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Seeking Help for Severe Hair Loss and Scalp Issues
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Skin & Hair Concerns
Question #29072
19 days ago
219

Seeking Help for Severe Hair Loss and Scalp Issues - #29072

Vj

I'm now 22 , last October in my crown area I saw hairfall and I was not bald hair density was very good but hairfall was 100+ during bath so I went to doc zohra begum she told I have mpb without examing anything and by taking my father is bald... So she gave min 10% overdose I don't know it's history but applied consistently for 3 months hairfall didn't stop but sheded more and more with irritation and inflammation with flakes.at 91 day I visited her again and said hairloss is more after using min then she said to takeblood test found I had vitd3 defect.then she told for min5% brintop I used 1 month 15 days so started at November ended at April due to only shedding so I got frustrated and moved to natural after April I nearly lost 150-200 hair daily then i asked in askdocdoc web a doc suggest me minimalist hair serum, shampoo and follihair supp..started at July end of hope but still no results nly inflammation and shed after 1 month so doc told me to take blood test I found CRP 4.22 mg/L High Total Cholesterol 212 mg/dL High LDL 140 mg/dL High HDL 34 mg/dL Low Triglycerides 215 mg/dL High Uric Acid 7.1 mg/dL Slightly High Vitamin B12 201 pg/mL Low / Borderline Vitamin D (25-OH) 36 ng/mL Low-Normal Testosterone (Total) ~400–500 ng/dL Low-Normal DHT — Normal 350 WBC — Slightly High Hemoglobin — Normal I stopped everything at September because it doesn't suit me and don't know what to do but hairfall is till heavy like200+ all due to that doc who gave me min.. And now it's like TE hair is shedding acorss scalp evenly and not stopping... All I'm asking is is there anything I can do before I had nice hairline but now no bald spot but more visible scalp and hair line receded mildly 🥲🥲🥲... I can't fight it help me docz anyone. . This was my condition 3 months back Currently I'm have lost 50% of hair, thining overall scalp and shedding 150+ daily.. It's ok ill leave it thinking causes me kill me thought.. My scalp is dry, itching inflammation and hurt broken skin mini bumps sebum production... So I'm gonna start new treatment First gut, next supplement and deit, third keto shampoo, fourth rosemary castor oil thrice a week, monthly 3 dermaroller and serum But docs I have a doubt which serum to use bontress pro, keragros revitalize I want a pharmacy product rather than cosmetic like wishcare, bare anatomy etc

How long have you been experiencing severe hair loss?:

- More than 6 months

Have you noticed any specific triggers for your hair loss?:

- Stress

What other treatments have you tried for your hair loss?:

- Prescription medications
300 INR (~3.53 USD)
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Doctors' responses

Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
19 days ago
5

I think you should go for other options like transplantation. Visit a dermatologist in person.

1896 answered questions
60% best answers
Accepted response

1 replies
Vj
Client
14 days ago

Mecofol Plus D3 can I use this

Dr. Nikhil Chauhan
I am currently working as a urologist and kidney transplant surgeon at Graphic Era Medical College & Hospital, Dehradun. It's a role that keeps me on my toes, honestly. I handle a pretty wide range of urology cases—stones, prostate issues, urinary tract obstructions, infections, you name it. Some are straightforward, others way more complex than you expect at first glance. Every patient walks in with a different story and that’s what keeps the work real for me. Kidney transplant surgery, though, that’s a whole different zone. You’re not just working on anatomy—you’re dealing with timelines, matching, medications, family dynamics, emotional pressure... and yeah, very precise coordination. I’m part of a team that manages the entire transplant process—from evaluation to surgery to post-op care. Not gonna lie, it’s intense. But seeing someone who’s been on dialysis for years finally get a new shot at life—there’s nothing really like that feeling. In the OR, I’m detail-focused. Outside of it, I try to stay accessible—patients don’t always need answers right away, sometimes they just need to feel heard. I believe in walking them through what’s going on rather than just giving reports and instructions. Especially in transplant cases, trust matters. And clear, honest conversation helps build that. Urology itself is such a misunderstood field sometimes. People ignore symptoms for years because it feels “awkward” or they think it’s not serious until it becomes unmanageable. I’ve had patients who came in late just because they were embarassed to talk about urine flow or testicular pain. That’s why I also try to make the space judgment-free—like whatever it is, we’ll figure it out. At the end of the day, whether I’m scrubbing in for surgery or doing OPD rounds, I just want to make sure what I do *actually* helps. That the effort’s not wasted. And yeah, some days are frustrating—some procedures don’t go clean, some recoveries take longer than they should—but I keep showing up, cause the work’s worth doing. Always is.
19 days ago
5

