We worked really hard on this one. I hope it helps you out ❤(Free dermatology guide below): Dominate your dermatology appointment: perfecthairhealth.com/dermatology-guide/ Want to work with me personally? perfecthairhealth.com/join-now/
Why are research not focusing on the capabilities of synthetic hair transplant? Yes I understand the body rejecting the synthetic hair as foreign particle but why not make a synthetic hair which is accepted by the body? Is there any development on this? And one more is how does body building or supplements can cause hair fall !?
@@pranav.r.k4858 there have been attempts to cure hairloss but not have stuck. Verteporfin, most recently for example, regrew follicles in mice but not yet in humans. It failed to yield anything remarkable (YET). Verteporfin studies are on-going. They are racing to find such a cure because it would probably be a trillion dollar industry if they find it.
Thanks buddy for this non responding to conventional treatment story. Please research and make videos on Botox as there are now some promising results online. I believe Botox is the holy grail for managing male baldness. Emerging evidence suggests that DHT induces post-pubertal bone growth, particularly in the parietal (sides of the skull) and frontal bones. This leads to a wider skull or tall skull syndrome with crown hair thinning and frontal bone growth contributing to hair loss in the front. These changes can put pressure on the macrovascular blood supply to the scalp, disrupting blood flow. Factors such as genetics, hormones, and stress also play a role. Botox helps by relaxing the scalp, reducing pressure, and potentially aiding in hair retention. This process is the secret behind the pattern of male baldness, as male bones are more sensitive to DHT
How can i use your consultation and treatment Pls. My story is like this video I did every thing but ... I need your help❤ Save my life plz , i cant live normaly any more 😢
What a useful piece of video! I love you do not promote silly things like other videos do... i have been suffering from hairloss since i was 11... yes 11.... i have visited dermatologist 3 times over span of last 7 years.... and all of them tell me its genetics... and sell their prp or some useless suplemenets and some hair serum for a big cost.... none of these dermatlogists used microscope either... they would just recommend me some treatment and i have spent more than 4000$ in this.... the last section of the video shows me the harsh truth and now i am more than ever aware what these dermatologist want... its money.... they do not care what actually cause this stuff... I am going to go through all of your research paper and guides for hair.... there arent many dermatologist in my area and honestly i lost hope in them.... now its only me who can find about the stuff... thank you so much for publishing ur papers for free so any1 can understand their problems 1000x better than these scammy dermatologist people...
OMGGGG I have never gone to a dermatologist, but prpetty certain for a decade ive had Androgenic alopecia. BUTT there are also spots not at the top of my head where i have hair loss. I cant thank this channel enough. I will send an email over I want to thank you even more!! I will find the right dermatologist and get this sorted.
Ow maaaaaaannnn, I can't believe, that might be my problem too! I also 14yo started noticing hair fining... Alessandro profile is almost the same as mine... Thank you for sharing your story, I'll recheck with this in mind.
Specially in the cosmetic industry which includes hair treatments too Because there aren't many rules and regulations in this field and mistreatment aren't that much life threatening
A clinician doesn't need to care when treating something superficial like your hair loss, he has to follow the guidelines and the actual research, which sadly is still very ineffective regarding hair loss, but nowhere it is written that he has to care about your first world problems, especially when he has 100 patients a day, so stop gaslighting doctors so lowly for youtube likes, because they'll be the one there when people have problems
I am really happy for this guy from the bottom of my heart I hope I could change my hair issue(Currently diagnosed with diffuse pattern hair loss since i am 20 years and currently 24. my regimen is dutastride every other day, minoxidil once a day and microneedling once a week) Cheers to that guy.
These photos of alopecia areata incognito look just like my scalp! FINALLY something that makes sense! THANK YOU! No dermatologist or endocrinologist ever mentioned this or was able to help me. I’m stunned right now…
@@amandaburleson2035 the person was misdiagnosed he actually had alopecia areata not androgenic areata so he treated it with topical steroid cream plus finasteride/ minoxidil
I just can say that you and your website and also your youtube channel is amazing 💛 thanks for being honest with everyone 🧡 society allways needs someone like you ❤
The western medical industry is shameful, they do these kind of things in all areas even ones leading to death. Thanks Rob for your passion and integrity. I had a hormone specialist run my blood work after a nasty breakup and a 2 year chronic telogen effluvium bout, I found that term and description myself with some research. She told me to stop looking things up myself. My blood work was all wacky she told me my liver could be bad and that I might have hemochromatosis! This freaked me out even more. Ultrasound was fine. Had she checked my cortisol levels (which I did myself, mail in test through an independent company) like a hormone doctor should, I would have had an acute case, instead I lost 70% of my hair in 2 years! I won’t go to doctors ever again unless it’s an emergency surgery. Never again My hair shed completely stopped and it’s growing back now, just trying to speed it up with supplements and micro needling. 3 years later all my stressors have deminished, and my nervous system is back to regulated. I spoke with one derm that told me it may not all come back and I’m simply not going to accept that. I wish we had the tools for scalp evaluations in your program so we could cut out the middle man! Alesondro and 10 years is horrible! Good thing he’s still young, those in their mid years or older don’t have that time to spare and the stress that goes along with it, no wonder he incurred an auto immune condition! This infuriated me as well. I’m so happy to see him much deservingly happy now! I would love to join your one on one! Can you offer a two portion fee of your asking price, rather than paying at once? I too fell for the expensive PRP treatments amongst many others. $$$
@@jodyv2734honestly sounds like reducing stress and psychological factors. Sometimes its exacerbated by use of stimulants. Othertimes its just the stress itself and the lifestyle that ensues.
@@stevenrapa4014 ALOT! Getting rid of all stressors after identifying them, ketogenic diet, ashwaganda, valerian, B1, and B complex, magnesium, exercise, cold showers, eliminating tv and people, sleep, once your stuck in that fight or flight, it takes work to get out of it. If you find your mind turning into a prison of doubt, fear and anxiety, you have to learn how to master it.
I am a female. My tests showed nothing out of the extraordinaire, save the "high" cholesterol I always had at the same level (240). The derm NEVER bothered to look at my scalp or asked me what I did for haircare and just gave me this diagnosis. It doesn't run in my family. At the time I was doing something called No Poo... this was the culprit. Basically, it is a haircare routine where you don't use sulfate shampoo. I realized this by remembering that my hair didn't fall when I used sulfate shampoo while I was dying it, which I had stopped 2 years before thinking it was the hair dye causing trouble. I went back to sulfate shampoos everyday and my hair recovered (plus hair therapist). Recently, the hair fall started again. At the time, I was researching iodine because I went carnivore. I wanted to know everything about it, including the need for supplements. I watched an interview with a doctor about it as I know I have lower iodine as I don't eat salt. I supplemented 1.5mg and the side effect was the hair fall diminished significantly. Two months later, I started primrose oil for perimenopause reasons and the side was the hair fall basically stopped.
i think i have this, my hair started shedding when i was 8, diffusely. Was labled as male pattern baldness at age 15 by a dermatologist. I got a hair transplant at age 18 and have also been on finasteride, but im still shedding. Now im 27 and im going to another derm appointment on thursday. Thank you Rob and Wish me luck.
I went to a hair health clinic for a consultation. I went in there and expected to get some kind of diagnosis. But, nope. She took a picture, showed me and told me ”you’re thinning in this area”. THAT’S WHY I WAS THERE. Obviously I knew that my hair was thinning but I wanted to know what the cause was. But she just kept telling me all about a bunch of treatments instead of actually looking at my hair. Seemed very unprofessional.
@@Rye-jl2fk she seemed like the surgeon type, not the "I know my stuff" type. Her arms were huge and she had a tan. I felt big money vibes coming off her. But not a lot of knowledge.
I always thought I had male pattern baldness (Androgenic Alopecia) since my dad, granddad and uncle all had/have it. But since mine started around age 15, and I’m 48 now and it’s only marginal loss in comparison, I’m now thinking maybe it is something else.
Very happy for this guy that he found a derm that actually understood what was going on. That said, it seems that most of us must get really lucky to find the right derm who will actually be able to identify our specific issues. Even though your program is good and you can give us the proper ammo when visiting a derm, if they aren't good, we can go see 10 different derms and may never get the proper treatment. Thoughts?
I’ve been at a dermatologist hair appointment and he took a look at me for 1second and just suggested fenestride , which I already knew but I feel like just by watching your videos I “knew more than him” Meaning that also my seborrheic is a cause for my hair loss and I’ve only been on the treatment for 1 month and a bit but I’m already seeing an improvement
For a long time i thought i had andro alopecia, but now i'm considering i dealt with scarred hairloss because of high levels of stress, dandruff, and scalp inflamation, also got misdiagnosed
@keke772 I didn't, basically you can't. My scalp basically killed the hair follicles, what I did was to manage inflammation and it stopped getting worse, but was lost, was lost... Now I gotta get money for a hair transplant, and that's it
@@osaretinosifo1280 not really sure, if yours is due androgenic alopecia, only take dutasteride or finasterida and maybe minoxidil and u will be fine, if it's another cause, you gotta seek help to know exactly the cause
I've found that regarding hair loss, dermatologists are pathetically lazy when it comes to an evaluation... like they can't be bothered; so they just offer finasteride and send you a large bill for them doing nothing.
