another thing to maybe try (with doc permission) is light therapy. One thing that ALWAYS helps clear up dh is the summer, when his legs get alot more light. (and you'll find that in the research the condition does get better in the summer). I encourage you to (g) oogle it, I think you'll find some interesting info out there. And my dh has lived with it his whole life, other than cosmetics, it doesn't really bother him, so at least as far as the ich goes it doesn't really NEED to be treated, unless it is sore.