Advice - AA and maybe TE

\[22F, AA\] This pic is from Feb 2026. 6 months ago the back of my head had no cowlick and now I have a very visible cowlick and am losing insane amounts of hair, rapidly exacerbating this. I have been on spiro, 1.25mg oral minox, viviscal, ketaconazole 2 times a week, vitamin D, and iron for about 1.5 years now and saw progress for about 4-5 months in beginning of 2025 but shedding has become progressively worse since Jun 2025 to now. I have seen a derm recently who is suggesting upping spiro from 100 to 150 which i started recently. I keep telling myself my hair is cycling and it’ll get better but the pace at which this is worsening is scaring me. Any suggestions, advice? I am ashamed of the back of my head and am losing hope and confidence