There are great dermatologists out there, but I tend to agree. The average hair loss patient often feels dismissed by their dermatologist, rather than empowered. I get that the inclination is to just diagnose with "AGA" and prescribe finasteride, as that tends to work for most adult cases of male hair loss. Even still, it only takes a few minutes to thoroughly examine someone's scalp, and if anyone had done that for Alessandro (and had the knowledge to run a differential diagnosis), they could've saved him 10+ years of frustration.
Dermatologists have failed me in the past. Bad into. Only using water & moisturizers & no cleansers are the only positive results for me. Cleansers & soaps break me out no matter what kind. Benzoyl peroxide only aged my skin it looks like. My advice given was the opposite. Personal trial and error got me to have rare & small break outs, not cystic acne. So much bad advice on the net & from professionals.
Good vid, goo interview, good research and good data! You confirmed what I thought for years. I was told by a physician, a dermatologist, and then a hair transplant guy to go Minox/Fin, at 30 with slight diffuse pattern starting. The fin affected me by keeping hair thick and grey-less for ten years, a doctor later wasn't impressed and thought it was affecting other things so I stopped. I stuck with Minox and as hairloss spread, I started thinking Minox wasn't helping and possibly hurting, but I still take it. The part you confirm ios that as I got closer to transplant options, I hesitated when they said you need to go back on Fin. Also, I see a of of bald heads and many have the thin FUT strip scar...implying something was tried and didn't take. All this stress and hormone noise and I'm starting to think it's blood flow, which I have issues with and probably did all along. Healthcare is useless. Whoa, thanks for mentioning PRP. I was going to ask about that.
i love your videos , and they have made me learn a ton of stuff i would have ignored otherwise , i've been on fin min for couple of months now , but as you mentioned , its very difficult for me to analyze me progress , also can you please make a video on what all tests one must take to identify the type of hairloss , as there's a lot of confusion and dermats usually overlook it .
Just add corticosteroid to the finesteride . Saves you an hour of the worst windbagging on the internet . Man I hate sales people parading as specialists .
This is a great video. Makes my blood boil. Pretty sure i have same condition. A derma did tell me he did not think it was Male pattern baldness. And my ht surgeon even said i had an “unusual pattern”. Shrugged and then sent the goons to break down the costs for ht. Yet ive had massive fluctuations in hair. I need to look into this! Thank you for sharing!
Amazing video and thank you Alessandro and Rob for sharing it with everyone. I have a question. Clobetasol is supposed to be antiflammatory via vasoconstriction and collagen production reduction. Isn't this then conflicting with minoxidil and microneedling effects? Thanks!
We have a video coming soon that touches on this topic! Basically, the debate over whether "blood flow" is/isn't involved in the balding process tends to get diluted into arguments over vasoconstriction vs. vasodilation, when in reality, the discussions need to involve the mechanisms by which blood volume changes, along with whether those medications promote angiogenesis, blood vessel fenestration, etc. in microcirculatory networks that directly support balding-prone hair follicles.
U cant use Clobetasol long term anyways, higly toxic and anti androgen thing, only used third line defense treatment when u had a spike in cases of scarring alopecia, for a couple of week Max, there are even better treatment for 1st and second line
Hi I am a woman who’s been experiencing hair loss for over two decades! I am going bald and am desperate for some real help. I was also diagnosed with Androgenic Alopecia but always felt that the so called experts were missing a link and Alessandro’s testimony really struck a chord with me. My brothers still have a full head of hair despite my dad having the typical diffused hair loss but still has hair and he is 85 year old! Can you please direct me where I should turn to as a woman? I am in the U.K. Thank you for all you do to educate us.
Doctors usually go for the most likely cause, because it is most likely the case, especially if it does check all or most of the marks. Not many look further thinking what if it's not it and could it be something else? I heard a saying that most mistakes are made when a person gets overconfident and feels that they know it all. It's not that hard to overlook small nuances when you think that the case is obvious.
Hey rob, could you potentially do an in depth video of exactly how to take scalp muscles out of contraction and overall reverse aga for people who don’t use drugs. Thanks
This comment section really speaks to me.... About a year ago I switched to a new dermatologist, and understandably was asked what was the reason I was in for. I mentioned my hair loss among other things. I was around 19 years old and had a full head of hair the year prior, but lost a fair amount due to months of prolonged stress and health negelecence. This man takes a couple of photos of my scalp, asks me some very basic questions and straight up says " You have a case of alopecia". Obviously this scared the crap out of me because, huh? He didn't even touch my hair, he just saw the thinness of it and saw very basic indicators like a slight receding hairline. I am now finding out theres more work to be done, all on my own accord. Allergies, vitamin deficiencies, and other conditions were never brought up to me yet should have been some of the first bases that could've been covered. I have to avidly ask my derm/primary doctor for these tests. And so far, I've had times of genuine progress with my hair loss. I sadly have to cut it completely as the length of it meant my months of stress/negelence caused it to become damaged farther than i anticipated. I really wish I could've found a video like this a year ago, however im glad I have before my hair's gone completely:').
It's really concerning and disheartening that some dermatologists don't take and treat male pattern baldness that seriously and even a surgeon wouldn't make the effort to do a proper scalp examination before operating.
This is crazy! But do you know what is even crazier? That people with actual life restricting conditions with real symptoms are experiencing the same. Suffering for decades. Not being able to live their life, because doctors are too lazy like he experienced. I dont want to put his experience down, he really shouldnt have experienced this, but just imagine how people suffer with misdiagnosed illnesses. Thanks Rob for helping him and us out.
I understand where you're coming from. Someone close to me suffers from chronic pain. For 10 years, they were told by doctors that their pain was psychosomatic. In reality, it was a spinal cyst growing & pressing against nerve pathways. For a decade, no one ever bothered to do an MRI to rule that out, which still baffles me. I also acknowledge that doctors are forced to operate in a system that doesn't really allow for personalized medicine at scale, so it's not always fair to blame them for a system's shortcomings. Having said that, people paying $500+ out-of-pocket for a private dermatologist to diagnose their hair loss - and having that dermatologist neglect to do a scalp exam - is 100% unacceptable in my eyes. There's much to improve!
@@PerfectHairHealthlisten even though they are operating in the same system few docs actually find the root cause and most just mask the symptom. Some docs are more human and capable than others
Just what I needed! I have alopecia areata and have only taken finasteride. I thought it is just not working anymore. I am having more diffused hair loss. This was all brought on from my diagnosis of Hashimoto's Hypothyroidism so I definitely have an autoimmune problem. I will rush out immediately to see if I can get the Clobetasol. Much thanks!
I think in most cases it is a combination of factors that contribute to hair loss which is why its such a difficult thing to treat. Minoxidil was extremely irritating on my scalp and finasteride seemed to have almost no effect.
@@Insp.CountMortisWinshipKlaw it's just not that simple. stress, genetics, hormonal changes, nutrition, haircare, certain illnesses can all have an affect on hair growth/loss.
@@camhunts Yuuve been lied to. It is lymphatic stagnation from eating cooked foods. I had psoriasis and arthritis, two incurable diseases according to the experts that you listen to. I ate nothing but raw fruit for 12 months and I am cured. Cooked foods are not natural, they are acidic and cause a mucus reaction from the body .
@@camhunts you forgot to mention the most (I repeat the most) important cause of them all is: SEMEN LOSS....if you lose it regularly or frequently, your hairs starts thinning super fast.....or gets discolored etc....I suffered baldness, while my other friend suffering white color hair lol
Awesome story! After watching, I collected my fallen hair for 3 days: 80% are very small/very thin, 19% are medium size/thin and just 1% is long/thick. Rob, do you think these numbers indicate Incognita? Thank you!! (I've been fighting for 20 years...)
Hey Rob, thank you so much for this video, super informative. Im a 21 year old male with a nearly identical experience to alessandro with my hair loss starting at 14 and being told by multiple doctors its just normal AGA, yet finasteride and minoxidil have little effect on me. Do you think its worth going directly the same route as alessandro with the clobetasol or should i consult a specialist first? Also, do you think clobetasol can work by itself or is fin/min also required? Thank you for all that you do.
I think it's definitely worth seeing a dermatologist who specializes in hair loss disorders for a better diagnosis. Clobetasol might work if you're exclusively dealing with alopecia areata, but if you also have AGA, other treatments are also likely needed.
my story is not 10 but 30 years searching for the end of this nightmare... oral minoxidil works but only on my sides bot NOT ON TOP... could it be alopecia areata incognita?? dont know cause after 15 year of being misdiagnosed i stopped goint to doctor and i try my personal auto treatment--- and i am still in search for my solution... and perhaps the solution is this... im going to try CLOBEX SHAMPOO here in Spain to see if my problem is that kind of alopecia.... ill keep all of you updated...
