<s>[INST] I have severe degenerative spinal disease (every disc in my cervical spine except for two which are fused and pinned are herniated or bulged, every lumbar disc from L2 to S1 as well), bursitis in all four hip bursa s and have been undergoing injections and RFA s to treat the chronic pain. A few weeks ago my hair started falling out and I have been experiencing malaise and fatigue. Could there be any connection? (I just had blood work and my thyroid came back normal) [/INST] Hi there, thanks for your question. Hair fall has no one to one co relation with degenerative spinal disease. I suggest you to meet a dermatologist for your hair fall and be rest assured that it has nothing to do with your spinal pain. Though both are age related, they are independent of each other. On the other hand fatigue can be associated with pinched nerves in cervical and lumbar canal stenosis. Hope this answers your question. All the best. Regards.  Chat Doctor.  </s>