<s>[INST] Hello Dr,Iam lakshmi 27yrs from chennai got married in 2006 & have a child , soon after marriage i went to US (NY) there i consulted a dermatalogist . after 3 months of medication hair fall was controlled . but then after pergnancy again i had hair fall problm , during pergnancy i was daigonosed for diabetes & Hypothyroid . after delivery too i have the above said complaints . taking hormone suppliment daily 50mg for hypo thyroid but for diabetes im not taking anything.Now i suffer lot of & severe hair fall problem , couldnt be controlled .please suggest me what to do next and how to control the hair fall . [/INST] Hello, Welcome to Chat Doctor. I can understand your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, acute or chronic medical conditions, Chat Doctor. From your description, it seems you might be having Halogen Effluvium, which is hairball secondary to any form of stress. Stress factor in your case seems to be diabetes, hypothyroidism and hormonal changes during pregnancy and lactation. If I were your dermatologist/trichologist, I would recommend some special investigations like pictogram and endoscopy and further aid in diagnosis and prognosis. I would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 3-6 months. Also, would put you on solution containing 5% minoxidil once a day and a hair serum containing peptides like acetyl tetra peptides and Buchanan etc. at night. I would advise use of gentle shampoo and conditioner on regular basis and use of coconut oil twice a week. Also inquire from your dermatologist about upcoming treatment options like monotherapy and platelet-rich plasma. Avoid combing in wet hair and let them  </s>