Inclusion Criteria:  Confirmed clinical diagnosis of Hidradenitis Suppurativa by the Principal Investigator Age 18 to 99 years old Moderate to severe Hidradenitis Suppurativa with draining tunnels (Hidradenitis Suppurativa Severity Score System/IHS4>4) Must have medical insurance that is willing to pay for the study drug throughout the duration of the study  Exclusion Criteria:  Inflammatory Bowel Disease HIV Positive Active Hepatitis B or C Infection Pregnant or Breastfeeding No concurrent use of any systemic antibiotics/retinoids/immunosuppressants/biologics (require washout period of >5 half-lives) A Score of >10 on the Beck's Depression Inventory (BDI) or on the Patient Health Questionnaire (PHQ)-9 History of Keloid Scarring Any medical, psychological or social condition that, in the opinion of the Investigator, would jeopardize the health or well-being of the participant during any study procedures or the integrity of the data