instruction: hello doctor my main problem is alopecia I had it from 2015 with several patches on the head and now they are gone but the problem is my eyelashes are gone and never grew back I used castor oil garlic and now revitalash and other things two years ago a rheumatologist prescribed me dolquine and I did not have patches but my eyelashes still fell I have lots of problems like hypothyearoidism and hashimoto and currently on euthyearox 100 my doctor told me it has nothing to do with alopecia because it is normal now good to and ash etc I newly knew that I have pro normal result in echo but my glucose is lowered after hour of glucose 75 my intake and my insulin was 60 plus androstenedione 5 and I have hyper prolactinemia for six years on its own did an i'm and no tumor and currently taking dostinex with all these problems I smoke water pipe shisha nargile three times a day
output: hi your concern is genuine and you are so brave and facing all challenges very bravely you did not mention your prolactin and thyearoid hormone levels loss of hair can be autoimmune as you were treated for it as well and due to hashimoto as well if there is no skin issue involved in the loss of hair you should consult a dermatologist for it may be due to your autoimmune disease hashimoto is autoimmune as well what you can do is that you decrease the ash thyearoid stimulating hormone target to a lower level with increasing levothyearoxine and then see if it has a better effect I hope this helps