Before committing to plugs, I tried temporary plugs made of (essentially) collagen. They completely seal the tear ducts, and they were just as effective as my current plugs. And my plugs have been in place for 10 years so far.
> The lipid emission will heal partially if one supplements vitamin A (10k IU) softgel, omega-3 triglyceride ester, taurine, and at least 4K IU of vitamin D3. It will heal enough to work.
Omega-3 acids help a tiny bit, and I'm getting D3 and A from multivitamins. And I'm doing all other recommended stuff: eyelid washing, compresses, IPL, etc. Over the years, I tried discontinuing all of that a few times, and my symptoms worsened as a result. But not by much.
PFHO is the most effective "artificial tears" type product. Nothing comes close to it.
Here we go again with the PFAS. It is the stuff to prefer the least, not the most.
> I'm getting D3 and A from multivitamins
That fails completely because they almost always don't have softgel oil-dissolve forms or the right dose at all. They're generally very far from it. It is exactly what leads to the autoimmune issue of dry eyes in the first place.
> That fails completely because they almost always don't have softgel oil-dissolve forms or the right dose at all
I tried tons of forms. My current ones are gel-filled capsules. Rather large ones, at that.
Sorry, but there's a huge amount of scholarly literature on this question. I've read tons of it over the years, and there is NO magical supplement that does anything but mildly improve the situation.
Forms alone won't accomplish anything if the dose isn't correct. With regard to vitamin A, some people confuse it with beta carotene, with the latter not working so well for this effect. Vitamin A even has evidence backing it as per PMC6462169. It does take a few weeks to begin to work. Even mild improvements stack up. It may not eliminate the need for an additional intervention, but it can mean the difference between whether the additional intervention will work or fail.
> The lipid emission will heal partially if one supplements vitamin A (10k IU) softgel, omega-3 triglyceride ester, taurine, and at least 4K IU of vitamin D3. It will heal enough to work.
Omega-3 acids help a tiny bit, and I'm getting D3 and A from multivitamins. And I'm doing all other recommended stuff: eyelid washing, compresses, IPL, etc. Over the years, I tried discontinuing all of that a few times, and my symptoms worsened as a result. But not by much.
PFHO is the most effective "artificial tears" type product. Nothing comes close to it.