After $12,000 worth of my $13,000 worth of hair transplants fell out, hair on eyebrows almost completely gone, hair under arms reduced 75%, hair on arms legs etc. reduced in some case to zero, and doctors being of no help at all, I gave up.
Autoimmune disorder or problem with adrenal glands, but like the comment before me said, go with your own intuition. I solved my androgenic alopecia, DHT was 3300 Pg/ml which is an insane amount, stinging nettle root + saw palmetto and i'm sitting at 300-400 pg/ml and I've had 0 regression it's been over 3 years.
Ok. So, see a GP first. Get bloods done. Maybe hormonal? Take findings to a dermatologist/ trichologist and figure it out from there? I haven’t started treatment yet but got given details: 7% Min with 0.25% Fin with Retinoic Acid (topical), Saw Palmetto capsules, Red light. Apparently I have Stage 4 Androgenetic Alopecia
Hello. I need help. All dermatologists have told me I have androgenetic alopecia but I have tested my DHT levels and they seem pretty normal. I have hair loss in the scalp which I have slowed down with min and finasteride, but I really doubt what I have is androgenetic alopecia. How can I see a true specialist dermatologist?
A few things that might help: (1) Serum DHT levels are poor predictors of scalp DHT. So you don't necessarily need to have high blood DHT as part of an AGA diagnosis. (2) If these treatments are slowing down your hair loss, it's possible that AGA is (at least) part of your diagnosis. (3) On average, minoxidil and finasteride take 4-8 months and 18-24 months, respectively, to show their full results. So you may need more time. (4) Search for dermatologists in your area who (a) specialize in hair loss disorders, (b) regularly publish papers on hair loss, and (c) are attached to a teaching hospital or university.
I agree with the comment of dermatologist are really a waste of time for alopecia. I mean, its not really important to them. I saw two different dermatologist and both did the same thing. They looked at my head for about 5 minutes, said its alopecia and basically told me to take Finesteride. And that's it. They can't and have no way of fixing it. But no one asks about health issues. Blood tests, nothing. You really do have to do your own research. But at least now I know Finesteride takes two years to show any improvement. I was thinking it was not helping. But I will give it more time.
I think this is what I have. It started with extreme hair loss plus pustules on my scalp during a time of very high stress in my life. The hair went but the pustules persisted, only thing that would slow them was antibiotics. To manage I need to keep hair buzzed and use dilute bleach on my scalp weekly. 2 dermatologists did not know what the cause was, samples taken showed neither excessive amounts of bacteria nor serious strains of bacteria such as staph. The third dermatolgist thought it was auto immune related. My thinning is very diffuse and the hairline is maintained which is odd.
Wow. Incredible video and what an incredible community you’re building. I have a quick question. More to get your opinion. I’m 40 and was recently diagnosed with sep derm. My scalp was red and irritated going back to July when I was hospitalized for appendicitis that developed a massive abscess. Altogether took over a month to drain the abscess and be released. During that time I could barely wash my hair properly and my hair was very dead feeling. Fast forward the last ninth and I started losing big amounts of hair all over my scalp. The dermatologist is saying once I get the sep derm under control my hair will grow back. Mind you I’ve never had a problem with hair loss or thinning until now. What do you guys think?
You might be facing telogen effluvium resulting from a number of factors -- namely, seborrheic dermatitis and stress related to your appendectomy and hospital stay. In some cases, this kind of shedding can also unmask the earlier stages of androgenic alopecia. I'm sorry you're going through this, and I hope you see recovery.
@ thank you. I did not have an appendectomy though. My appendix ended up healing back to 100% operational after rupturing. Extremely rare I was told. I did developed a large abscess within my abdomen. I had to go on around the clock antibiotics for a total of about 6 weeks (which the dermatologist also thinks had an effect on killing and drying out my hair) then I had a drain put in to drain the abscess once it began breaking apart. Surgery was not an option since I’m still in remission from last years cancer battle. Having the drain in also meant not being able to fully shower normally which included washing my normally super fully, long hair. I went to a salon a couple time to have them wash it but mainly I kept it braided back all the time so to not worry about it while dealing with having this tube and bag attached to my body around the clock for a month. So I am hoping all those are just the factors and the perfect storm that’s lead me here months later. 🙏 I appreciate your response and input. Means a lot to us all. ❤️
Im too afraid to go back to it. But my ketogenic diet unlocked something at one point. I had massive hair growth while 1yr strict no cheating keto on min/fin. I havent been able to repeat it. Theres something there. Not saying keto science is settled but it was absolutely no accident. It was keto 3 meals a day until 1yr, min/fin, daily 4-5k walks in sunny los Angeles. I had massive growth. Zero delusions or exaggerations here. Wife rarely comments but was like woah what is happening. After years of struggle. Then i quit keto and hair loss absolutely came back. Im gonna try to find solution without keto but may have to go back. 😢
@@boblully5053 thats a good point. Ive noticed circulation issues my whole life but never really complained to docs about it. I will have to really hammer into this with my internal medicine doc. My tests didnt alarm anyone this year. Although some out of range ( i forget), they assured me id be fine. And may have blamed on fact, which i warned, i accidentally ate and snacked the same of blood test.
Carnivore diet made a big difference for me. 2 years now and I haven't lost anymore and hair quality is much better. Noone would even think I'm losing hair now.
I noticed big difference too with a solid diet, still had carbs, but I also ran 1 - 3 miles daily and did hill sprints once a week and lifted. Hair grew back very thick but took at least a month to notice differences
Where can I found a doctor in Spain? Alexandro's history is similar to my son. He starts losing hair at 13 and visit 4 or 5 doctors yet. Now, 4 years later, he is still losing hear and the treatments don't work
Sorry, I didn't understand, can you please tell me if a person is not yet taking finasteride and has a low IGF-1 level, then most likely he will react badly to finasteride? Or did you mean when a person is already taking finasteride and has a low IGF-1, then does that mean he reacts badly to finasteride?
At the 45:03 the left side picture looks just like my scalp now. It's real white. Its like there is a cast over my scalp. I'm going to talk to my dermatologist and show her this video. She said thaty scalp looks healthy. Even I know that my scalp shouldnt look that white. Thank you for this video
Any body here know of good hair dermatologists in Ireland? I've been to my doctor and a dermatologist once and felt very dismissive and no real investigatory work or "proper" questions asked. Asking as a 43M who's been batting hair loss since my early 20s.... got 2500 graft hair transplant 10yrs ago and looks terrible now (stopped taking finasteride and minoxidil as was sold the lies that transplanted hairs are not affected by DHT)..... and wish I found this channel 10yrs ago, would of saved me a lot of soul searching, thank you
I went to two dermatologists for hair loss. Neither one did any blood work, scalp biopsy …… nothing. They both just prescribed Finasteride and told me it has no side effects for women. I never took it cause I just wasn’t sure about it. Meanwhile - I have hashimotos, low ferritin, low vitamin D, low B12, insulin resistance and liver problems. I self ordered a DHT test and it was low, not high.
Hey Rob, could I have contacts of Alessandro? I live in Italy and I am a foreigner here who does not have a public insurance, and few private dermatologists suggested me things that actually did not improve anything but just stole a lot of my money. So, I would like to contact Alessandro to ask on Olux and strategy to apply it. Things he described seems very similar to my case. Thank you if you could share contacts.
Im on my second transplant after the first one thinned out im hoping this one works although i stopped using minoxidol i will stick to it this time i am 10 days later after second transplant glad i found this channel.
Rob, I know this might sound dumb, but which of the two do you think gives the most accurate diagnosis when it comes to hair loss, dermatologists or trichologists?
Trichologists cannot legally diagnose someone, unless they're also a physician. In most cases, dermatologists should be your go-to for hair loss diagnoses. But in reality, dermatologists and trichologists vary so much in quality that I have a hard time generalizing. I'd prefer to evaluate on a person-by-person basis.
Great Insights in Video Thanks For Making it Free Please Make Videos on 1. Post Hair Transplant Care and Regime. 2. Research on Traditional Ayurveda oil available in India 3. Research on Redensyl, Procapil, Anagain, Capixyl, Baicapil. 4. Oil Massage Like Virgin Coconut Oil 5. Parabens and Sulfates in Shampoo. 6. Use of Hair Supplements without doing blood tests. 7. Long term Use of Alcohol Solvent Base Minoxidil 8. Does Applying oils/minoxidil/Solution and Tapping on bald Scalp make any Difference Instead of Just Massaging.? Thanks Again for Collection All resources on one platform with perfect organized order.
Hi, what was the protocol of using Clobetasol propionate? Apply once a week for the rest of life? Do you need to stop using it for some time once in a while? It usually is prescribed to apply two times a day for use of two weeks max, so I'm very interested, please give more info about the protocol.
Given that his doctor told him to do it just once a week instead of twice daily must be the right dosage for him plus it would have been spread out for a longer span of time because of how less of a frequency it was used for.
