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

### input:
I dont know what to do have hit a brick wall with my doctor..for over 6 months I have noticed a dramatic loss of hair. I have been to doctors twice to be told it first was a sinus infection so he prescribed antibiotics and a nasal spray months later went to see hoim again with problem this time he said was due to a fungal infection once agin precribed antibiotics and fungal creamsand ketaconozole shampoo.he said if that doesnt work I have to pay out to see a dematologist..i cant afford to do that and have lost all self confidence with my appearence.

### output:

Thank you for your question!First I would say that loosing up to 100 hair a day is normal, which in your case may be more. I would ask how much hair are you loosing and whether your parents had a hair loss, is your scalp irritated? Have you experienced a severe trauma or emotional stress? If the situation is not clear I will ask you have a blood test done and thyroid hormones to figure out what is the cause. When a patient similar to your conditions comes to my clinic, after suggesting the examinations I mentioned you above, I would strongly recommend he/she starts washing the hair 2 times a week with PHYTOCYIANE shampoo, PHYSICIAN file 1 ampule 3 times a week for a month, then maintenance 1 ampule per week for two months, PHYTOPHANERE capsules, one capsule a day. After this a patient can also have PRP injections or monotherapy with biotin injections which can be done by a specialist. Hope this helps! Please feel free to ask me again.