Nizoral Shampoo For Hair Loss - THE TRUTH
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- เผยแพร่เมื่อ 30 มิ.ย. 2024
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When it comes to fighting hair loss, we're all looking for a low-cost, low-risk, high-reward treatment. At first glance, Nizoral® shampoo (ketoconazole) appears to fit this option...
But the truth is that Nizoral® works way better for some than for others. And fascinatingly, there seems to be a set of scalp conditions that correlate with hair loss... and if you have these conditions, you can often tell if you'll be a great (or terrible) responder to the shampoo.
This video dives into the science! Here are the time stamps:
0:00 - What is Nizoral?
1:37 - Microbes: how they hurt our hair
4:06 - How does Nizoral work?
5:30 - Clinical studies
7:20 - Nizoral: the bottom line?
7:54 - Takeaway #1: use a 2% formulation
8:32 - Takeaway #2: apply as directed
8:55 - Takeaway #3: don't quit too early
9:18 - How to know if you're a good candidate
10:05 - Before-after photos: Rabih
10:59 - What if Nizoral makes things worse?
About Rob English:
-Editorial board member of Dermatology and Therapy
-Medical editor specializing in hair loss disorders
-Peer-reviewed publications: perfecthairhealth.com/publica...
Get a free course on strategies for hair regrowth, naturally and conventionally: perfecthairhealth.com/email-course/
What a shitty click bait thumbnail
Can Ketaconazole make hair loss worse if people who aren’t a good candidate use it?
889
This is the best informational channel on the subject! Just facts and science, no pushing or sponsoring products. Thank you!
It’s crazy how we still don’t have a cure for hair loss
It’s epigeneitc.
That science is new.
But it’s all about your environment and exposures triggering your genetic predisposition
I'm sure there is, but there's way to much money to gain in the hair loss department regarding rogain and monoxidile and others
@@richeyrich2203 can you elaborate more?
@@richeyrich2203 you bring up a good point. Some races don’t have hair loss to the extent that others do and just like the difference between these races, a lot of it has to do with exposure to their environment over generations
We do. It's money lol
Great info packed into a perfect length video. Thanks!
Your insight and detail are very impressive.
Thanks! Very informative, once again
Can’t wait for the video on the autoimmune conditions, as I tried an epigenetic test and it suggested this may come from the gut (and to avoid certain foods, as well as checking on parasites).
Doctor even said when people come complaining about skin or hair, it’s usually something about the gut (since english is not my 1st language, hope I explained it all correctly…)
This was very detailed oriented and insightful. Thank you so much!
This is a fantastic video. So well explained. Thank you. I am now a subscriber.
I have really enjoyed your video, great content and everything is thoroughly explained
The time I faced hair fall, I followed all these to effectively control it:
Incorporate hot oil scalp massages into your routine.
Do not use hot water when rinsing your hair.
Protect your hair from too much sweat.
Use a wide tooth neem wood comb to detangle wet hair.
Decrease your sugar and unhealthy food consumption.
Use natural anti hair fall shampoo and hair oil like Littleeextra coccconion.
Maintain a positive mindset for general well being.
Bot
stress , junk food , lack of sleeps , hormonal imbalances are the biggest factors for hair falls. I am trying to address each issues -by more breathing , meditation, exercise , herbs , monoxidil, etc.
Masturbating too
@@Corey-iw4ot lmao
Great information! I will gibe it a try, since I notice some redness ocasionally and my scalp is very sensitive to sunlight...I would love to hear more about the approach for autoinmunity issues. Thanks a lot
You can clearly see at 6:48 that it says the 1% Ketoconazole increased hair shaft thickness and decreased shedding, also increased active anagen hair despite not increasing density.
Good eye.
@@BryanSMuddagree
It clearly says “ At the end, hair density was unchanged, although hair shredding was decreased…..”
Yes, it says the 1% KTZ increased mean shaft diameter 5.4%. And then repeats this in summary in yellow highlight.
Thank you for this very well made video!:) I will start trying this product out
Good video, I came up to the same limited studies upon my search. Also the same conclusion as its cheap and falls under the why not category, plus even if you don´t have excessive or visual signs that you need it, in some studies the related the MPB to some micros. The question tho remains, how to use it ! The frequency suggested on the bottle is for treatment of fungus and other infections as mentioned. It also says it should be used at that frequency in the beginning and for a limited time only. (the frequency should drop to once a week after the treatment if my memory serves) Thus if you have any input on how often to use it, that would be really helpful! .
