About to start Fumaderm

[Bill]

A couple of points, Caroline. One is that there is redundancy in the immune system. Perhaps af has strong compensatory mechanisms for the immunomodulation of DMF. That could explain why it does nothing for him. Another point is that the use of DMF in the UK is not as enlightened as it is in the Netherlands. A dermatologist would not prescribe outside the guidelines. At least af is in the system. The best he can do is move on, hopefully to something better.

Cheers