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it depends on how extensive the services , Maya Sara sees often can be can be , treated at atypical fashion we have , topical steroids we use topical vitamin , D products psoriasis image is more , extensive we can add ultraviolet light , ultraviolet light suppresses the immune , reaction in in the skin and for more , persistent or more extensive or more , troublesome psoriasis and there are , these medications covered although , the systemic drugs the traditional ones , would be methotrexate and cyclotron , and vitamin and we at the start of , this revolution of these drugs or , biologic , which are very targeted and trying to to , block the the lymphocytes white cells , talking to other lymphocyte sand it's , proving to be a very exciting time in , psoriasis .