When I was 20, I noticed a "dot" at the back of my head that seemed bigger than usual, though the rest of my hair was still thick and jet black. With balding uncles on my mum's side, I assumed it was my destiny. By my mid-20s, a "runway" appeared down the middle, but since my hair was still thick and dark elsewhere, I wasn’t too concerned. I’m now 49, and it’s still the same hair, and that kind of motivates me because my buddy who has a full head of hair in our early 30's now is bald while I still have the same hair and look years younger than him. I am now motivated to fix this runway because I want to look good even better in my 50's. Here are a few things I’ve learned about hair loss that might help others: 1. Family history isn’t everything: The belief that balding on your mother’s side determines your fate isn’t necessarily true. 2. Nizoral may have helped: I’ve had a severe dandruff problem since my late teens and have used Nizoral regularly since 2000. I’ve heard it may have preserved my hair and prevented further loss? 3. Shampoo habits: I rarely use shampoo, but wash and massage my hair regularly. Some suggest that too much shampoo can cause hair loss, so perhaps my habit of not using it often saved my hair? 4. Alopecia Areata: About 10 years ago, I noticed a bald patch at the back of my head the size of a quarter. Rogaine worked to grow it back within a few months, and it’s happened once more since then. So now I know i have this type of baldness especially since my runway looks exactly like picture A in minute 37:50 ish. 5. Plans for improvement: I’m thinking of trying micro kneedling, clobetasol, biotin, saw palmetto, and saw palmetto shampoo to see if I can address the "runway" on top.
Same. I shed 40 percent in a year and it's not grown back. I'm a woman. Now on oral minoxidil and spironolactone and still no change. I even got a microscope on ebay and can see that there's ZERO growth.
@@gdaymates431 I can relate. I've seen a few dermatologist all say it's male pattern baldness. They don't even take a close look. They seem offered when I speak up and say I know it's from accutain. I've even gotten to a point of demanding a biopsy.
Hi doctor, thank you for the video once again ! I was wondering, can microneedling exhaust the skin ? like I mean, we're not made to heal from wound endlessly during our life, I think that, obviously, skin does have his limit too. And +, can the micronnedling damage your hair ? Like, even with a dermapen, it's a ton of needle that go against your hair every week, it should damage them right ?
I follow someone who has microneedled for 16 years (Claudia Glows), and her skin has only gotten better. You need to give your skin time to regenerate in between treatments. In general the longer the needles the longer the break between treatments. So from 1 week break with short needles, to 4 - 6 weeks for long needles.
Hi, thank you for the this valuable information. Question 1: Is retinol going to activate minoxidil activating enzyme as effectively as retinoic acid does? Retinol, for my understanding, will be oxidized to retinaldehyde and then to retinoic acid in the scalp. So in my minoxidil product retinol should do the sulfotransferase-enzyme activation/enhancing effect. Question 2: Should you test this autoimmune treatment for your scalp even if you are somewhat pleased with your minoxidil+retinol+topical finasteride regime? Clobetosol (Olux foam) shoudn´t be harmful to try out for your scalp to see if it would increase your hair recovery and your general hair regrowth process. Thanks again!
I was dealing with inflammation in the scalp for some time, redness, burning sensation, , dry skin, and this came with hair loss and shedding as well. Went to a dermatologist who took a look for 5 sec, and said is seborrhoeic dermatitis, and prescribed me a shampoo. This worked for a bit but after few time usage it got worse. Went back and she described me some sort of spray. I used it one time on my scalp, and I literally had a head ache for 1day... I did some research and this spray was for when someone is stung by a bee for example , and was highly inflammable, not even for the scalp. I was furious ofc. Told her in a nice way to f herself and that she was not capable of providing me assistance. Found a new dermatologist who also said it was seborrhoeic dermatitis, and he said i was dealing with general hair loss, for which they of course had different options to fix this $$$. Anyway he prescribed me another shampoo and scalp serum. Same result, it worked for a few times but than it got worse. At this point I was done with this and decided to go a doctor.. He said it was a scalp infection (fungus) and with only shampoo it would never go away. Got some heavy oral medicine for 2 weeks and within a few days I could tell the difference. My scalp was clearly more calm, redness was gone, and no more burning sensation. In the meantime I wasd doing some research into infections, and what foods, herbs and vitamins would fight candida/fungus in the body. I finished my prescribtion 1 week ago, and Im focusing on my diet, and get all the food to get rid of this fungus. I have high hopes my hair recovers as well. In todays world you cant blindy trust anyone anymore, its sad. Its all about the money. Im glad we have these kind of videos and other information online so one can do own research.
I started using minoxidil back in 2023 October, and used it for 5 months & after that i stopped it for 3 month my hair was doing fine with minimal Daily hair shed.... But I donno why I deicided to restart using it.. When I used it for the first time, my hairfall stopped within few days & now I am re-using it for almost 1 month and It's not working like previous time my shed has been increased Before now i didn’t know that it's a life time process and now i am losing alot of hairs due to it. Now i want to stop applying it. and I WANT TO KNOW THAT THE HAIRS I LOST DUE TO MINOXIDIL WILL THEY BE RECOVERED IF YES THAN HOW MUCH TIME IT WILL TAKE?.
Hi Alessandro says he was told to use Olux foam once a week did he only use this to regrow his hair or did he use finasteride and Minoxidil and also does he have to use Olux foam once a week forever?
Hello dr, I am a 16 yr old male,my dermatologist said that i have telogen effluvium but now i have lost 50 %or more of my hair and it has been 6months since it started to fall.plz can u tell me what has happened to me??.
My hair are too thin. And not much but i have full hair line. There are baby hair, that are not growing, on front and crown area. Is it androgenetic alopecia?
very high probability if any of the parent or a member from any side has aga. Better consult a derma and start with the minox + fin asap. Also have a vitamins and nutrient test
Would you consider the brand “ordinary” retinol 1% to be effective with minoxidil? Also, retinoic prescription strength is a cream. How do you apply these two concurrent?
We worked really hard on this one. I hope it helps you out ❤(Free dermatology guide below):
Dominate your dermatology appointment: perfecthairhealth.com/dermatology-guide/
Want to work with me personally? perfecthairhealth.com/join-now/
Why are research not focusing on the capabilities of synthetic hair transplant? Yes I understand the body rejecting the synthetic hair as foreign particle but why not make a synthetic hair which is accepted by the body? Is there any development on this? And one more is how does body building or supplements can cause hair fall !?
@@pranav.r.k4858 there have been attempts to cure hairloss but not have stuck. Verteporfin, most recently for example, regrew follicles in mice but not yet in humans. It failed to yield anything remarkable (YET). Verteporfin studies are on-going. They are racing to find such a cure because it would probably be a trillion dollar industry if they find it.
Thanks buddy for this non responding to conventional treatment story. Please research and make videos on Botox as there are now some promising results online.
I believe Botox is the holy grail for managing male baldness. Emerging evidence suggests that DHT induces post-pubertal bone growth, particularly in the parietal (sides of the skull) and frontal bones. This leads to a wider skull or tall skull syndrome with crown hair thinning and frontal bone growth contributing to hair loss in the front. These changes can put pressure on the macrovascular blood supply to the scalp, disrupting blood flow. Factors such as genetics, hormones, and stress also play a role. Botox helps by relaxing the scalp, reducing pressure, and potentially aiding in hair retention. This process is the secret behind the pattern of male baldness, as male bones are more sensitive to DHT
You are one of my favorite teachers and researchers on hair loss- you should stop by /@backtothebarber and check out my theories...
How can i use your consultation and treatment
Pls. My story is like this video
I did every thing but ...
I need your help❤
Save my life plz , i cant live normaly any more 😢
Nice history from this man.
This channel is very useful. Always share this to whoever you can
Thank you for this video. Its really difficult to go through this as a young woman.
What a useful piece of video! I love you do not promote silly things like other videos do... i have been suffering from hairloss since i was 11... yes 11.... i have visited dermatologist 3 times over span of last 7 years.... and all of them tell me its genetics... and sell their prp or some useless suplemenets and some hair serum for a big cost.... none of these dermatlogists used microscope either... they would just recommend me some treatment and i have spent more than 4000$ in this.... the last section of the video shows me the harsh truth and now i am more than ever aware what these dermatologist want... its money.... they do not care what actually cause this stuff... I am going to go through all of your research paper and guides for hair.... there arent many dermatologist in my area and honestly i lost hope in them.... now its only me who can find about the stuff... thank you so much for publishing ur papers for free so any1 can understand their problems 1000x better than these scammy dermatologist people...
OMGGGG I have never gone to a dermatologist, but prpetty certain for a decade ive had Androgenic alopecia. BUTT there are also spots not at the top of my head where i have hair loss. I cant thank this channel enough. I will send an email over I want to thank you even more!! I will find the right dermatologist and get this sorted.
Ow maaaaaaannnn, I can't believe, that might be my problem too! I also 14yo started noticing hair fining... Alessandro profile is almost the same as mine... Thank you for sharing your story, I'll recheck with this in mind.
It was really fun watching this
Felt as if I grew back my hairs
Thank you
Best hair loss channel on YT
Great job Rob!! I am going to forward this specific video to one of our patients.
🙏 Thank you, I hope it helps!
@@PerfectHairHealth hair loss some particular area when scalp area itchying then falls some hair that area what is tha reason
Please tell me
Clinicians not caring about the patient is unfortunately standard, not the exception.