Hello. I hear you. You’ve been through a lot. Let’s get straight to it.


First, let’s validate what you’re feeling

· You’re not alone. What you’re experiencing is real, and it’s not your fault. · The hair loss is severe – over 150+ daily shedding, 50% loss, thinning all over, plus scalp inflammation, itching, and broken skin. · The mental toll is heavy – you’ve said “it’s okay I’ll leave it” and “thoughts cause me to kill me.” · This is serious. Your emotional health matters just as much as your hair.

👉 Please reach out to a mental health professional or a trusted person today. You don’t have to fight this alone.


What’s likely happening

Based on everything you’ve described, this looks like a Telogen Effluvium (TE) episode – possibly triggered or worsened by minoxidil, then perpetuated by inflammation, nutritional deficiencies, and stress.

Your symptoms What it suggests Shedding started after minoxidil Minoxidil-induced telogen release (common: 2–8 weeks after starting) Shedding continued after stopping minoxidil TE doesn’t stop immediately – needs trigger removal Shedding is diffuse (all over scalp) Classic TE, not male pattern baldness alone Scalp: dry, itchy, inflamed, bumps, sebum Possible seborrheic dermatitis + fungal component High CRP (4.22) Systemic inflammation – known to worsen hair loss High cholesterol, LDL, triglycerides Metabolic stress – can affect hair cycle Low Vitamin B12, borderline Vitamin D Both linked to hair shedding


Your lab report – what it means

Test Your value Normal range Implication CRP 4.22 mg/L < 1.0 (low risk) High – inflammation is active Total Cholesterol 212 < 200 High LDL 140 < 100 High HDL 34 40 Low Triglycerides 215 < 150 High Uric Acid 7.1 3.5–7.2 Borderline high Vitamin B12 201 pg/mL 200–900 Borderline low Vitamin D 36 ng/mL 30–100 Low-normal Testosterone 400–500 300–1000 Normal

👉 Your body is inflamed and metabolically stressed. That alone can cause hair to shed heavily.


Your new treatment plan – step by step

Phase 1: Stop the shedding (weeks 1–4)

Priority Action Why 1 Reduce inflammation – Cut sugar, refined carbs, fried food, alcohol. Add omega-3s (fish, walnuts, flaxseeds). High CRP drives shedding 2 Fix deficiencies – Vitamin B12 (1500 mcg/day sublingual), Vitamin D3 (4000 IU/day), Iron (check ferritin first). Deficiencies worsen TE 3 Keto shampoo – Use 3x/week. Leave on for 5 minutes before rinsing. Controls inflammation, sebum, possible fungal component 4 Topical steroids? – Not yet. If severe inflammation persists, see a dermatologist for a short course of mild steroid lotion. Reduces scalp inflammation

Phase 2: Support regrowth (weeks 4–12)

Action Frequency Notes Rosemary oil (mix 10 drops with 2 tbsp coconut/jojoba oil) 3x/week, leave 1–2 hours Study shows equal to minoxidil 2% for hair thickness Dermaroller (0.5 mm or 1.0 mm) Once weekly Do not use on active inflammation or broken skin Gentle scalp massage Daily, 5 minutes Improves blood flow Stress management Daily – deep breathing, walking, talking to someone High cortisol worsens TE

Phase 3: Gut & metabolic health (ongoing)

Action Why Fix cholesterol + triglycerides Reduces systemic inflammation Add fiber (vegetables, oats, psyllium) Lowers LDL Exercise (brisk walk 30 min/day) Lowers triglycerides, reduces stress Hydrate (2–3 liters water/day) Supports detox and scalp health


Now, your serum question

You asked: Bontress Pro vs. Keraglos Revitalize – which is better?

