I'm keeping it shorter than I used to but I should probably go even shorter. I only wash it 1-2 times a week. It's hard because I've used to have thick, long hair. It's actually okay in the back but I have a big area on top where there is little hair. I think the shorter cut helps to balance out the look some, but I think the only option to cover it is going to be a full or partial wig. Unfortunately, It doesn't seem to get better even when I'm feeling well.