Hi, Hair loss can be caused by a variety of factors, including genetics, hormonal imbalances, stress, and nutritional deficiencies. It s important to first identify the underlying cause of your hair loss before starting treatment. If you have been experiencing hair loss for a prolonged period despite using topical treatments like Tugain or Gainehair, it may be helpful to consult with a dermatologist or trichologist for a proper diagnosis and treatment plan. They may recommend further tests to identify any underlying medical conditions that could be contributing to your hair loss. In addition to medical treatment, there are several lifestyle changes you can make to help prevent further hair loss and promote healthy hair growth. These include: * Eating a balanced and nutritious diet rich in vitamins and minerals, especially those that support hair health such as iron, biotin, and zinc. * Managing stress through techniques such as meditation, yoga, or exercise. * Avoiding tight hairstyles that pull on the hair, such as braids or ponytails. * Being gentle with your hair when brushing or styling it, and avoiding excessive heat styling or chemical treatments. * Using gentle hair care products and avoiding harsh chemicals like sulfates and alcohol. It s important to be patient with any hair loss treatment, as it can take several months to see results. In the meantime, consider using hair-thickening products or hairpieces to help conceal any thinning areas. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Priyanka, General & Family Physician