You’ve experimented a lot, switching to oral dut and adding microneedling is solid. Since you’re seeing some results, you might keep using what works. Reintroducing topical min can help or consider other topicals if you get side effects. CBD with MCT oil might aid scalp health too. Stick with your current regimen at least six months more to see full results. Keep using the ketoconazole shampoo to manage any excess inflammation. For more options, check the product finder for topical ideas.