Thank you so much for this! IT's so informative!
Informative, thanks!
You are the goat of hair care my friend. The hairy goat
Nizoral works like magic. Whenever my scalp is itchy or dry it works like a charm and all the residue just washes out. I've only used it twice this year but it was good.
Hi.
I was just prescribed this 2% shampoo for Seborrheic Dermatitis. I was hesitant to use it. Reason being possible hair loss as a side affect.😮
I realize now that hair loss is the beginning of entering the growth phase of using hair growth products. I am a 61 year old woman. I have received great results from using 50mg of Spironolactone along with 6mg (1/2 tablet) of oral minoxidil once a day. I did not want to lose the growth required during this last year. Amazing growth!
I feel much more comfy with using this shampoo after
enjoying your informative video.
Thank you!
Yeah, I would start off using it one or two times a week and make sure you leave it on your head at least 5 to 7 minutes or so.
I can't speak for anyone else obviosuly, but for me, this shampoo was a godsend to help reduce itching and side effects of minoxidil.
Can you do an autoimmunity hair loss video. Very interested! Love your videos!
Great video. I will try it. Thanks
Informative, articulate and very helpful. Thanks for uploading this. Will be trying ketoconazole 2% shampoo starting today.
Awesome! I hope it helps you out.
How’s it working out for you?
Any update?
He died
@@othonkachthe fucking blew up 😭😭
underrated channel
How do we know if we have scalp inflammation, (I don’t have dandruff) and this suitable for us? Thanks for the video.
Romero y clavo de olor, se hierve se pone en un atomizador y te lo pones todos los días sin enjuagar. Nunca pensé que era posible pero si mi cabello dejó de caerse 😊
Extremely informative. It seems like I’m a good candidate. Have scalp itching and scalp flaking with dandruff. Diagnosed with pattern hair loss at just 17 ! I turned 18 last week and I’m on fin and minoxidil. Nizoral should be a great addition. Thanks for this amazing video.
Thanks! I’m looking forward to your progress!
damn dog im sorry ur dealing with that so young
@@solidstatejake it’s fine. Was hard to deal with it at first. But it’s somewhat improving? You start looking down on yourself and self esteem and confidence drops like rain. It’ll improve eventually. I hope :)
Any update ?
@@zxerks I’m not very consistent with it. It really dries my hair out. But it seems to be effective. Will be consistent once I get a proper routine on.
Nizoral is great for your scalp, but rough on your hair. Wish they had a conditioning formula.
Rob, what was the antimicrobial regimen used to generate those very nice results?
Thanks for your video, I was thinking of using the shampoo.
I’ve suffered from tinea versicolor for several years which is an over growth of fungus on the skin. Could this make me a good candidate for this shampoo?
Perfect video👍👌👏thank you
Great review Rob on the Nizoral shampoo! I have a lot of skin flaking because of the daily use of minoxidil!
Thanks! Have you tried a conditioner to see if that improves things? Or perhaps switching to a minoxidil brand that doesn't contain propylene glycol? There are a lot of minoxidil products formulated for sensitive scalps, and perhaps that might help reduce the dandruff.
@@PerfectHairHealth At first I used the minoxidil foam from Keeps but now I'm going to be using Rogaine permanently. Usually, I just use a hair brush in the shower to clean the residue off with some shampoo. I like to remove all the debris on the scalp too so that the LLLT lights can penetrate the scalp better.
@@illimattic That's not skin flaking nor dandruff. You are just scraping off the dry propylene glycol. If you switch to a prop glycol free minoxidil, you will see a drastic reduction in the said flakes.
@@skillzset1066 where do you get minoxidil without that ingredient from?
@@illimattic Depending on where you live. Just google propylene glycol free minoxidil....
Ketoconazole in addition to being an anti-fungal is also an anti-androgen which may also explain some of it's hair restorative effects.
