HELP me out: Women's Hair loss from Tirz

[Birdie]

Been on Tirz for 7 months, lost 50 lbs, 35 to go. But my hair won't stop falling out in alarming amounts since ~December. The only reason it's not noticeable right away is that I had a TON of hair to start. But now when I gather into a pony tail, the volume is noticeably MUCH thinner. I'm certain it's from Tirz, but to compound the problem, I'm 47 and also in perimenopause, so that is not helping.

It just won't stop falling out. Like a tribble's worth of hair comes out every time I shower, clogs the drain if I don't pull it out into the trash as I go. It's not only gross, but it's starting to freak me out. I've got expensive-ass vitamins (Nutrafol) ordered, started adding bovine collagen peptides to my coffee, trying to prioritize my daily protein. I take the GLOW protocol 5x/week. And I just started low-dose estrogen patches (.025 mc 2x/wk) and compounded testosterone cream (.5gram 1x/wk) from my menopause specialist.

Anyone tried anything that works?

I wanted to stay away from oral or topical minoxidil because I heard that once you start, you need to take it indefinitely and that even more shedding will happen at the beginning.

Lost my hair in 2016 due to a medical condition--and I had great hair--lost, like shave your head and embrace the suck lost.

Anyway, the things that helped me the most were red light therapy & minoxidil (then I used foam because it was less irritating to my scalp; now I take oral with duasteride from an online vendor).

I have taken every supplement anyone suggested (I have a pic somewhere of that too, I will try to find), including nutrafol, went on HRT, made protein a priority, and worn hair pieces, but the red light and minoxidil made the greatest impact and somewhere I have pics to prove that.

I no longer wear hair pieces or take HRT, but I use hair fibers and still take several of the supplements, including nutrafol.

Based on my prior experience with hair loss, I have titrated my sema/reta doses to ensure that my weight loss stays between 1-1.5 pound per week on average. It has only been 3 months, but so far so good (and I had lost more than 10% of my body weight before starting, which some say is significant enough to produce hair fall).

Investing in red light therapy can be intimidating. My unit was more than $500. It sat in my amazon cart until my mother asked me about it (she uses my amazon) and insisted on buying it for me. If it breaks tomorrow and a replacement unit is twice the price, I will buy it based on my results.

Sorry for the long response. I wish you all the best and I will try to find those pics.