I've been dealing with hair loss and dandruff since 2013 and nothing seems to work. Ive tried antibiotics, tretinoin, and special shampoos, but I still have severe hair fall, with hair roots attached to these little sebum beads. It's even affecting my back and shoulders now. I don't have those dandruff scabs anymore, but my scalp gets super dry after washing and then it's oily and smells bad the next day. My vitamin D and ferritin levels are low, and even though I've taken meds for that, it hasnt helped much. My periods are lighter than they used to be, but my TSH and prolactin levels are normal, and I dont have PCOS. I also have really poor digestion and feel exhausted doing physical tasks. Can you help me figure out what's going on and what I can do?

Dr Dhankecha Dineshbhai

General Practitioner

• MBBS
• 6+ Yrs

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It sounds like you may be experiencing a combination of issues including hair loss, dandruff, oily scalp, dry scalp, low vitamin D and ferritin levels, scanty periods, normal TSH and prolactin levels, poor digestion, and fatigue. For severe hair fall with hair roots attached with sebum beads, you can try using a medicated shampoo containing ketoconazole or ciclopirox olamine to help with dandruff and scalp inflammation. Additionally, minoxidil solution can be used to promote hair growth. To address the oily and smelly scalp, you can use a medicated shampoo containing coal tar or salicylic acid to help control oil production and odor. For low vitamin D and ferritin levels, you can take vitamin D supplements and iron supplements as prescribed by your doctor to help improve these levels. To address the scanty periods, you can consider hormonal therapy or oral contraceptives to regulate your menstrual cycle. For poor digestion and fatigue, you can try incorporating probiotics into your diet, eating a balanced diet, staying hydrated, and getting regular exercise to help improve your digestion and energy levels. It's important to follow up with your dermatologist and other healthcare providers for further evaluation and management of your symptoms.

Answered 04/07/2025