He mentioned in the video at 6:00 but says its debated whether ketoconazole is actually blocking DHT or not
@@bashscrazy Haha you're right he sure did. Not sure how I missed that part. Thanks
@@bashscrazy It doesnt block DHT
@@iDTecKtit’s debatable. Maybe it does, maybe it doesn’t. How can you be so sure it doesn’t?
@lexwolf303 lol because it's anti fungal and it can help that way, ie hair growth due to a scalp issue, don't you think the company would know if it helped with hairloss and DHT levels?
Hi, great content! May I ask what if it’s only symptoms of excess sebum and heavy hair shedding? Would this still be a good candidate?
Very informative video!
Perfect Hair Health hello...
Does it matter if we buy nizoral or another generic? No nizoral in my country! We have something similar which contains ketoconazol 2%!!
Thanks
Awesome video
What if I only have dandruff and a bit of itching? Would it be beneficial to use this shampoo maybe only once or twice a week to treat hair loss? Since my microbial problem seems to be less severe...🤔
wow super information, thank you so much Rob!
Great video.
Thanks!
rob youve got such a great head of hair
I tried the 2% ketoconazole shampoo, and it worked right away. It's amazing. For over 10 years, I thought I had autoimmune eczema or psoriasis, but it turns out I actually had seborrheic dermatitis caused by Malassezia fungi. Thank you so much.
You grew hair???
Wow,l heard this shampoo was meant to be good for hairloss,but after reading the comments think l will leave well alone..My hair is quite fine,no dandruff,just thought l could stimulate growth but this appears the opposite.Will leave well alone.Great video though.
Canadian here, 2% Nizoral are Over-the-Counter here, but Finestride isn't a OTC here. Nizoral absolutely helped me with my dandruff and itching scalp, so now my scalp is less scarred.
What happens if you stop using it? Just wondering
@@randomfellow1483 Well, there hasn't been any noted effect. However, I do see the dandruff & itching showing up in winters. I only use it on a bi-weekly basis in Winters and that seems to work for me. Initially, I had started by using it twice per week and had to use it like that for lets say a month. Since then I've shifted to bi-weekly in winters and hardly ever during rest of the year.
Hey Rob! I have a question. I have been using ketoconozol cream. Should I wash my hair before using minoxidil. Does this cream effect the working performance of minoxidil?
Minoxidil has to be continued to keep hair. If stopped hair falls. Have you tried rosemary? Research it.
I believe the #1 cause of hair loss is stress. Stress causes chaos on our hormones, etc.. male and female.. Low stress equals happy life and happy full head of hair.
Hello(first sorry for my bad english)!
I follow your videos with interest, thanks for the detailed information.
I am 32 years old and I had a hair transplant two months ago, but now my dandruff got worse :((
Аfter the transplant, I bathe with a mild baby shampoo.. but i'm afraid of dandruff
I don't want to damage the grafts but also I want a clean scalp...
I `m very worried, because the transplant was quite difficult for me..12 hours..antibiotics, corticosteroids, painkiller, 15 days of sleeping sitting up..I tried very very hard to make sure everything was right..
I'm worried that this won't be a problem for the final result
Аnd whether this shampoo is not too aggressive for a condition after hair transplantation???
I would be very grateful for a response from you.
Thank you.
Hei rob. I am using GT kit shampoo prescribed by a dermatologist which is also a 2% ketocanazole. Can I replace with nizoral 2% ketocanazole?
I can recommend it if you have dandruff. I had hair transplant last year. My dandruff stopped and I have less hairloss since I used it.
Hey Rob! I use only one time keto shampoo, other days wash only water, do you think is this correct, or I use shampoo another days too
I would try to follow the usage frequencies presented in the studies (2-4 times weekly for the first couple of months, with reductions thereafter).
Hi Rob,
I have seborhic dermatitis. Here in Germany you should take nizorol for only 6 month and then you should take a break.
Hat es dir geholfen also ist die Entzündung oder der Pilz weggegangen und hat es deinen erblichen Haarausfall auch etwas verbessert/verlangsamt weil habe gehört dass kopfhautentzündungen oder Kopfhautpilze den genetischen Haarausfall stärken oder verschnellern sollen
Hi rob, until when u Will use the nizoral? Thanks 😊
Enjoyed.
Thank you!
