Another great video Rob! This definitely is a trap many fall into, myself included. The massages by themself can be very effective for some. But if you're not seeing results after a certain amount of time, it may be worth it to throw in something else in addition to the massages. Never stop experimenting until you see improvements. A wise man once said the definition of insanity is doing the same thing over and over again, but expecting different results. Gotta keep changing it up.
I just started finasteride and minoxidil 2 months ago and it's very effective for me with LLLT 3x a week. I'm thankful for the pandemic because it made me take the plunge in trying the FDA approved medications. BTW, I subscribed to your site for 6 months. Nice to see you on TH-cam now. I'm going to add microneedling if I dont get good density in certain areas but right now I am very pleased with just fin, min and LLLT results so far.
I treated a fungal/candida skin rash I had ten years ago (naturally), it went away, but took around 9-12 months....it won't take one month :) I'm hoping I can do the same for my thinning hair (naturally)
Hi Rob! On that chart on 7:13 show that dutasteride effects are only in first 3-12 months of using but I wonder how you evaluate that since there is no studies on dutasteride longer than 12 months, while most of them are actually only 6 months?? 🤔
Hi Rob. I've been massagin for more than a year, and I'm not syre if I have seen new growth, but my hair doesn't fall. The thing is that I have had thinning hair since my childhood, now I'm 24 years old. Could I ever get a thick hair hairline? I'm confused with the results, as sometimes I see more hair, sometimes not
Nobody on prescription drugs for hair loss should be included in these results. Absolutely no way of differentiating between the results from scalp massages and drugs.
Hi Ed - could you please specify which intervention you're referencing? Are you talking about the massages? We did control for prescription drug use in the study, and the results are reported without prescription drug use. Please see the regression modeling in Table 1. In fact, minoxidil and finasteride (in our study) alongside massaging were associated with worse results, because those participants had only arrived to us after having failed to see improvements from those drugs.
@@PerfectHairHealth maybe i misunderstood it but at one point in the vid it sounded to me like some people in the scalp massaging study were also using finasteride. Maybe I'm wrong on that. Tbh I'm starting with scalp massaging but am not particularly confident about it. I can give around 20-25 minutes a day, but I have concerns about the fact the study results seem to have been self reported rather than checking hair counts etc. I'm someone who can't systemically lower hormones with finasteride and who had a bad experience with minoxodil do I really am limited to other options like potentially microneedling (been doing alone for 3 months with no results so far) and scalp massage. Any other suggestions would be good.
@@edjeffries1137 Those regression analyses should help clarify any misunderstandings. The data were self reported, but my reply to your other comment explains why this is the case - as you'll see this happen frequently in studies evaluating therapeutics in the early stages of research and/or therapeutics with no patentable or proprietary components. Could you explain a few more details about your issues with finasteride and minoxidil? In knowing you why you can't reduce DHT and what happened with you while taking minoxidil, that'd better equip me to help where I can.
@@PerfectHairHealth thanks for the reply. So with finasteride it is a personal thing and a case of me knowing that I just wouldn't be happy lowering my DHT systemically. The reason for this is partly due to concerns longer term about sexual side effects (I read studies showing that free/bioavailable testosterone could also be lowered on fin too), but also because I am a strength athlete and so I believe that DHT is important. On top of this I've had issues with anxiety and ocd before and I believe that finasteride can worsen these things in some people. I'm interested in topical treatments which can act against the effect of DHT on the scalp but also don't see good enough data on the ability of these not to go systemic and lower DHT or cause side effects in the same way. Regarding minoxidil...well, when I first noticed balding 10 years ago now I borrowed it off my cousin who was older than me and thinning all over. I used it just at the corners of my hairline. Trouble is, where I used it shed fairly quickly, and ten months later it never came back. I shaved my hair short then to mentally help me deal with hair loss (still do often) and it actually left me with asymmetrical patches of baldness/thinning where I had spread the minoxidil unequally on each side of my head with my fingers. Naturally because of this I have been reluctant to use it again especially in other parts of my hair that were doing better. My cousin continued using minoxdil but it did very little/nothing for his hair and he is now very bald/NW5+ slick bald/shaved. Perhaps we just have hair genetics that don't react well to it. So I'm in a difficult position where I'm not really a HT candidate (very fine hair and poor donor area), am really against using finasteride and can't use minox. Have been dermarolling once per week with 1mm for a few months without results, using keto 2% shampoo 3 times per weeek for the same time frame and have tried scalp massages for the last few days. But if there's anything else I can do, like a topical that doesn't go systemic then I could consider that. Thanks for your reply.
