INPUT ARTICLE: Article: You'll need a thin, 3" shucking knife that has a rounded tip that makes it ideal for shucking your clams. Don't confuse this with a pointed oyster knife, which is used differently. If you don't have one of these, make sure you use a small, sharp knife. Use a towel to hold the clam in your hand. This will protect your hand when you pry open the clam shell with a knife. If you really feel unsteady, you can also wear gloves. Make sure the hinge of the clam shell is nestled in the area of your palm nearest your thumb. The opening of the clam should be at your fingertips. You can also press down on the clam a bit to give it some added pressure to make it easier to pry it open with the knife.    {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/7\/75\/Shuck-Clams-Step-6Bullet1.jpg\/v4-460px-Shuck-Clams-Step-6Bullet1.jpg","bigUrl":"\/images\/thumb\/7\/75\/Shuck-Clams-Step-6Bullet1.jpg\/aid1392697-v4-728px-Shuck-Clams-Step-6Bullet1.jpg","smallWidth":460,"smallHeight":345,"bigWidth":"728","bigHeight":"546","licensing":"<div class=\"mw-parser-output\"><p>License: <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/en.wikipedia.org\/wiki\/Fair_use\">Fair Use<\/a> (screenshot)<br>\n<\/p><\/div>"} Press into the clam, right into the muscle. Alternately, you can insert the knife at the hinge of the shell, but then you'd have to use a lot more pressure to try to break open the hinge and shuck the clam that way. You'll have to squeeze the knife between the shells to loosed the adductor muscles and the hinge of the shells. Continue to twist the knife until you break the seal of the clam and your knife is inside the clam shell. Don't force it too much and be careful not to cut your hand. Use the knife more as a form of leverage than force. You will use the knife to pry open the top shell of the clam. This will ensure that you've cut the hinge of the clam shell and are ready to open the clam. Cut the upper adductors and take off the top shell. When the clam is ready, you will hear a nice snapping sound. Using your fingers, pull the top shell off of the clam. Try to save the clam juice, which is a delicious part of the clam. Just slip the knife under the clam meat to loosen those lower adductors of the clam. Place each clam in a top shell to assemble clams on a half-shell, or prepare the clams according to a recipe. You can place the clams on ice until you're ready to eat or cook them.

SUMMARY: Get a proper shucking knife. Grasp a clam in your hand. Insert a the tip of a paring or clam knife in between the clam shells. Twist your knife. Cut around the seal of the clam shell slowly. Remove the top shell. Cut the clam out of the bottom shell. Finished.

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INPUT ARTICLE: Article: In addition to topical treatments, your doctor may prescribe an oral or injected medication, especially if your psoriasis is severe. One commonly prescribed medication for psoriasis is methotrexate. This is an anti-inflammatory medication that is taken either in pill form or as an injection. Most patients take it weekly in tablet form.  Do not use methotrexate if you are pregnant or trying to conceive. Methotrexate can seriously harm a developing fetus, and can also damage sperm cells. Long-term use of methotrexate can damage your liver. Do not use methotrexate if you have liver disease, and never use it in combination with alcohol. This is a drug that suppresses the immune system and reduces the inflammation associated with psoriasis. It is usually taken daily in pill form. Cyclosporine can cause kidney damage and may increase your risk of infectious diseases and cancer. It should only be taken under your doctor's close supervision, over a relatively short period of time. Your blood pressure and kidney function should be monitored while you are on this medication. Oral retinoids, like acitretin, may be effective against severe psoriasis that does not respond to other types of treatment. However, retinoids can cause unpleasant side effects, such as cracked and inflamed lips, hair loss, or (in rare cases) liver damage. They are also extremely harmful to a developing fetus.  If you are planning to become pregnant, you must wait at least three years after taking an oral retinoid before trying to conceive. Oral retinoids have not been shown to cause mutations in sperm cells, so it is safe to try to father a child while taking retinoids. These medications are made from natural materials, such as plants or microorganisms, and are sometimes known as biological response modifiers or targeted therapies. They interact with specific parts of the immune system, stopping it from attacking the skin and causing inflammation. While these medications can be effective against severe or stubborn psoriasis, they can also put you at serious risk for developing life-threatening infections. Some common biologic agents that are prescribed for facial psoriasis include:  Infliximab (Remicade) Etanercept (Enbrel) Adalimumab (Humira) Ustekinumab (Stelara) Secukinumab (Cosentxy)

SUMMARY:
Treat psoriasis with methotrexate. Take cyclosporin. Use an oral retinoid medication for severe psoriasis. Take a biologic agent.