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Is it possible to avoid the suffering of topical steroid withdrawal after decades of usage? Yes.
What if the key lies in a strict, methodical taper system -- combined with supportive health practices?
Taper explores a path less travelled and less discussed on social media -- the approach of gradually reducing topical steroids rather than stopping abruptly.
After twenty years of misusing high-potency topical steroids, Jason's skin health deteriorated, leading to a challenging battle with Topical Steroid Withdrawal (TSW) and severe eczema. After many failed attempts to quit topical steroids cold turkey, the withdrawal effects were too acute and painful to endure. Instead, Jason decided to undertake a strict system to gradually taper off topical steroids -- successfully mitigating the brutal effects of TSW.
Since 2021, Jason has been completely steroid-free and free from TSW symptoms.
Part One of this book shares Jason's deeply personal journey of tapering off topical steroids and managing his eczema with the support of a diverse team of health professionals. It offers an integrative look at the strategies and processes he used to gradually reduce his reliance on topical steroids after a lifetime of daily use:
• Various tapering strategies
• Topical antibiotics
• Dietary approaches
• Managing irritant exposure and inflammation
• Supporting mental health
• Incorporating supplements
• Exploring Traditional Chinese Medicine (TCM)
Part Two provides insights gathered from his community project, TSW Assist, and highlights the unique and emerging protocols of various health practitioners who support patients through TSW. Jason explores:
• Insights on tapering
• The positive and negative impact of social media
• Community approaches to managing symptoms
• Addressing the underlying eczema
• The need for greater recognition and medical support
• Emerging treatments for TSW, including Cyclosporine, No Moisturising Treatment, TCM, and Cold Atmospheric Plasma (CAP) Therapy.
Jason also shares his experience of visiting the CAP clinic for TSW in Bangkok from a researcher's perspective.
Taper is a memoir and social reflection, aiming to explore new ways of thinking and support others on similar journeys. Jason's story is not a medical guide but an invitation to start conversations and spark ideas among health professionals toward integrative care.
"TSW affected every aspect of my life for many years. Chronic anxiety and despair consumed me. After being bed-bound many times, I learnt that pain is a powerful teacher and knew there had to be another way. Through systematic tapering and supportive health protocols, I was able to bypass the catastrophic effects of TSW. This book is dedicated to anyone striving to break free from topical steroids. I want people to know that coming off topical steroids gently, with minimal withdrawal, is possible. I hope my story offers hope and guidance to those on a similar path." - Jason Vergara
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