For female pattern hair loss combined with PCOS, the underlying imbalances might involve aggravated vata and pitta doshas. Managing these with Siddha-Ayurvedic principles could assist in addressing both the hair loss and other symptoms you mentioned such as digestive issues.
Firstly, focus on harmonizing vata and pitta doshas. Start with your diet: emphasize warm, cooked foods that are easy to digest and calming for vata. Use spices like cumin, coriander, and turmeric which can aid digestion. Avoid excessively spicy, oily or acidic foods that may further disturb pitta. Consume a balanced diet rich in fiber to help with gut health. Include more leafy greens, fruits like pomegranate and apples, and whole grains.
For the specific hormone imbalances, integrating herbs like Ashoka and Shatavari may help in balancing hormones and thus addressing some PCOS symptoms. These should be taken under the guidance of a qualified practitioner who can recommend the right dosage.
Applying a scalp massage with oils like Bhringraj or Amla oil can potentially support hair health. Do this two to three times a week to improve circulation.
Explore stress management techniques such as yoga and meditation, which can be beneficial for both vata and pitta balance. Pranayama, specifically Nadi Shodhana, aids in calming the mind and enhancing overall equanimity.
Given the low Vitamin B12, it’s crucial to address this deficiency, as it could further exacerbate hair fall and fatigue. Consult a healthcare provider to discuss possible supplementation or dietary changes needed, such as increasing intake of fortified foods or considering the need for supplements.
Since your TSH levels and prolactin are elevated, regular monitoring is necessary. Collaborate with your physician for appropriate interventions for these, as neglecting them might interfere with other treatments.
Lastly, continue with physical activity like walking which supports kapha and helps maintain healthy metabolism but ensure it’s not too intense as to aggravate your symptoms. Regular follow-ups with your healthcare team are essential to manage PCOS and maintain an optimum health balance.