Hi, the 2% ketoconzale shampoo contains red dyes and sulfates. That can't be healthy for scalp. What are your thoughts? Thanks in advance.
Exactly
my scalp seems find i do however seem to have dermnatitis on my face tho. forehead, eyebrow, mustache. i might try this
What shampoo additionally to Nizoral is recommended? Nizoral 1 to 4 times, what about the other times?
Could you make a video on how finasteride works...in particular how long can we stay on fin.Thanks alot. Amazing info you have here, look forward to future vids!
Sure! We'll add this to the list, thanks for the recommendation.
Dude there's tons of videos like that
You use finasteride??
Hi rob, how often should i be using this shampoo? i’ve seen many people in the comments claim that it dries their scalp and in turn causes hair to fall out in patches.
Use it once a week and see how your hair feels, if it gets dry use a silicone free mineral oil free conditioner with a few drops of almond oil, use other shampoo that is sls free no sulfates so you can alternate between washes. Rosemary essential oil on scalp promotes hair growth
1-3 x a week
Can you do a review on selsun blue? im not sure which one is more suitable for me
Thanks for the video, and all your videos. 2% Nizoral is the common form available in Canada and the UK; I usually buy in bulk when I'm over in England on business. I have used Nizoral extensively but don't believe it's the mechanisms you describe here. Rather I think it is localized impact on T, which obviously impacts the transition to DHT (but nothing to do with 5@Reductase).
Could you please link the sources mentioned in the video?
I fixed my dandruff by using the Acure brand shampoo and conditioner. The ultra hydrating option (yellow/white bottle). Method is to shampoo twice on shampoo day and then condition. After that only condition the next couple days or so and then every 2-3 days shampoo twice back to back and condition. The second time you shampoo after you already shampoo'd helps to thoroughly clean the scalp.
Nizoral shampoo got me rid of my 15 years inflamed scalp problem in a week.
Cant believe my doctors and dermatologist did not suggest me to try that and that a random video on the internet fixed the problem...
Indeed. Mine was 30 years of dandruff. Spend so much on treatment and dozen of new shampoo.
Nizoral amazing cleared all mine in 2 weeks. No hair loss.
There’s a need to promote this product to help those with serious scalp problems.
Hey man, thank you for your work. Was wondering if wearing a gaming headset 12 hours a day can contribute negatively? Because you mentioned in an interview with Paul Saladino that someone wearing socks high up everyday had less hair growth where the socks had been.
It's a great question. As long as the headset is adjusted regularly and not pressing too hard against the scalp, I can't imagine this being too problematic. However, you will see pressure alopecia occur in people who wear high socks (like you mentioned) or in people who wear glasses constantly (along the sides of the scalp). So if you're gaming hard, it is technically possible.
Hi there thank you for all the information, but can you please give us some information and ways for hair loss in female ? Specifically the androgenic type please !!!!🙏🏻🙏🏻
Im on minoxidil. I often have scalp acne. Nizoral maybe beneficial to me. Thanks for the comprehensive video.
Hi! Is it normal to have a kind of shedding phase when starting? Ive noticed increased falling of short hairs when starting as well as seeing a lot of anecdotal stories online
I am jealous of your hair man , its so dense. Can i ask , by saying to use it 1 to 4 times per week , you mean that those are the only times you can wash your hair or wash the other days with an ither shampoo? My hair is too oily and i wash it daily.
i am jealous of you brother, i'd wish my hair would oil up faster but after taking nizoral 2% it really dries it out, not extremely but i still notice. It does help against the fungus and my dandruff stopped so thats that at least. I use Nizoral once a week and a hydration shampoo also once a week to rehydrate my hair and scalp, i think 2 times a week is a bit extreme but it also depends on how oily your hair gets. In your case i'd say twice a week.
What software do you use?
Does it need to be the nizoral brand or will any 2% ketoconazole shampoo work?
hi i wonder about daily hair shampoo cause hair loss ?
If it potentially reduces DHT, does it do it through systemic suppression or just at the hair follicle? Great vid
Thanks! While there aren’t any hard data, it is believed the shampoo only reduces DHT levels within the scalp skin itself. If any of it absorbs systemically, it metabolizes into byproducts that do not have an effect on circulating hormones.