Specially in the cosmetic industry which includes hair treatments too
Because there aren't many rules and regulations in this field and mistreatment aren't that much life threatening
they only care about money...........
More often than not, it's ignorance, rather than apathy!! Most doctors do not keep up with the latest research.
A clinician doesn't need to care when treating something superficial like your hair loss, he has to follow the guidelines and the actual research, which sadly is still very ineffective regarding hair loss, but nowhere it is written that he has to care about your first world problems, especially when he has 100 patients a day, so stop gaslighting doctors so lowly for youtube likes, because they'll be the one there when people have problems
@@josephmueller3752 🤣🤣🤣🤣You never were the brightest bulb on the light post, were you now??
I am really happy for this guy from the bottom of my heart
I hope I could change my hair issue(Currently diagnosed with diffuse pattern hair loss since i am 20 years and currently 24. my regimen is dutastride every other day, minoxidil once a day and microneedling once a week)
Cheers to that guy.
How’s it been going?
God bless you❤
Any sides?
I hope its working for you to my guy🙏🏾
How use dermaroller
1-wash hair
2-dry hair
3-use dermaroller
4-dont use any serum, oil, drug for 24 hours
Is it correct✅
Finished the video. It is very moving tha Rob gave us this checklist to help us to help the doctors and be freer from low quality diagnosis
These photos of alopecia areata incognito look just like my scalp! FINALLY something that makes sense! THANK YOU! No dermatologist or endocrinologist ever mentioned this or was able to help me. I’m stunned right now…
i dont have an hour to watch the video. can you give me a quick rundown>?
Still need it?@@amandaburleson2035
@@amandaburleson2035 the person was misdiagnosed he actually had alopecia areata not androgenic areata so he treated it with topical steroid cream plus finasteride/ minoxidil
@@amandaburleson2035read description it tells the solution
Happy for you Alessandro!
The incidence of "Alopecia areata incognita" is not around 2% as thought. It is higher because there are no qualified specialist doctors to detect it.
I’ve often thought this. I read something like 95% of hair loss in men is genetic. I was thinking that some of this has got to be misdiagnosed.
Amazing story. Congratulations
One of the best information rob thanks
your empahsis on measuring results objectively for yourself is very admirable -- easy to miss
I just can say that you and your website and also your youtube channel is amazing 💛
thanks for being honest with everyone 🧡
society allways needs someone like you ❤
The western medical industry is shameful, they do these kind of things in all areas even ones leading to death.
Thanks Rob for your passion and integrity.
I had a hormone specialist run my blood work after a nasty breakup and a 2 year chronic telogen effluvium bout, I found that term and description myself with some research. She told me to stop looking things up myself. My blood work was all wacky she told me my liver could be bad and that I might have hemochromatosis! This freaked me out even more. Ultrasound was fine. Had she checked my cortisol levels (which I did myself, mail in test through an independent company) like a hormone doctor should, I would have had an acute case, instead I lost 70% of my hair in 2 years!
I won’t go to doctors ever again unless it’s an emergency surgery. Never again
My hair shed completely stopped and it’s growing back now, just trying to speed it up with supplements and micro needling. 3 years later all my stressors have deminished, and my nervous system is back to regulated. I spoke with one derm that told me it may not all come back and I’m simply not going to accept that. I wish we had the tools for scalp evaluations in your program so we could cut out the middle man! Alesondro and 10 years is horrible! Good thing he’s still young, those in their mid years or older don’t have that time to spare and the stress that goes along with it, no wonder he incurred an auto immune condition! This infuriated me as well. I’m so happy to see him much deservingly happy now!
I would love to join your one on one! Can you offer a two portion fee of your asking price, rather than paying at once? I too fell for the expensive PRP treatments amongst many others. $$$
wyd for getting back your hair? your information will help me somuch. hahaha thx
@@jodyv2734honestly sounds like reducing stress and psychological factors. Sometimes its exacerbated by use of stimulants. Othertimes its just the stress itself and the lifestyle that ensues.
I have exactly the same experience, 3 yeas of chronic TE and doing everything on myself, blood tests and everything
What did you do to lower cortisol??
@@stevenrapa4014 ALOT! Getting rid of all stressors after identifying them, ketogenic diet, ashwaganda, valerian, B1, and B complex, magnesium, exercise, cold showers, eliminating tv and people, sleep, once your stuck in that fight or flight, it takes work to get out of it. If you find your mind turning into a prison of doubt, fear and anxiety, you have to learn how to master it.
I am a female. My tests showed nothing out of the extraordinaire, save the "high" cholesterol I always had at the same level (240). The derm NEVER bothered to look at my scalp or asked me what I did for haircare and just gave me this diagnosis.
It doesn't run in my family. At the time I was doing something called No Poo... this was the culprit. Basically, it is a haircare routine where you don't use sulfate shampoo.
I realized this by remembering that my hair didn't fall when I used sulfate shampoo while I was dying it, which I had stopped 2 years before thinking it was the hair dye causing trouble.
I went back to sulfate shampoos everyday and my hair recovered (plus hair therapist).
Recently, the hair fall started again. At the time, I was researching iodine because I went carnivore. I wanted to know everything about it, including the need for supplements.
I watched an interview with a doctor about it as I know I have lower iodine as I don't eat salt. I supplemented 1.5mg and the side effect was the hair fall diminished significantly.
Two months later, I started primrose oil for perimenopause reasons and the side was the hair fall basically stopped.
Thanks willowy
question for the pimrose oil did you take that orally or on your scalp?
i think i have this, my hair started shedding when i was 8, diffusely. Was labled as male pattern baldness at age 15 by a dermatologist. I got a hair transplant at age 18 and have also been on finasteride, but im still shedding. Now im 27 and im going to another derm appointment on thursday. Thank you Rob and Wish me luck.
Good luck dude!
Ok bro
could be chronic telogen effluvium
Mine started when i was 14
@@johnthedon123is treatment avail for chronic telogen effluvium
I went to a hair health clinic for a consultation. I went in there and expected to get some kind of diagnosis. But, nope. She took a picture, showed me and told me ”you’re thinning in this area”.
THAT’S WHY I WAS THERE. Obviously I knew that my hair was thinning but I wanted to know what the cause was. But she just kept telling me all about a bunch of treatments instead of actually looking at my hair. Seemed very unprofessional.
I would have told her that. She clearly had no idea what she was doing.
I think most dermatologists just don't take it seriously which is very sad and annoying
so so relatable. Same situation for me. I did my own research as both dermatologists I visited where ignorant. Was so disappointed.
@@Rye-jl2fk she seemed like the surgeon type, not the "I know my stuff" type. Her arms were huge and she had a tan. I felt big money vibes coming off her. But not a lot of knowledge.
Wow so she was giving you options on how to fix it and you got upset? Genius
I always thought I had male pattern baldness (Androgenic Alopecia) since my dad, granddad and uncle all had/have it. But since mine started around age 15, and I’m 48 now and it’s only marginal loss in comparison, I’m now thinking maybe it is something else.
I wish there was a someone like Dr Rossi in the U.K
You done any research in that time? Trying to find someone in the UK too.
So much quality information
Grazie, Alessandro!
Very happy for this guy that he found a derm that actually understood what was going on. That said, it seems that most of us must get really lucky to find the right derm who will actually be able to identify our specific issues. Even though your program is good and you can give us the proper ammo when visiting a derm, if they aren't good, we can go see 10 different derms and may never get the proper treatment. Thoughts?
It's wild that no dermatologist ever brings up the fact that you need a specific enzyme in order for Minoxidil to even work!
What is the Enzyme you are talking about?
Why would they though? Everyone has sulfotransferase. A doctor doesn't bring up CYP2C9 when they prescribe you ibuprofen
They should let them know about the percentage of nonresponders
They also don't Tell you it stops working after 5 years
@Guus115 what do you mean?
I’ve been at a dermatologist hair appointment and he took a look at me for 1second and just suggested fenestride , which I already knew but I feel like just by watching your videos I “knew more than him”
Meaning that also my seborrheic is a cause for my hair loss and I’ve only been on the treatment for 1 month and a bit but I’m already seeing an improvement
For a long time i thought i had andro alopecia, but now i'm considering i dealt with scarred hairloss because of high levels of stress, dandruff, and scalp inflamation, also got misdiagnosed
i don’t think mines genetic.
few months back i started losing my hair. can you help me with that?
like the do’s and don’t
@@osaretinosifo1280need some answers too
How did you fix it?
@keke772 I didn't, basically you can't. My scalp basically killed the hair follicles, what I did was to manage inflammation and it stopped getting worse, but was lost, was lost... Now I gotta get money for a hair transplant, and that's it
@@osaretinosifo1280 not really sure, if yours is due androgenic alopecia, only take dutasteride or finasterida and maybe minoxidil and u will be fine, if it's another cause, you gotta seek help to know exactly the cause
I've found that regarding hair loss, dermatologists are pathetically lazy when it comes to an evaluation... like they can't be bothered; so they just offer finasteride and send you a large bill for them doing nothing.