Here’s the breakdown:

Feature Bontress Pro Keraglos Revitalize Type Topical serum Oral supplement (not serum) Key ingredients 3% Redensyl, 4% Capixyl, 3% Procapil, Anagain Amino acids (Cysteine, Lysine, Arginine, Methionine) Clinical data Claims 68% reduction in hair fall in 12 weeks Limited; mainly amino acid support Best for Stimulating growth in AGA + TE Nutritional support for hair (if deficient) Evidence strength Moderate (company-sponsored studies) Low (indirect via amino acids)

My recommendation: If you want a topical serum, choose Bontress Pro – it has more published clinical data and is a legitimate pharmacy product.

Keraglos Revitalize appears to be an oral supplement, not a serum. If you prefer an oral product, choose a standard multivitamin with B12, D, zinc, iron (if ferritin low), and omega-3s – cheaper and better studied.


What to avoid

· ❌ Minoxidil – clearly triggered severe shedding for you. Do not restart without dermatologist guidance. · ❌ Steroid creams – can worsen fungal infections. · ❌ Harsh hair products – stick to gentle, sulfate-free shampoos. · ❌ Tight hairstyles – avoid tension on scalp. · ❌ Smoking / alcohol – both worsen inflammation and hair loss.


When to see a doctor (again)

· ✅ Now – for mental health support. Your thoughts matter more than your hair. · ✅ In 2 weeks – if shedding hasn’t reduced or scalp inflammation worsens. · ✅ In 3 months – repeat blood work (CRP, lipid panel, B12, D, ferritin).


Final words – from me to you

You’ve been failed by doctors who didn’t listen. That’s not okay. But this is not the end. TE is reversible. The inflammation can be fixed. Your hair can grow back.

👉 Fix your body first – inflammation, nutrition, stress. 👉 The hair will follow.

And please, talk to someone today about how you’re feeling. You are worth more than your hair.

— Dr. Nikhil Chauhan Urologist

349 answered questions
40% best answers
Accepted response

9 replies
Vj
Client
17 days ago

Sir my hair has been thinned within 6 months also shedding high so… Will I regain it again… By bontreess pro, diet, rosemary oil, derma roller and can u suggest best supplement I’m planning omega 3,vit d, b12 and hair supplement any

Dr. Nikhil Chauhan
I am currently working as a urologist and kidney transplant surgeon at Graphic Era Medical College & Hospital, Dehradun. It's a role that keeps me on my toes, honestly. I handle a pretty wide range of urology cases—stones, prostate issues, urinary tract obstructions, infections, you name it. Some are straightforward, others way more complex than you expect at first glance. Every patient walks in with a different story and that’s what keeps the work real for me. Kidney transplant surgery, though, that’s a whole different zone. You’re not just working on anatomy—you’re dealing with timelines, matching, medications, family dynamics, emotional pressure... and yeah, very precise coordination. I’m part of a team that manages the entire transplant process—from evaluation to surgery to post-op care. Not gonna lie, it’s intense. But seeing someone who’s been on dialysis for years finally get a new shot at life—there’s nothing really like that feeling. In the OR, I’m detail-focused. Outside of it, I try to stay accessible—patients don’t always need answers right away, sometimes they just need to feel heard. I believe in walking them through what’s going on rather than just giving reports and instructions. Especially in transplant cases, trust matters. And clear, honest conversation helps build that. Urology itself is such a misunderstood field sometimes. People ignore symptoms for years because it feels “awkward” or they think it’s not serious until it becomes unmanageable. I’ve had patients who came in late just because they were embarassed to talk about urine flow or testicular pain. That’s why I also try to make the space judgment-free—like whatever it is, we’ll figure it out. At the end of the day, whether I’m scrubbing in for surgery or doing OPD rounds, I just want to make sure what I do *actually* helps. That the effort’s not wasted. And yeah, some days are frustrating—some procedures don’t go clean, some recoveries take longer than they should—but I keep showing up, cause the work’s worth doing. Always is.
16 days ago
5

