With the treatment the constant pain went away. The good news is that my food allergies are gone. I am now able to eat fish and shrimp again. The lichen planus has stopped spreading and there is still no pain. That makes me so happy.

I feel better I have seen improvement, the pain in my hands is less intense when it hurts. I have more strength in my hands and fingers, it is less difficult to open bottles. When I cook at the end I feel light discomfort and pain in my hands but it goes away fast. 

I feel pain is less intense than before and it goes away fast. Overal I thing I feel 20% better and 80% to go.

My son has responded very well. The vitiligo hasn't spread. We see significant repigmentation of the spots. The margins of the spots are closing in. Its great. Thank you Dr Shah.