There are great dermatologists out there, but I tend to agree. The average hair loss patient often feels dismissed by their dermatologist, rather than empowered. I get that the inclination is to just diagnose with "AGA" and prescribe finasteride, as that tends to work for most adult cases of male hair loss. Even still, it only takes a few minutes to thoroughly examine someone's scalp, and if anyone had done that for Alessandro (and had the knowledge to run a differential diagnosis), they could've saved him 10+ years of frustration.
Botox is good as per new research for male pattern baldness
Exactly
Dermatologists have failed me in the past. Bad into. Only using water & moisturizers & no cleansers are the only positive results for me. Cleansers & soaps break me out no matter what kind.
Benzoyl peroxide only aged my skin it looks like. My advice given was the opposite.
Personal trial and error got me to have rare & small break outs, not cystic acne.
So much bad advice on the net & from professionals.
Good vid, goo interview, good research and good data! You confirmed what I thought for years. I was told by a physician, a dermatologist, and then a hair transplant guy to go Minox/Fin, at 30 with slight diffuse pattern starting. The fin affected me by keeping hair thick and grey-less for ten years, a doctor later wasn't impressed and thought it was affecting other things so I stopped. I stuck with Minox and as hairloss spread, I started thinking Minox wasn't helping and possibly hurting, but I still take it. The part you confirm ios that as I got closer to transplant options, I hesitated when they said you need to go back on Fin. Also, I see a of of bald heads and many have the thin FUT strip scar...implying something was tried and didn't take. All this stress and hormone noise and I'm starting to think it's blood flow, which I have issues with and probably did all along. Healthcare is useless. Whoa, thanks for mentioning PRP. I was going to ask about that.
This is a phenomenal video, well done and thank you!
This guy is great, I can’t say good enough things about him
i love your videos , and they have made me learn a ton of stuff i would have ignored otherwise , i've been on fin min for couple of months now , but as you mentioned , its very difficult for me to analyze me progress , also can you please make a video on what all tests one must take to identify the type of hairloss , as there's a lot of confusion and dermats usually overlook it .
Just add corticosteroid to the finesteride . Saves you an hour of the worst windbagging on the internet . Man I hate sales people parading as specialists .
This is a great video. Makes my blood boil. Pretty sure i have same condition. A derma did tell me he did not think it was Male pattern baldness. And my ht surgeon even said i had an “unusual pattern”. Shrugged and then sent the goons to break down the costs for ht. Yet ive had massive fluctuations in hair. I need to look into this! Thank you for sharing!
Amazing video and thank you Alessandro and Rob for sharing it with everyone.
I have a question. Clobetasol is supposed to be antiflammatory via vasoconstriction and collagen production reduction. Isn't this then conflicting with minoxidil and microneedling effects?
Thanks!
We have a video coming soon that touches on this topic! Basically, the debate over whether "blood flow" is/isn't involved in the balding process tends to get diluted into arguments over vasoconstriction vs. vasodilation, when in reality, the discussions need to involve the mechanisms by which blood volume changes, along with whether those medications promote angiogenesis, blood vessel fenestration, etc. in microcirculatory networks that directly support balding-prone hair follicles.
U cant use Clobetasol long term anyways, higly toxic and anti androgen thing, only used third line defense treatment when u had a spike in cases of scarring alopecia, for a couple of week Max, there are even better treatment for 1st and second line
@@emilianomederoswhat is better
Hi I am a woman who’s been experiencing hair loss for over two decades! I am going bald and am desperate for some real help. I was also diagnosed with Androgenic Alopecia but always felt that the so called experts were missing a link and Alessandro’s testimony really struck a chord with me. My brothers still have a full head of hair despite my dad having the typical diffused hair loss but still has hair and he is 85 year old! Can you please direct me where I should turn to as a woman? I am in the U.K. Thank you for all you do to educate us.
Has your thyroid, iron, ferritin, vitamin D, vitamin B12 and sex hormones been tested?
Everything needs to be optimal and not just in range.
Doctors usually go for the most likely cause, because it is most likely the case, especially if it does check all or most of the marks. Not many look further thinking what if it's not it and could it be something else? I heard a saying that most mistakes are made when a person gets overconfident and feels that they know it all. It's not that hard to overlook small nuances when you think that the case is obvious.
I watched this instead of my psychology class
Hey rob, could you potentially do an in depth video of exactly how to take scalp muscles out of contraction and overall reverse aga for people who don’t use drugs. Thanks
This comment section really speaks to me....
About a year ago I switched to a new dermatologist, and understandably was asked what was the reason I was in for. I mentioned my hair loss among other things. I was around 19 years old and had a full head of hair the year prior, but lost a fair amount due to months of prolonged stress and health negelecence. This man takes a couple of photos of my scalp, asks me some very basic questions and straight up says " You have a case of alopecia". Obviously this scared the crap out of me because, huh? He didn't even touch my hair, he just saw the thinness of it and saw very basic indicators like a slight receding hairline.
I am now finding out theres more work to be done, all on my own accord. Allergies, vitamin deficiencies, and other conditions were never brought up to me yet should have been some of the first bases that could've been covered. I have to avidly ask my derm/primary doctor for these tests. And so far, I've had times of genuine progress with my hair loss. I sadly have to cut it completely as the length of it meant my months of stress/negelence caused it to become damaged farther than i anticipated. I really wish I could've found a video like this a year ago, however im glad I have before my hair's gone completely:').
It's really concerning and disheartening that some dermatologists don't take and treat male pattern baldness that seriously and even a surgeon wouldn't make the effort to do a proper scalp examination before operating.
Great info! Is Olux something Alessandro has to apply for the rest of his life?
However long he wants hair
@@aboveaero My doctor says it is not safe to use high potent topical steroid long term. He's not sure if once a week is OK for instance for 4 months.
This is crazy! But do you know what is even crazier?
That people with actual life restricting conditions with real symptoms are experiencing the same. Suffering for decades. Not being able to live their life, because doctors are too lazy like he experienced.
I dont want to put his experience down, he really shouldnt have experienced this, but just imagine how people suffer with misdiagnosed illnesses.
Thanks Rob for helping him and us out.
I understand where you're coming from. Someone close to me suffers from chronic pain. For 10 years, they were told by doctors that their pain was psychosomatic. In reality, it was a spinal cyst growing & pressing against nerve pathways. For a decade, no one ever bothered to do an MRI to rule that out, which still baffles me.
I also acknowledge that doctors are forced to operate in a system that doesn't really allow for personalized medicine at scale, so it's not always fair to blame them for a system's shortcomings. Having said that, people paying $500+ out-of-pocket for a private dermatologist to diagnose their hair loss - and having that dermatologist neglect to do a scalp exam - is 100% unacceptable in my eyes. There's much to improve!
@@PerfectHairHealthlisten even though they are operating in the same system few docs actually find the root cause and most just mask the symptom. Some docs are more human and capable than others
some life changing info there, thank you
Just what I needed! I have alopecia areata and have only taken finasteride. I thought it is just not working anymore. I am having more diffused hair loss. This was all brought on from my diagnosis of Hashimoto's Hypothyroidism so I definitely have an autoimmune problem. I will rush out immediately to see if I can get the Clobetasol. Much thanks!
I think in most cases it is a combination of factors that contribute to hair loss which is why its such a difficult thing to treat. Minoxidil was extremely irritating on my scalp and finasteride seemed to have almost no effect.
Hair loss is lymphatic stagnation. DHT etc all stems from this
@@Insp.CountMortisWinshipKlaw it's just not that simple. stress, genetics, hormonal changes, nutrition, haircare, certain illnesses can all have an affect on hair growth/loss.
@@camhunts Yuuve been lied to. It is lymphatic stagnation from eating cooked foods. I had psoriasis and arthritis, two incurable diseases according to the experts that you listen to. I ate nothing but raw fruit for 12 months and I am cured. Cooked foods are not natural, they are acidic and cause a mucus reaction from the body .
@@camhunts you forgot to mention the most (I repeat the most) important cause of them all is: SEMEN LOSS....if you lose it regularly or frequently, your hairs starts thinning super fast.....or gets discolored etc....I suffered baldness, while my other friend suffering white color hair lol
Switch to a shampoo that has no alcohol, free of sulphates.
Really promising video
I'm happy he is finally growing hair back. But most of us won't go 10 years of searching. I hope testing and algorithm can diagnose faster
Awesome story! After watching, I collected my fallen hair for 3 days: 80% are very small/very thin, 19% are medium size/thin and just 1% is long/thick. Rob, do you think these numbers indicate Incognita? Thank you!! (I've been fighting for 20 years...)
Hey Rob, thank you so much for this video, super informative. Im a 21 year old male with a nearly identical experience to alessandro with my hair loss starting at 14 and being told by multiple doctors its just normal AGA, yet finasteride and minoxidil have little effect on me. Do you think its worth going directly the same route as alessandro with the clobetasol or should i consult a specialist first? Also, do you think clobetasol can work by itself or is fin/min also required? Thank you for all that you do.