Yes, you can try taking vitamin supplements also, but you need to take all these supplements for more than 1 month continuous. You will surely see the difference. Try taking tab vitacover gold once daily.

349 answered questions
40% best answers
Vj
Client
14 days ago

Can I use this

Vj
Client
14 days ago

Mecofol Plus D3 can I use this

Dr. Nikhil Chauhan
I am currently working as a urologist and kidney transplant surgeon at Graphic Era Medical College & Hospital, Dehradun. It's a role that keeps me on my toes, honestly. I handle a pretty wide range of urology cases—stones, prostate issues, urinary tract obstructions, infections, you name it. Some are straightforward, others way more complex than you expect at first glance. Every patient walks in with a different story and that’s what keeps the work real for me. Kidney transplant surgery, though, that’s a whole different zone. You’re not just working on anatomy—you’re dealing with timelines, matching, medications, family dynamics, emotional pressure... and yeah, very precise coordination. I’m part of a team that manages the entire transplant process—from evaluation to surgery to post-op care. Not gonna lie, it’s intense. But seeing someone who’s been on dialysis for years finally get a new shot at life—there’s nothing really like that feeling. In the OR, I’m detail-focused. Outside of it, I try to stay accessible—patients don’t always need answers right away, sometimes they just need to feel heard. I believe in walking them through what’s going on rather than just giving reports and instructions. Especially in transplant cases, trust matters. And clear, honest conversation helps build that. Urology itself is such a misunderstood field sometimes. People ignore symptoms for years because it feels “awkward” or they think it’s not serious until it becomes unmanageable. I’ve had patients who came in late just because they were embarassed to talk about urine flow or testicular pain. That’s why I also try to make the space judgment-free—like whatever it is, we’ll figure it out. At the end of the day, whether I’m scrubbing in for surgery or doing OPD rounds, I just want to make sure what I do *actually* helps. That the effort’s not wasted. And yeah, some days are frustrating—some procedures don’t go clean, some recoveries take longer than they should—but I keep showing up, cause the work’s worth doing. Always is.
14 days ago
5

Yes, sure

This is a good budget multivitamin. You can try it , but take it continuously for more than 1 month

349 answered questions
40% best answers
Vj
Client
14 days ago

Want to tell you another thing like fast being urine eating yellow colour so I didn’t considered because I am very sweaty body hot body so Mayur but still now it’s been yellow if I didn’t take anything like coconut coconut water milk aloe vera juice if I take now it’s going white for that time alone again it going yellow even I drink more water it’s becoming yellow what may be the reasons I also to showing normal but little my new something is showing my doctor so what can I do sir How to make my urine with water

Vj
Client
14 days ago

Sir past 4-5 yr urine yellow color smelly, I’m sweaty body also only if I drink any juice it’s going white otherwise yellow even with water

