<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 Halogen effluvium, increased hair shedding being part of the stressful response to anemia. Hemolytic anemia causes transition of hair follicles from managed/ growth phase to Halogen/ resting phase of hair growth cycle. Once hair enters Halogen 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/ managed. 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 nutritious diet I suggest that you add an Iron supplement and a Biotin supplement which would aid in faster recovery. These are prescription Chat Doctor. Regards </s>