I think it's definitely worth seeing a dermatologist who specializes in hair loss disorders for a better diagnosis. Clobetasol might work if you're exclusively dealing with alopecia areata, but if you also have AGA, other treatments are also likely needed.
my story is not 10 but 30 years searching for the end of this nightmare... oral minoxidil works but only on my sides bot NOT ON TOP... could it be alopecia areata incognita?? dont know cause after 15 year of being misdiagnosed i stopped goint to doctor and i try my personal auto treatment--- and i am still in search for my solution... and perhaps the solution is this... im going to try CLOBEX SHAMPOO here in Spain to see if my problem is that kind of alopecia.... ill keep all of you updated...
very informative info, great stuff
Thank you!
After $12,000 worth of my $13,000 worth of hair transplants fell out, hair on eyebrows almost completely gone, hair under arms reduced 75%, hair on arms legs etc. reduced in some case to zero, and doctors being of no help at all, I gave up.
You have to go with your own intuition my friend and become your own doctor. There is a cure for everything out in the earth
Seems like an inflammatory hair loss or telogen effluvium rather than androgenetic allopecia.
time to be a doctor bro
Autoimmune disorder or problem with adrenal glands, but like the comment before me said, go with your own intuition. I solved my androgenic alopecia, DHT was 3300 Pg/ml which is an insane amount, stinging nettle root + saw palmetto and i'm sitting at 300-400 pg/ml and I've had 0 regression it's been over 3 years.
@@Reknilador Can you tell us more about your entire regimen?
I m going to the doctor next monday because of shedding, I ll bring this up, since I m also only sheding long and thick hair from my scalp
And what's the doctor supposed to do lol, they don't know shit
Please make a video on low light laser therapy devices effect on androgenic alopecia along with thyroid problem conditions
Wow really a different angle of thinking 🎉👍 tnx
Ok. So, see a GP first. Get bloods done. Maybe hormonal? Take findings to a dermatologist/ trichologist and figure it out from there? I haven’t started treatment yet but got given details: 7% Min with 0.25% Fin with Retinoic Acid (topical), Saw Palmetto capsules, Red light. Apparently I have Stage 4 Androgenetic Alopecia
Hello. I need help. All dermatologists have told me I have androgenetic alopecia but I have tested my DHT levels and they seem pretty normal. I have hair loss in the scalp which I have slowed down with min and finasteride, but I really doubt what I have is androgenetic alopecia. How can I see a true specialist dermatologist?
A few things that might help:
(1) Serum DHT levels are poor predictors of scalp DHT. So you don't necessarily need to have high blood DHT as part of an AGA diagnosis.
(2) If these treatments are slowing down your hair loss, it's possible that AGA is (at least) part of your diagnosis.
(3) On average, minoxidil and finasteride take 4-8 months and 18-24 months, respectively, to show their full results. So you may need more time.
(4) Search for dermatologists in your area who (a) specialize in hair loss disorders, (b) regularly publish papers on hair loss, and (c) are attached to a teaching hospital or university.
@@PerfectHairHealthRob you really a good person ❤️, providing free information on internet ❤
@@PerfectHairHealthorally or topical ?
if i was him, I'd give up and accept my fate he was determined to achieve his goal, and he did it
I agree with the comment of dermatologist are really a waste of time for alopecia. I mean, its not really important to them. I saw two different dermatologist and both did the same thing. They looked at my head for about 5 minutes, said its alopecia and basically told me to take Finesteride. And that's it. They can't and have no way of fixing it. But no one asks about health issues. Blood tests, nothing. You really do have to do your own research. But at least now I know Finesteride takes two years to show any improvement. I was thinking it was not helping. But I will give it more time.
I think this is what I have. It started with extreme hair loss plus pustules on my scalp during a time of very high stress in my life. The hair went but the pustules persisted, only thing that would slow them was antibiotics. To manage I need to keep hair buzzed and use dilute bleach on my scalp weekly. 2 dermatologists did not know what the cause was, samples taken showed neither excessive amounts of bacteria nor serious strains of bacteria such as staph. The third dermatolgist thought it was auto immune related. My thinning is very diffuse and the hairline is maintained which is odd.
My hairline is still there but my hair are thinning badly too, it truly sucks and I am wondering if it even is androgenetic alopecia
Wow. Incredible video and what an incredible community you’re building.
I have a quick question. More to get your opinion.
I’m 40 and was recently diagnosed with sep derm. My scalp was red and irritated going back to July when I was hospitalized for appendicitis that developed a massive abscess. Altogether took over a month to drain the abscess and be released. During that time I could barely wash my hair properly and my hair was very dead feeling. Fast forward the last ninth and I started losing big amounts of hair all over my scalp. The dermatologist is saying once I get the sep derm under control my hair will grow back. Mind you I’ve never had a problem with hair loss or thinning until now.
What do you guys think?
You might be facing telogen effluvium resulting from a number of factors -- namely, seborrheic dermatitis and stress related to your appendectomy and hospital stay. In some cases, this kind of shedding can also unmask the earlier stages of androgenic alopecia. I'm sorry you're going through this, and I hope you see recovery.
@ thank you. I did not have an appendectomy though. My appendix ended up healing back to 100% operational after rupturing. Extremely rare I was told. I did developed a large abscess within my abdomen. I had to go on around the clock antibiotics for a total of about 6 weeks (which the dermatologist also thinks had an effect on killing and drying out my hair) then I had a drain put in to drain the abscess once it began breaking apart. Surgery was not an option since I’m still in remission from last years cancer battle. Having the drain in also meant not being able to fully shower normally which included washing my normally super fully, long hair. I went to a salon a couple time to have them wash it but mainly I kept it braided back all the time so to not worry about it while dealing with having this tube and bag attached to my body around the clock for a month.
So I am hoping all those are just the factors and the perfect storm that’s lead me here months later. 🙏
I appreciate your response and input. Means a lot to us all. ❤️
Im too afraid to go back to it. But my ketogenic diet unlocked something at one point. I had massive hair growth while 1yr strict no cheating keto on min/fin. I havent been able to repeat it. Theres something there. Not saying keto science is settled but it was absolutely no accident. It was keto 3 meals a day until 1yr, min/fin, daily 4-5k walks in sunny los Angeles. I had massive growth. Zero delusions or exaggerations here. Wife rarely comments but was like woah what is happening. After years of struggle. Then i quit keto and hair loss absolutely came back. Im gonna try to find solution without keto but may have to go back. 😢
Could be insulin related
@@boblully5053 thats a good point. Ive noticed circulation issues my whole life but never really complained to docs about it. I will have to really hammer into this with my internal medicine doc. My tests didnt alarm anyone this year. Although some out of range ( i forget), they assured me id be fine. And may have blamed on fact, which i warned, i accidentally ate and snacked the same of blood test.
@@Goodhello369 insulin resistance is known to worsen hair loss it makes a lot of sense
Carnivore diet made a big difference for me. 2 years now and I haven't lost anymore and hair quality is much better. Noone would even think I'm losing hair now.
I noticed big difference too with a solid diet, still had carbs, but I also ran 1 - 3 miles daily and did hill sprints once a week and lifted. Hair grew back very thick but took at least a month to notice differences
the pain in his eyes
Where can I found a doctor in Spain?
Alexandro's history is similar to my son. He starts losing hair at 13 and visit 4 or 5 doctors yet. Now, 4 years later, he is still losing hear and the treatments don't work
Any idea what the yellow dots are? Are those sebum plugs? Ive been trying to figure out my hair loss for a while
Sorry, I didn't understand, can you please tell me if a person is not yet taking finasteride and has a low IGF-1 level, then most likely he will react badly to finasteride? Or did you mean when a person is already taking finasteride and has a low IGF-1, then does that mean he reacts badly to finasteride?
At the 45:03 the left side picture looks just like my scalp now. It's real white. Its like there is a cast over my scalp. I'm going to talk to my dermatologist and show her this video. She said thaty scalp looks healthy. Even I know that my scalp shouldnt look that white. Thank you for this video
Any body here know of good hair dermatologists in Ireland? I've been to my doctor and a dermatologist once and felt very dismissive and no real investigatory work or "proper" questions asked. Asking as a 43M who's been batting hair loss since my early 20s.... got 2500 graft hair transplant 10yrs ago and looks terrible now (stopped taking finasteride and minoxidil as was sold the lies that transplanted hairs are not affected by DHT)..... and wish I found this channel 10yrs ago, would of saved me a lot of soul searching, thank you
You need to keep using minoxidil and finesteride.
I went to two dermatologists for hair loss. Neither one did any blood work, scalp biopsy …… nothing. They both just prescribed Finasteride and told me it has no side effects for women.
I never took it cause I just wasn’t sure about it.
Meanwhile - I have hashimotos, low ferritin, low vitamin D, low B12, insulin resistance and liver problems.
I self ordered a DHT test and it was low, not high.
Hey Rob, could I have contacts of Alessandro? I live in Italy and I am a foreigner here who does not have a public insurance, and few private dermatologists suggested me things that actually did not improve anything but just stole a lot of my money. So, I would like to contact Alessandro to ask on Olux and strategy to apply it. Things he described seems very similar to my case. Thank you if you could share contacts.
