Can someone tell me what and why this is on my shed hairs? (Picture)

Ziggyz123

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What's up, I've been shedding since the one year mark on finasteride (October that just past) so like a ten month shed.. What's killing me is that my scalp has been sore as if it were being pinched or stabbed and I keep shedding hairs with this sebum like ball on it.. I'm now getting a bald spot and my hairline and behind has thinned significantly.. Is this due to maybe reflex hyperandrogenicity? Everything I read says sebum build up doesn't cause hair loss, but it is for me...

Many hands are extremely dirty sorry I just got off of work..
 

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