### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am of 29 years,married ,female.I am suffering from hair loss since 2-3 years for which I took homeopatChatDoctoredicines which gave me temporary benefit.Since then I suffer hair loss(through the roots) every 3-4 months even if recovered in a month.I got my blood tested and it showed hypothyroidism and Hb count 10.I am on medication of thyroid for the last 6 months but my hair fall problem is very severe.I have just started using tugain solution 2% and shampoo ketoconazole 2% along with a capsule 2 B 12  as precribed by dermatologist.I am not able to figure out the reason for this hair loss .Plz help me out with this and kindly advice if this prescription would help me and how much time it wil take to cure permanently.

### output:

Hi... It seems that you may be having a condition known as halogen effluvium. It is condition in which the hairs fall in halogen stage of hair cycle. In your CSAE, causes may be many like. ...tension, anxiety,thyroid diseases, anaemia, nutritional deficiencies..... etc. that might precipitate or exacerbate hair fall. Excessive sun exposure may be responsible for the disease. Dan Chat Doctor. .it should be ruled out. If it is there, ketoconazole shampoo may be done. You consult dermatologist. Investigations may be done to rule out thyroid disease, anemia, and other internal diseases. If they are there, proper treatment may be taken. Nutritional diet may be taken. You must continue treatment for hypothyroidism like throw tab in proper dose. And for anemia, iron and folic acid may be taken daily. Tab Biotin 10 mg daily may be taken for long time with other vitamins and minerals. And also vitamin E cap 400 mg daily may be taken. Mild steroid lotion like mometasone may be applied on the scalp daily at night. Mild herbal shampoo may be done twice a week. Oil like almond may be applied on hairs to improve hair shaft quality. Be confident for good result. Have patience.as the good result takes time. Avoid tension and worries. Be positive. You may feel better after few months' treatment. I hope you got my answer. Thanks.