Seb derm Vs just oily scalp/minox buildup?

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Hi everyone, I've been using minox foam for about 3 months for AGA and have been having some regrowth. My scalp has become rather itchy since starting and I finally got a dermoscope to look at my follicles since my derm has just told me it's dandruff and prescribed ketoconazole shampoo. I'm horrified at how my scalp and follicles look. I can see a lot of sebum and flakes and the last picture shows a very stubborn sebum plug that I tried removing but it seems very adherent to something below the level of the scalp skin. My scalp gets slightly tender from time to time on top of the itching and when I look at the tender areas through the dermoscope, it mostly reflect the areas where the follicles are very sebum-plugged I'm currently on ketoconazole/selsun once a week, neutrogena Tsal once/twice a week and for the other days loreal pure shampoo. I sometimes add a raspberry vingar rinse but it's maybe once a week at best. I wash everyday as I live in an extra hot and humid climate and hit the gym daily. not washing would be impossible. My derm gave me clobetasol shampoo which I use when my scalp is extremely irritated. Maybe once every week or fortnight if needed What should I do? I feel like my scalp got more flaky after Tsal but I really want to return the follicles back to looking more normal!   submitted by   /u/RareDescription4482 [link]   [comments]