Dr. Nikhil Chauhan
I am currently working as a urologist and kidney transplant surgeon at Graphic Era Medical College & Hospital, Dehradun. It's a role that keeps me on my toes, honestly. I handle a pretty wide range of urology cases—stones, prostate issues, urinary tract obstructions, infections, you name it. Some are straightforward, others way more complex than you expect at first glance. Every patient walks in with a different story and that’s what keeps the work real for me. Kidney transplant surgery, though, that’s a whole different zone. You’re not just working on anatomy—you’re dealing with timelines, matching, medications, family dynamics, emotional pressure... and yeah, very precise coordination. I’m part of a team that manages the entire transplant process—from evaluation to surgery to post-op care. Not gonna lie, it’s intense. But seeing someone who’s been on dialysis for years finally get a new shot at life—there’s nothing really like that feeling. In the OR, I’m detail-focused. Outside of it, I try to stay accessible—patients don’t always need answers right away, sometimes they just need to feel heard. I believe in walking them through what’s going on rather than just giving reports and instructions. Especially in transplant cases, trust matters. And clear, honest conversation helps build that. Urology itself is such a misunderstood field sometimes. People ignore symptoms for years because it feels “awkward” or they think it’s not serious until it becomes unmanageable. I’ve had patients who came in late just because they were embarassed to talk about urine flow or testicular pain. That’s why I also try to make the space judgment-free—like whatever it is, we’ll figure it out. At the end of the day, whether I’m scrubbing in for surgery or doing OPD rounds, I just want to make sure what I do *actually* helps. That the effort’s not wasted. And yeah, some days are frustrating—some procedures don’t go clean, some recoveries take longer than they should—but I keep showing up, cause the work’s worth doing. Always is.
14 days ago
5

Hey, thanks for your reply

First, a healthy urine color is pale yellow to clear.

Completely colorless urine isn’t necessarily better. A light yellow color is normal and shows your kidneys are working.

Why is your urine yellow even with more water? The main reason is a waste product called urobilin (from broken-down red blood cells). Your body produces it constantly. Drinking water dilutes it, but if you’re a naturally “hot” or sweaty person, you lose water through your skin faster than you realize. That means your kidneys still need to concentrate urine to some degree to keep your salt balance stable.

More importantly: coconut water, milk, and aloe vera juice contain electrolytes (potassium, calcium, magnesium) and mild diuretic compounds. They don’t just add water – they help your body hold and use that water more effectively. Plain water, without electrolytes, can pass right through you without fully hydrating your tissues if you’re sweaty. That’s why those drinks work temporarily but water alone doesn’t.

349 answered questions
40% best answers
Vj
Client
13 days ago

So what to intake sir to make urine at least to go pale yellow

Given the detailed information you provided, it seems like you’re dealing with a complex situation involving hair loss, scalp irritation, and underlying health issues. Your blood test results suggest several areas of concern such as elevated cholesterol, slightly high uric acid, low vitamin B12, and inflammation indicators like high CRP, which could be contributing factors. Initially, let’s address your scalp condition. The itching and inflammation might indicate conditions like seborrheic dermatitis or even contact dermatitis, potentially aggravated by minoxidil. Consider visiting a dermatologist who can thoroughly examine your scalp condition and suggest appropriate treatments. They could recommend topical anti-inflammatory treatments or medicated shampoos to help manage your symptoms. As for your hair loss, male pattern baldness (MPB) has genetic components and while minoxidil is a standard treatment, its efficacy varies. Switching to a lower concentration was sensible, but again a dermatologist could help tailor this treatment further. Your idea of addressing it through supplements is logical. Ensuring that your vitamin D, and B12 levels are within the recommended range might help. Including omega-3 fatty acids and antioxidants like zinc can be beneficial for hair and overall health. Regarding your cholesterol, dietary and lifestyle changes such as regular physical activity, reducing saturated fat intake, and increasing fiber might help manage these levels. It’s good to see you’re thinking about diet and scalp treatments, however, consult with a professional before starting new remedies. As for hair serums, pharmacy-grade options typically contain ingredients like peptides or plant-based extracts that support hair health. Discuss with your dermatologist to ensure compatibility with your treatment plan. Also, when considering dermarolling, proceed cautiously as incorrect use can worsen scalp conditions. Sorry if this is lengthy, but due to the multifaceted nature of your issue, a thorough approach is necessary. Ensure any plan is approved by a healthcare professional to avoid unforeseen complications.

