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The user is experiencing severe hair loss despite using finasteride for 10 months and suspects scalp buildup might be contributing. Suggestions include using ketoconazole shampoo, consulting a dermatologist, and trying terbinafine cream.

MCT oil is recommended for clearing scalp buildup and scabs, but its effectiveness varies. Salicylic acid and coal tar shampoos are also used, with advice to avoid topical steroids.

The conversation discusses hair loss treatments, including finasteride, Nizoral shampoo, peppermint/castor oil with saw palmetto, and plans to start oral minoxidil. The user seeks advice on managing scalp buildup and flakiness from topical minoxidil, especially for curly hair, and considers using both oral and topical minoxidil.

Washing hair less frequently is unlikely to cause hair loss due to sebum buildup, and using finasteride can help reduce DHT levels. Minoxidil is suggested for application after washing with a good shampoo.

The user started using 1mg finasteride, 2.5mg oral minoxidil, and ketoconazole shampoo to address hair loss and scalp buildup, showing progress over 1.5 months. The ketoconazole shampoo helped with scalp buildup, and no side effects were reported from the medications.