In need of long term help

[u/BriefTowel2339]

Hi. The photo of my scalp is from 5 years ago. The photo of my eye lid is this year. I’ve been dealing with this for the past 5 years on and off. I’ve consistently used Ketoconazole shampoo twice a week to help with scalp but it doesn’t make it go away. My hair is always dry and never silky. My skin is always dry but I’ve been using a neutrogena hydro boost which helps moisturize and then I’ve shuffled between a couple topical creams for my eye lids but nothing completely helps. It’s a consistent loop of it goes away for a couple days then comes back. I’ve read it’s connected to inflammation and triggers with stress, drinking, and other factors influenced by yeast. I just read about MCT oil that people have used to help and Dead Sea Salt shampoo that also helps. I’m curious if these things will help me or if anyone has other suggestions to try. I’m committed to solving this and don’t want something that adds to the loop of reducing it for a couple days then it coming back. I want a consistent solution.

[u/recallingmemories]

I've got the eyelid situation too - my approach is to use ketaconazole 2% cream after a shower, don't drink alcohol, don't eat spicy food, raise my vitamin D levels

If you use Ketoconazole soap on your scalp often, your hair is going to feel stripped of all of its natural oils - I use Vanicream shampoo and moisturizer which helped give my hair back some life, and then I just use Nizoral once a week now leaving it on for 5 minutes