I too lost lots if hair while on MTX. It took me approximately 1 year or so to get my hair back to "normal". Itchy scalp I do get off n on not sure why.

Roni

I've been on Methotrexate for a couple of years. My hair started falling out. I researched and found people had good results taking Biotin to prevent hair loss. I take 1, 5,000. Mcg every other day, and my hair stopped falling out.

Yesterday, I started Xeljanz and I feel like a basket case, jumpy, couldn't sleep, agitated, etc. it's hard to stay calm and centered in the midst of all this jitteriness

Low pain to all

So you hair came back after one year of being on it or had you gone off of it?

I do take 5,000 of Biotin as well

I'm also on biotin, it's great. When I was on MTX I was getting really frustrated, cleaning out the drain after showers was depressing, and I got nauseated often. I did a whole lot of reading and many said that FA in pill form is not as effective as it is in food. So I found some good lists of high folic acid foods online. When I was extra nauseated or losing a lot of hair, I'd start eating lots of greens for a few days. Generally by the next day I felt better.

By 'lots' I should be more specific, I ate some... Historically speaking I'm a terrible eater. A few hand fulls of spinach or salad greens from the garden was enough for the day. When I was very well behaved I'd do it every day and not run into the nausea or hair loss issue at all. Eating stuff I don't like isn't a big deal for me if I know it will make me feel better.

Since then, my eating habits have improved. I think that experience really taught me that food is a lot more important than most of us give it credit for. I do some juicing and make smoothies. Adding a bit of greens isn't that noticeable and is a good supplement to my diet. Good luck!