It doesnt
Rob, do you think a Ciciopirox, Pyrithione Zinc, & Salicylic Acid shampoo is just as effective as the Nizoral?
There was a head-to-head study demonstrating that 1% zinc pyrithione was just as effective as 1% ketoconazole at improving dandruff... however, at that percentage dilution, neither shampoo demonstrated hair regrowth / hair diameter increases. So, I glean two things from this: (1) 1% ketoconazole is inferior to 2% ketoconazole at regrowing hair, and (2) 1% zinc pyrithione isn't enough to improve hair loss by itself (at least based on that one study). So I'd say it's not as effective, at least with the data currently available (although I am definitely open to revising my opinion based on new information)!
@@joshfloria2895 Yea that's odd cause in the video he says it was proven that 1% did not increase while he posted this very study that actually did prove it.
I just bought two bottles of Nizoral a week ago but, I had no idea about the 1% and 2% variances and of course I bought the 1%. But at least I'll save money in the future because if the 1% doesn't work I won't be paying $15 a bottle for dandruff shampoo.
it depends if you are in canada or us.
Lol I got it on prescription in the Uk. 2%, in 2 120ml bottles and I only paid £9.35 for both
You should never get so hung up on spending a measly 15 dollars on something that can change your life. It’s a sad way to live.
I have the typical symptoms you mention: seborrheic dermatitis, inflammation, burning sensation of the scalp if I don't shampoo for even 1 day and accompanied by alopecia. I've been using zinc pyrithione shampoos with no improvement. Using a hard water filter for my shower did help in reducing hair loss. I'm yet to try ketoconazole shampoos basically because of side effect concerns. Does it increase hypertension and reduce male hormones?
@Fabian Kirchgessner Are you using Nizoral? Have you used Revita shampoo?
What is the name?
Hey dude, trying to help you a little bit. First thank you for the hard water filter idea, I think I‘ll gonna try this, because I have similiar symptoms. So yes, for me the keto shampoo helped a lot, if you first got it you have to take it the first 5 days (everyday) afterwards you go with 2-3 per week and you are good. Maybe it will dry out your hair a little bit, but you can use conditioner or something. But it will cure your flare ups and your scalp will be less itchy. And dude, I shaved my head and if your head shape isn‘t that bad, I will recommend it to you, the inflammation is basically gone, I think I noticed a little regrowth on my temples since I shaved my had to 1cm but can say that much, because it‘s only 4 months ago. Also thinking about to take topical finasterid, but not sure right now if the risk is worth it, but the risk is lower as with oral finasterid. And by the way, I had no sides with keto, only if you use it to often your scalp can get to dry and itchy, but normally it‘s not happening. And unfortunately I stopped using keto shampoo in the summer, because apple cider vinegar helped me a lot, didn‘t take it for 4 months and boy wow my hair loss got so worse, like I‘ve lost so much hair wow, I regret that I stopped taking it without any good reason, that‘s why I now have to consider taking something else, so dumb, such a shame.
@@Leox_cs Any update of yourself king? Cz I kinda match with your symptoms
@@adnaan09 nothing changed, I have a doctor visit in 10 days
What do you think about a shampoo with biotin, taurine and salicylic acid ? What about taurine ?
Just take taurine as a supplement. Taking things systemically will probably always have a better effect than topicals. Don’t take more than 1000mg a day though and consult your doctor before starting
I've been using Nizoral 1% for about 10 years now as directed. In order to make sure the shampoo is soaking in my scalp for 10 minutes, I apply the Nizoral outside the shower on my head with a little water and massage it in. I can't say whether Nizoral has resulted in hair regrowth alone but I can say it has helped keeping what I currently have and thickens up my hair for more volume. I've never tried the 2% as I just don't want to go through the hassle of continually getting a prescription.
But this needs to be paired with the 5% minoxidil foam. The foam IMO works the best and is most effective. It does cost a lot more than the non-foam version but I find the best deal to be at Costco. I feel like this has been the only solution that works for me for the last 10 plus years but I am aware once I stop both, I may have accelerated hair loss.
I've heard it directly blocks dht from binding to your hair follicels, of course not all of the dht but some ammount. I am using the 2% and im considering switching to the 1% because the 2% really dries out my hair.
