Hello! This is the club that no one wants to belong to, but I'm glad you found us! I didn't get a diagnosis until having symptoms for 9 years, and that seems to be on the short side compared to others. I was put on Humira and I went from stage I to stage II very quickly, so I went off of it. I am actually on my 5th biologic now and it's working so well for me, because it's treating 3 autoimmune diseases at once - I really needed help on ankylosing spondylitis, which had gone undiagnosed for years and now I'm having a lot of trouble because of that. I'm also on Dupixent because of atopic dermatitis. I also did YAG and carbon dioxide lasers and saw a 70% reduction in my lesions after only 3 treatments. I couldn't laser my whole body, so that's why my backup is the biologic. My dermatologist bills the lasers as lesion destruction, not hair removal, because we are treating my skin, not my hair. I personally have had every treatment that is used for HS with the exception of the wide excision surgery in my underarms. I even had a blue light treatment with an acid that was supposed to be activated by the blue light (I don't recommend it; run the other way!). I'm including a list of treatments and you can do a little research if you'd like. Wishing you all the best, and feel free to ask questions! ~Chelsea (Team Member)