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Scalp and hair issues are so frustrating because regular products rarely touch the root cause. For mine I went to SENSO Skin Experts https://sensoskinexperts.com/ in Manhattan, which does scalp and hair treatments alongside their skincare work. They took a holistic look at what was going on rather than just slapping product on, and the itching and flaking calmed down after a few sessions. The thinning area also looked healthier over time. Everything was gentle and non-invasive, no medication pushed on me. The combined skin-and-scalp angle really does seem to help. If you want to try the holistic route, I would book a consultation with them.