Hai trovato i contatti di Alessandro?
Im on my second transplant after the first one thinned out im hoping this one works although i stopped using minoxidol i will stick to it this time i am 10 days later after second transplant glad i found this channel.
Use a dht blocker buddy
Rob, I know this might sound dumb, but which of the two do you think gives the most accurate diagnosis when it comes to hair loss, dermatologists or trichologists?
Trichologists cannot legally diagnose someone, unless they're also a physician. In most cases, dermatologists should be your go-to for hair loss diagnoses. But in reality, dermatologists and trichologists vary so much in quality that I have a hard time generalizing. I'd prefer to evaluate on a person-by-person basis.
Dermatologist who's at same time thricologist, its a major in most countrys, USA very begin in that subject
Great Insights in Video Thanks For Making it Free
Please Make Videos on
1. Post Hair Transplant Care and Regime.
2. Research on Traditional Ayurveda oil available in India
3. Research on Redensyl, Procapil, Anagain, Capixyl, Baicapil.
4. Oil Massage Like Virgin Coconut Oil
5. Parabens and Sulfates in Shampoo.
6. Use of Hair Supplements without doing blood tests.
7. Long term Use of Alcohol Solvent Base Minoxidil
8. Does Applying oils/minoxidil/Solution and Tapping on bald Scalp make any Difference Instead of Just Massaging.?
Thanks Again for Collection All resources on one platform with perfect organized order.
Hi, what was the protocol of using Clobetasol propionate? Apply once a week for the rest of life? Do you need to stop using it for some time once in a while?
It usually is prescribed to apply two times a day for use of two weeks max, so I'm very interested, please give more info about the protocol.
Given that his doctor told him to do it just once a week instead of twice daily must be the right dosage for him plus it would have been spread out for a longer span of time because of how less of a frequency it was used for.
Can anyone tell me what form of retinol you should use with minoxidil? And if tretinoin being a cream. How do you use this without making a mess?
Pleaseee s.b. a swer this question and type my id so i would notice.tnx
When I was 20, I noticed a "dot" at the back of my head that seemed bigger than usual, though the rest of my hair was still thick and jet black. With balding uncles on my mum's side, I assumed it was my destiny. By my mid-20s, a "runway" appeared down the middle, but since my hair was still thick and dark elsewhere, I wasn’t too concerned. I’m now 49, and it’s still the same hair, and that kind of motivates me because my buddy who has a full head of hair in our early 30's now is bald while I still have the same hair and look years younger than him. I am now motivated to fix this runway because I want to look good even better in my 50's.
Here are a few things I’ve learned about hair loss that might help others:
1. Family history isn’t everything: The belief that balding on your mother’s side determines your fate isn’t necessarily true.
2. Nizoral may have helped: I’ve had a severe dandruff problem since my late teens and have used Nizoral regularly since 2000. I’ve heard it may have preserved my hair and prevented further loss?
3. Shampoo habits: I rarely use shampoo, but wash and massage my hair regularly. Some suggest that too much shampoo can cause hair loss, so perhaps my habit of not using it often saved my hair?
4. Alopecia Areata: About 10 years ago, I noticed a bald patch at the back of my head the size of a quarter. Rogaine worked to grow it back within a few months, and it’s happened once more since then. So now I know i have this type of baldness especially since my runway looks exactly like picture A in minute 37:50 ish.
5. Plans for improvement: I’m thinking of trying micro kneedling, clobetasol, biotin, saw palmetto, and saw palmetto shampoo to see if I can address the "runway" on top.
let us know how it goes =)
Acutain caused my hairloss. Miniaturized my hair. No acne but now going bald.
Same here😢
Same. I shed 40 percent in a year and it's not grown back. I'm a woman. Now on oral minoxidil and spironolactone and still no change. I even got a microscope on ebay and can see that there's ZERO growth.
@@gdaymates431 I can relate. I've seen a few dermatologist all say it's male pattern baldness. They don't even take a close look.
They seem offered when I speak up and say I know it's from accutain. I've even gotten to a point of demanding a biopsy.
How long did he continue to use the foam? like fin-min, once a week for life ? or did he use it for 6 months-1 year and quit?
Hi doctor, thank you for the video once again ! I was wondering, can microneedling exhaust the skin ? like I mean, we're not made to heal from wound endlessly during our life, I think that, obviously, skin does have his limit too.
And +, can the micronnedling damage your hair ? Like, even with a dermapen, it's a ton of needle that go against your hair every week, it should damage them right ?
I follow someone who has microneedled for 16 years (Claudia Glows), and her skin has only gotten better. You need to give your skin time to regenerate in between treatments. In general the longer the needles the longer the break between treatments. So from 1 week break with short needles, to 4 - 6 weeks for long needles.
did I miss it? What was his treatment?
Hey loved your content
Btw are you looking for video editor?
So is it safe to take olux if we are experiencing the same symptoms as this guy?
❤🤌🏽 Thanks for sharing.
It’s about the money. These professionals should know. Hair loss is big business.
One question, I didn't understand the difference between retinoic acid, vitamin A and tretinoin. Which one works best, and where can you buy them?
Hi, thank you for the this valuable information. Question 1: Is retinol going to activate minoxidil activating enzyme as effectively as retinoic acid does? Retinol, for my understanding, will be oxidized to retinaldehyde and then to retinoic acid in the scalp. So in my minoxidil product retinol should do the sulfotransferase-enzyme activation/enhancing effect. Question 2: Should you test this autoimmune treatment for your scalp even if you are somewhat pleased with your minoxidil+retinol+topical finasteride regime? Clobetosol (Olux foam) shoudn´t be harmful to try out for your scalp to see if it would increase your hair recovery and your general hair regrowth process. Thanks again!
Stupid, u cant use clobetasol for long time, just couple of days, clobetal doesnt regrowth hair, only helps if u having syntoms from scarring alopecia
I was dealing with inflammation in the scalp for some time, redness, burning sensation, , dry skin, and this came with hair loss and shedding as well. Went to a dermatologist who took a look for 5 sec, and said is seborrhoeic dermatitis, and prescribed me a shampoo. This worked for a bit but after few time usage it got worse. Went back and she described me some sort of spray. I used it one time on my scalp, and I literally had a head ache for 1day... I did some research and this spray was for when someone is stung by a bee for example , and was highly inflammable, not even for the scalp. I was furious ofc. Told her in a nice way to f herself and that she was not capable of providing me assistance.
Found a new dermatologist who also said it was seborrhoeic dermatitis, and he said i was dealing with general hair loss, for which they of course had different options to fix this $$$. Anyway he prescribed me another shampoo and scalp serum. Same result, it worked for a few times but than it got worse.
At this point I was done with this and decided to go a doctor.. He said it was a scalp infection (fungus) and with only shampoo it would never go away. Got some heavy oral medicine for 2 weeks and within a few days I could tell the difference. My scalp was clearly more calm, redness was gone, and no more burning sensation. In the meantime I wasd doing some research into infections, and what foods, herbs and vitamins would fight candida/fungus in the body. I finished my prescribtion 1 week ago, and Im focusing on my diet, and get all the food to get rid of this fungus. I have high hopes my hair recovers as well.
In todays world you cant blindy trust anyone anymore, its sad. Its all about the money. Im glad we have these kind of videos and other information online so one can do own research.
You should do some bloodwork, before and "after" using any DHT blocker.
DHT, estrogen, testosterone... What else?
I started using minoxidil back in 2023 October, and used it for 5 months & after that i stopped it for 3 month my hair was doing fine with minimal Daily hair shed.... But I donno why I deicided to restart using it.. When I used it for the first time, my hairfall stopped within few days & now I am re-using it for almost 1 month and It's not working like previous time my shed has been increased
Before now i didn’t know that it's a life time process and now i am losing alot of hairs due to it. Now i want to stop applying it.
and I WANT TO KNOW THAT THE HAIRS I LOST DUE TO MINOXIDIL WILL THEY BE RECOVERED IF YES THAN HOW MUCH TIME IT WILL TAKE?.
Are you the same guy that proposed the mechanical stress theory of balding? Skin not being flexible and distended leads to hair loss?
Hi Alessandro says he was told to use Olux foam once a week did he only use this to regrow his hair or did he use finasteride and Minoxidil and also does he have to use Olux foam once a week forever?
Hello dr, I am a 16 yr old male,my dermatologist said that i have telogen effluvium but now i have lost 50 %or more of my hair and it has been 6months since it started to fall.plz can u tell me what has happened to me??.
Look at iodine and hair fall.
Meaning
?
what did the guy have? what helped him? very briefly in two sentences please
See min 40.
My hair are too thin. And not much but i have full hair line. There are baby hair, that are not growing, on front and crown area.
Is it androgenetic alopecia?
very high probability if any of the parent or a member from any side has aga. Better consult a derma and start with the minox + fin asap. Also have a vitamins and nutrient test
Would you consider the brand “ordinary” retinol 1% to be effective with minoxidil? Also, retinoic prescription strength is a cream. How do you apply these two concurrent?