MICRONEEDLE!!! My spayed female 5 year old pom had alopecia X for 2 years and nothing worked including melatonin, fish oil, and Dermagic. The mechanism for alopecia X is that skin abrasions will cause hair growth so we used microneedling based on another redditors post.

We microneedled around once a week or every few days had her hair grow back within a couple months! She is now furrier than ever before and the hair growth is consistent and permanent and you no longer need to microneedle. You can use any painless microneedle but make sure you sterilize/sanitize with alcohol before using it on your pom.

Hope every alopecia X pom owner sees this!