Is there a difference between 2% ketoconazole and 1% with 2X amount of ketoconazole ?
how often and for how long can i use ketoconazole shampoo? it is advised to use 2-4 times for only 2 months. can i use it for longer periods without sideffects or do i have to make breaks?
I heard 1-2 x a week
What’s the best thing to use for the hairline above the forehead? Currently I use Finasteride and minoxidil
Is 2% cream same as 20mg/ml shampoo? Which one should I get?
can I mix two shampoos and using them at once on my skalp? Lets say mix alpecin coffein shampoo with nizoral in my palm of the hand and apply?
What do you say about the uncommon (≥1/1,000 to
Is there a particular reason why 2% is prescription over 1%. Why would it be prescription if there’s no side effects?
I can’t tell if it working or now, after a wash, my hair looks great but then later in the day it looks like I’m losing hair
i dont waste Nizoral durring the hair wash but waterdown few grams in water and use it as topical for 30 min and the i wash with some other shampoo . This way i save money from every drop of nizoral and get the maximum of it in terms of time on the scalp.
How often do u recommend men showering and shampooing and conditioning?
And how do u know if u have these micro organism's?
If you have dandruff its caused be these micro organisms
Should it be used every day?
How often should I shampoo?
I started using Nizoral shampoo (1% actually) after a video by Dr Dray and omg, it has been a game changer! My story is that I’ve noticed some hair thinning since I’ve been put on a hormone disrupter medication due to a family history of BC as a preventative measure and have been using minoxidil but recently added Nizoral shampoo to the mix and it has been wonderful. Pretty much noticed less hair fall out immediately and then more growth soon after. I will continue this regimen.
Did you experience facial hair growth from the shampoo?
@@Nickel3777 I did notice some tiny baby hairs on the temple region of my face but nothing significant that would stop me from using the shampoo though.
Update?
@@Nickel3777 less likely since nizorial is applied topically on the scalp, people use a dermaroller or stamp alongside topical minoxidil for beardgrowth
How often do you use it ?
6:52 What do you mean there was no increase in 1% KTZ when you just highlighted in the paper that it did show an increase in shaft thickness?
Hey Jerry! I mention in the video that 1% ketoconazole led to a decrease in hair shedding, but no changes to hair density. You’re right that the paper on 1% ketoconazole did find an increase in hair shaft thickness, but it’s important to note that this study focused on subjects with dermatitis-associated telogen effluvium linked to androgenic alopecia. This is a subset of AGA sufferers, which creates some challenges when trying to apply the results to the broader population. So, while I like the data on 1% ketoconazole for fighting dandruff, the data I’ve seen suggest that the 2% formulation is likely better at improving AGA. Of course this has to be balanced with the reality that 2% may be more drying for some people (as you mentioned). In this case, 1% (or a conditioner post-2% use) might be more appropriate.
I’m not currently aware of any studies that compare 1% vs 2% ketoconazole for AGA with hair counts as a primary endpoint, but if you know of any, let me know and I’d be happy to take a look!
@@PerfectHairHealth so which study are you referring to then that showed no increase in hair density?
@@jss.2020 It’s the same study on 1% ketoconazole referenced in the video. That study found that 1% ketoconazole led to reductions to hair shedding, increases to shaft diameter, but no increases to hair density (a measurement that factors in hair counts, hair diameter, and sometimes hair growth speeds).
@@PerfectHairHealth ok, i see - i was confusing hair shaft diameter for density. So based on this study this pretty much shows Nizoral 1% can preserve/strengthen existing hair but not regrow hair?
In my country you can get 4% KTZ hair washing cream. No prescription needed. DO you think more KTZ, like 4% is better? Is there any study for more %. Thanks
İ have dandruff and hair loss but i have not infection on my scalp can i use this shampoo?
What happens to ur hair gains if u stop using the shampoo
What you think about ray peat diet?
After leaving Nizoral keto 2% on my scalp for 5 minutes, and rinsing it, I'd like to use a normal shampoo to wash my hair again. Does that reduce the effectiveness? If I don't, my hair looks dry and dull. Thanks
Just use conditioner
can we make hair serum with probiotics ?
If I stop using minoxidil after getting the results I wanted, can I keep my gains if continue using the ketocinazol 2% shampoo?