There are a lot of treatments available for treatment of fungal toenails. Being that there are a lot of treatments available, this tells us that fungal toenail treatment can be challenging. The most effective techniques we have found are a combination of therapeutic approaches. We have an FDA approved laser that we combined with some topicals and an oral vitamin that gives us a very high success rate. Often times we are able to avoid oral medications that require liver function testing. Our protocol is the most successful protocol we have seen, and it has taken us years to develop it. Patients have seen dramatic improvement in nails.