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I was prescribed 2% ketoconazole to help with scaling. Can Ketoconazole make hair shedding worse?

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I used it several times a few years ago just on areas of my scalp that had scaling and I shed more than my usual large amount of hair. Is shedding a common side effect of Keto? I was told to use it twice a week. Is anti-dandruff shampoo a better option? Thanks.

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