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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Hair Fall While Suffering From Rheumatoid Arthritis

About a year and a half ago I was diagnosed with RA. My hair fell out in patches and I am currently being treated with Methatraxate and taking folic acid. My Dr. is now talking about giving me Enbrel. I have repeatedly told him that I Assess Water and Mold Damage working in environments which are contaminated by fungi, mold and bacteria. I have read that Enbrel can cause TB affecting the immune system. I know that fungi also affects the bodies ability to fight off infection in some people, would you prescribe Enbrel having this information or would you know of another treatment. The Methatraxate also causes vomiting and severe burning, but my Doctor insists it is the Gold Standard for RA Treatment. Do you concur or have any feed back to offer
Tue, 27 Dec 2016
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General & Family Physician,  's  Response
Hi,
Thanks for your question. I do understand your pain and discomfort. I have seen many cases with similar complaints. Please find my advice below-:
1)Take medication as per your Doctor"s advise and it is a good medication for RA(First line)
2)For hair fall please do Fasting blood sugar and TSH test
3)Do full blood count with differential
4)Add medication Rogaine to your scalp it is an OTC drug.
5)Eat a balanced diet
6)Avoid tight hairstyles,such as braids,burns,or ponytails
7)Avoid compulsively twisting, rubbing,and pulling of hair
8)Use a wide toothed comb
9)Avoid harsh treatments by hot rollers,curling iron,Hot oil treatments,and permanents.
10)If above all methods fail or you can not get correct result then final treatment is Laser treatment.

I hope I was able to address your query. If you have any further questions, please do not hesitate to write to me.
Wishing you all the best.
Thanks,
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Suggest Treatment For Severe Hair Fall While Suffering From Rheumatoid Arthritis

Hi, Thanks for your question. I do understand your pain and discomfort. I have seen many cases with similar complaints. Please find my advice below-: 1)Take medication as per your Doctor s advise and it is a good medication for RA(First line) 2)For hair fall please do Fasting blood sugar and TSH test 3)Do full blood count with differential 4)Add medication Rogaine to your scalp it is an OTC drug. 5)Eat a balanced diet 6)Avoid tight hairstyles,such as braids,burns,or ponytails 7)Avoid compulsively twisting, rubbing,and pulling of hair 8)Use a wide toothed comb 9)Avoid harsh treatments by hot rollers,curling iron,Hot oil treatments,and permanents. 10)If above all methods fail or you can not get correct result then final treatment is Laser treatment. I hope I was able to address your query. If you have any further questions, please do not hesitate to write to me. Wishing you all the best. Thanks,