Some of those dermatologists like to cut and some don’t. I had one that liked to cut and then went to another who said, you good. I wear a long sleeve cotton shirt and pants year round. Dr. prescribed vitamin D at the first of the year. I had been sluggish for about a year and thought it was dehydration but just low vitamin D.
I think lots of people suffer from low vitamin D and just don't know it.
Even the folks we know at the beach that seem to be going through some tough times are still pretty happy people. I think the vitamin D has a lot do do with their attitude.