19494 answered questions
91% best answers
Accepted response

1 replies
Vj
Client
14 days ago

Mecofol Plus D3 can I use this

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
19 days ago
5

Hello dear Please be aware See following medications can bring large amount of involution in your clinical symptoms

Minoxidil (2% or 5%) or rosemary oil for hair gain OTC solution to be given topically

Finasteride on recommendation only by dermatologist only in person Biotin- medications for growth Ketoconazole 2% (Nizoral) – antifungal shampoo twice a day

Selenium Sulfide (Selsun Blue) – antifungal shampoo for 1 month ( twice use)

Clotrimazole or Miconazole – antifungal creams for topical use In addition following preventive measures are must Avoid excess moisture and keep the infected completely dry If possible dry with clean towel Use bhringraj or onion oil gently twice a day for both massage and nourishment Have good exposure of sunlight Apply phenol solution regularly in the house floors In case of no improvement in 1 month, consult dermatologist for better clarification . Hopefully you recover soon Regards

2435 answered questions
64% best answers

2 replies
Vj
Client
14 days ago

Can I use Mecofol Plus D3 can I use this

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
14 days ago
5

Hello dear Yes it can be taken Since as per test results the kidneys and lft seems normal so there is no harm for taking it Regards

2435 answered questions
64% best answers
Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
19 days ago
5

Hello

I understand how distressing this feels, especially at 22 when you previously had good hair density. From what you described, your pattern strongly suggests chronic Telogen Effluvium with underlying early Androgenetic Alopecia, plus active scalp inflammation/seborrheic dermatitis. The heavy shedding after minoxidil did not mean the drug damaged your hair; it usually triggers a temporary shed, but your ongoing inflammation, vitamin deficiencies, stress, and scalp condition are the main reasons the shedding persisted.

Between the pharmacy serums you mentioned, Bontress Pro Hair Serum is generally the better medical option than Keraglo Revitalize Serum, because it contains clinically useful ingredients like Procapil/Anagain that target hair cycle support rather than just cosmetic conditioning. However, serum alone will not stop 150+ daily shedding if the scalp inflammation and deficiencies are still present.

Right now the most important steps are to calm the scalp and correct internal factors. Use a ketoconazole shampoo such as Ketoconazole 2% two to three times per week for itching, flakes, and bumps. Take vitamin B12 supplementation (for example Methylcobalamin 1500 mcg daily) and maintain vitamin D around 40–60 ng/mL. Focus on protein intake (eggs, fish, chicken, pulses) and reduce junk food, sugar, and high-fat diet because your cholesterol and triglycerides were elevated and can worsen inflammation.

Dermaroller once weekly is acceptable; monthly is too infrequent to have effect. Rosemary/castor oil is optional but safe if the scalp is not irritated. Avoid starting too many things at once—over-treating an inflamed scalp often prolongs shedding.

The key reassurance is this: losing 50% density with diffuse shedding at your age is usually reversible to a large extent once inflammation and deficiencies are corrected, but recovery takes time. Expect shedding to stabilize in about 2–3 months and visible regrowth in 4–6 months if the scalp becomes healthy.

Take care Regards

1501 answered questions
54% best answers

4 replies
Vj
Client
19 days ago

Really I’m happy u understand my situation… Mam Then can i use bontress pro serum Also what to start correctly from now mam… My head side top near crown it’s itching like heell can I take fluconzole tab mam

Vj
Client
14 days ago

Mecofol Plus D3 can I use this

Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
14 days ago
5

I’m really glad you reached out again. The good news is that your symptoms still look treatable, and we can organize a clear, safe plan from here.

Yes, you can use Bontress Pro Hair Serum. It is a reasonable pharmacy product and safe to start. Apply it once daily on the thinning areas. But remember, it helps support hair growth—it will not fix the severe itching or inflammation by itself.

