate the Demodex on my legs and torso. I know have topical Ivermectin ( applied it once to my scalp) and since then once daily facial application (ears neck shoulders included). I also apply metronidazole topical cream twice a day to face, ears, neck and shoulders. And my ophthalmologist prescribed eyelid washes twice a day w Avenova and the new eye drop medicine Xdemvy. In addition, I take daily showers and shampoo w tea tree oil shampoo ( and use the shampoo as body soap as well) and I change my sheets every day or every other day. It is exhausting…. But it is such a relief to have the Demodex under control. I take the Xdemvy for total six weeks (3 more weeks) and have talked w my dermatologist about continuing the topical ivermectin and metronidazole until symptoms resolve. I can now go a few hours w no symptoms…. I am concerned that this might be as good as it can get. And I am not autoimmune…… more research needs to be done on this! Wishing you good luck and resolution!