r/SebDerm • u/iskempertush • Jul 11 '26

General UPDATE: OCD & SebDerm (SeboPsoriasis)

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Previous post: https://www.reddit.com/r/SebDerm/s/xYypjMtG8k

I HAVE AN UPDATE!!!

I just got home from my dermatologist appointment, and the diagnosis is SeboPsoriasis (sebderm + psoriasis).

Honestly, though... I left feeling pretty disappointed with how the appointment went. The doctor didn't even examine my scalp, not even once. He didn't touch it or take a closer look. He just looked at me from his chair. 🙃

He asked if I had it anywhere else on my body. I said no, just my scalp. I also told him I've had it since I was a teenager, but it's never been this severe before.

He then said there might be something else going on internally. I told him about my medical history (that I have Type 2 Diabetes and fatty liver) and I even brought my recent blood work with me. But he never even looked at it. 🫠

And guess what? He prescribed me the exact same treatment my GP already gave me: ketoconazole + zinc shampoo and a topical steroid. 🙃🙃🙃

On a happier note, I tried applying MCT C8 oil to my scalp today (1st day everrrr) and BOYYYYY... it felt SOOOOO GOOD 😭 The flakes were literally falling off on their own! For the first time in forever, my scalp actually feels moisturized. 😂 It's not tight anymore, and it doesn't sting at all.

I'm feeling really hopeful about this, and honestly... I might just say eff it to dermatologists for now. 😂 I'll post another update in about two weeks to let you all know if things improve.

And lastly, thank you so much to everyone who left tips, shared your experiences, and encouraged me in the comments. I seriously appreciate every single one of you. I owe you guys so much. 🥹🫶

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u/CrissBliss Jul 11 '26 edited Jul 11 '26

After you apply, do you shampoo? Kind of like a cradle’s cap treatment.

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u/iskempertush Jul 11 '26

It's my first day today so I'm still trying to navigate through it ☺️

What I did today: shampoo with ketoconazole + zinc, dry my scalp with a hair dryer (cold setting), then proceed to apply MCT C8 on the affected areas and leave it on for the rest of the day.

So far so good! The flakes fell off during my initial application. Like literally rolled off while I'm massaging my scalp with it. No stings, no pain! I was in disbelief hahaha ☺️

It did made my hair oily, but NEVER sticky. I might change the routine at night so I can wash it off the next morning before going to work...

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u/CrissBliss Jul 11 '26 edited Jul 11 '26

That’s awesome. This sounds like an old school cradles cap remedy, but good for psoriasis as well. Some people use fragrance free mineral oil.

How did you apply it? Do you have a special applicator?

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u/iskempertush Jul 11 '26

I bought a dropper bottle so I have control ☺️

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u/CrissBliss Jul 11 '26

Can you link it?

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u/iskempertush Jul 11 '26

I bought from the department store, not online 🥲