<s>[INST] my mother is hemolytic ( auto immune hymolytic anemia) patient, taken steroid drug wysolane 10mg daily, she is also diabetic & BP patient. all under control now. from past 3 months she is having heavy hair loss. can you please suggest what might be the problem? and what i need to do? [/INST] Hello. Thank you for writing to usI suggest a possibility of Telogen effluvium, increased hair shedding being part of the stressful response to anemia.Hemolytic anemia causes transition of hair follicles from anagen/ growth phase to Telogen/ resting phase of hair growth cycle. Once hair enters Telogen phase it is subsequently shed.Telogen usually begins 1-3 months following a stressful event (hemolytic anemia in this case) and may last for 3-6 months following which hair re-enters growth phase/ anagen.Since she is on recovery path now and is on treatment with oral steroids for hemolytic anemia, therefore with time her hair fall would stop.Apart from a healthy nutricious diet I suggest that you add an Iron supplement and a Biotin supplement which would aid in faster recovery.These are prescription drugs therefore I suggest that you should visit a dermatologist in your vicinity for the needful.Regards </s>