Believe it or not, I'm 82 and got vitiligo maybe 10 or 15 years ago. It has slowly progressed to around my mouth and has covered most of my hands. At first, I was totally freaked out and knew nothing about vitiligo. My dermatologist also seemed to know very little and had me try Elidel Cream and some other steroid cream to no avail. My dr retired, and the next one tried the same cream and another one. When Opzelura showed up on the market, I read about all the side effects if you have thyroid issues, cholesterol problems, kidney issues, high blood pressure etc and decided against trying this medication. So I do nothing for the vitiligo except use fake tan and coverup like Dermablend which is great and has sunscreen. I use to be a sun person, and now I NEVER sun and wear sun protected clothing when I am to be in the sun and lots of sunscreen. Still, I have times when the vitiligo roars it's head and spreads and times when it's very quiet. So, each person's vitiligo is different. My suggestion to anyone is to research research research all you can and even engage CHATGBT with all your questions and compare these answers to your research. Keep notes if you think it will help. I believe the most important aspect of having vitiligo is how you allow it to affect your psyche. At first it screws with your head and self confidence, and then perhaps you calm down and just learn to deal with it. I have never had a dermatologist that fully understood vitiligo and all it's treatments. I can only say, don't give up trying to get answers, but don't let it consume you or destroy your self confidence. Once I saw a model with vitiligo on the cover of a magaziane, I really felt much better about myself with vitiligo.