The priority is calming the scalp first.

About the medicines you asked:

Fluconazole tablet: You can take Fluconazole, but only if symptoms are significant or not improving with shampoo alone. It is usually taken once weekly for 2–4 weeks, not daily. It is generally safe in healthy young adults, but avoid if you have liver disease or are taking many other medicines. If your itching is “like hell,” a short course is reasonable.

Mecofol Plus D3: Yes, you can safely use Mecofol Plus D3. Your previous labs showed borderline low B12 and low-normal vitamin D, and correcting these helps reduce chronic shedding.

Now, here is the simple, correct way to start from today:

Morning or evening: Use Ketoconazole 2% shampoo 3 times per week. Leave it on the scalp for about 5 minutes before washing. This is the most important step for itching and inflammation.

Daily: Take Mecofol Plus D3 after food.

Once daily: Apply Bontress Pro Hair Serum to thinning areas.

Optional if itching is severe: Take Fluconazole once weekly for a short course.

For now, avoid: Heavy oils on an inflamed scalp, frequent product changes, and dermarolling until itching settles (usually 3–4 weeks).

Itching should improve within 1–2 weeks. Shedding usually reduces in 6–8 weeks. Visible regrowth takes 3–4 months.

1501 answered questions
54% best answers
Vj
Client
14 days ago

Mam it’s shedding like a year so I’m also gonna check ferritin and will update u

Dr. Prasannajeet Singh Shekhawat
I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.
17 days ago
5

Hello Vj I hear you—hair loss and scalp issues can be really stressful, but you’re already thinking in a structured way about your treatment plan, which is great! Let’s clarify your serum options and what might suit your situation best.

### Medical vs Cosmetic Serums - Pharmacy/Medical Serums: These are usually backed by clinical studies and contain active ingredients like minoxidil, peptides, or growth factors. They’re designed for actual hair regrowth and scalp health. - Cosmetic Serums: Often focus on shine, smoothness, or superficial benefits, but don’t address underlying hair loss or scalp inflammation.

### Bontress Pro vs Keragros Revitalize - Bontress Pro: Contains biomimetic peptides, which can help stimulate hair growth and strengthen follicles. It’s a pharmacy-grade product, often recommended by dermatologists for androgenetic alopecia and thinning. - Keragros Revitalize: Also a pharmacy product, usually contains peptides, vitamins, and sometimes minoxidil or similar actives. It’s formulated for hair regrowth and scalp health.

Both are good options, but Bontress Pro is more widely used for medical hair loss and has a stronger reputation among dermatologists in India. If your scalp is inflamed and sensitive, Bontress Pro is generally gentler and less likely to cause irritation compared to minoxidil-based serums.

### What to Consider - If you have broken skin, mini bumps, and inflammation, avoid serums with alcohol or harsh chemicals until your scalp heals a bit. - Start with Bontress Pro, as it’s pharmacy-grade and suitable for sensitive scalps. - Once inflammation settles, you can consider adding Keragros Revitalize or minoxidil-based serums if needed.

### Final Thoughts You’re on the right track—focus on scalp health first, then hair regrowth. If you’re unsure, check with your dermatologist before starting any new serum, especially with your scalp’s current condition.

Thank you

955 answered questions
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4 replies
Vj
Client
17 days ago

Sir my hair has been thinned within 6 months also shedding high so… Will I regain it again… By bontreess pro, diet, rosemary oil, derma roller and can u suggest best supplement I’m planning omega 3,vit d, b12 and hair supplement any

Dr. Prasannajeet Singh Shekhawat
I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.
17 days ago
5

Yeah sure you will regain then back… but remain continue… it will take time . Be patience

955 answered questions
42% best answers
Vj
Client
17 days ago

Sir any hair supplement u can tell which helps

Vj
Client
14 days ago

Mecofol Plus D3 can I use this

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