1st pic: Dec 2025 before starting OM + spiro 2nd pic: today I’ve noticed hair thinning the past few years and went on topical 5% minoxidil in Nov 2024. I used it consistent for about a year until Dec 2025 with minimal results and even tried other remedies like derma stamping, hair serums, viviscal, pumpkin seed oil etc while on topical. In Jan 2026 my derm PA told me to try oral meds to see if it would be more effective. I was prescribed 1.25 mg OM + 50mg spiro. I feel like my hair has gotten worse. I keep shedding so much especially tiny thin hairs and my pony tail got so much smaller. I went to the same derm PA again today and she thinks she sees improvement based on comparison pics she took, but I disagree. I feel like she’s saying it to make me feel better but I genuinely feel like it’s worsened since starting. The cowlick at the back of my head has gotten so much more visible. Am I crazy? She told me to up my dosage of OM to 2.5 mg but i’m worried my hair will shed even more if i havent had any improvements. Should I seek a second opinion from a derm MD??? Would appreciate any advice. My bloodwork is all normal which makes me frustrated. Some levels are slightly on the lower side, but not to the point of causing hair loss. Vitamin D = 35.2 Iron = 66 Ferritin = 45 TSH = 1.85   submitted by   /u/Still_Coffee_5387 [link]   [comments]