@@edjeffries1137 Thanks for the additional information. Two quick comments: (1) If you're concerned about oral finasteride and aren't confident enough in the data on topical finasteride / dutasteride, perhaps consider fluridil. (2) Shedding at the beginning of treatment is generally a good sign (this is covered in part three of this video series). Otherwise, I think your opinion about finasteride / dutasteride might change with more information. For reference, I work with a lot of professional athletes who happen to be on oral finasteride.
Hey Rob, natty approaches not really working for me so gonna trial finesteride for a while. Any idea if 5-Alpha reductase returns more aggressively (thus converting T to more DHT) if you take fin for a while then quit? Wondering if it has some hormetic effect kindve opposite to what happens to the gonads if getting exogenous help 💁♂️
I have a question about the result horizons chart. For the "new results unlikely" part, does that mean you are unlikely to see results if you have not already, or that if you have gotten results earlier, hair regrowth stops at this point? For example, say I've been micro-needling and see results in 3 months. Would micro-needling stop regrowing new hair after around 8 months? Also, would this mean if I did every method on this chart simultaneously, it would be highly unlikely/impossible to grow any more hair after 24 months (since finasteride has the longest result horizon)?
Hey rob, i'm from Pakistan, please tell yourself how to do message, it will be done with some oil or without oil?? Can we do message, headstand and dermaroller combined in our hair growth journey?
Hi Rob! How about when you do see regrowth but at the same time you are still seeing a lot of hair fall. At least that has being my case with topical minoxidil and PRP.
This would suggest that you're either (1) responding well to those treatments (as shedding is often required for hair regrowth to occur), or (2) experiencing increases to hair counts while simultaneously experiencing decreases to hair follicle diameters (i.e., hair follicle miniaturization). The latter can occur if someone uses growth stimulants (i.e., PRP, minoxidil, etc.) but never targets DHT (i.e., finasteride, dutasteride, spironolactone, potentially botox/perimeter massages, etc.)
What are your suggestions for women doing hormone replacement therapy making Dark hair growth in on the face and thinning the hair line quite a bit. Are any of the drugs you listed in the video not suitable for women? Can you immediately do massage with drugs and microneedling? Or do you suggest 1 thing at a time to see what works? Can you talk about DHT blockers and what those are, where to get it, is it topical, how effective is it, etc? I am strictly Keto, 1 cheat meal a month ONLY, and 2x a year I am Carnivore for a month, OMAD moat of the time (1 meal a day). So my gut biome should be good.
Hi Rob, I've been doing the massages consistently for 9 months now. I pretty much followed your 2016 video demonstration. I exercise and eat a very healthy diet. So far I'm still losing ground though. Not even stabilisation! However, shedding seems to be almost nil when I comb my hair now. 5 years ago I tried Fin, but had really bad sides and messed with my hormones, so I dropped it. Just want to know if you've encountered anyone in the same boat as me regarding the massages? I know there are lots of factors involved. Wondering if I should give up at the 12 month mark?
@Muslim Fundamentalist. Hair is really sh*t. I did a whole year of scalp massages. I initially thought I was shedding less, but I think it's really just seasonal?! Quit scalp massages one year ago. No results to speak of.
I’ve been on oral finasteride (1 mg) for 6 months. Been on minoxidil for 5+ years. Still seeing 8-10 hairs on my hand after applying minoxidil twice a day. No noticeable regrowth. Been debating adding low dose topical fin. But I guess I should wait 18 months total? This is tearing me up.
I started topical minox + topical fin 6 months ago. I also was on oral fin. Was sheding like 150 hairs per day at the shower. Now it's like 10. Very different.
Hey Rob, great video man very informative, just wanted to know that when I touch my temples I feel small pointy spiky hair, is that a sign of regrowth? I’ve been massaging for 8 months now along with few diet changed and putting green tea on my scalp. Thanks man Cheers
It really depends! The only way to differentiate a newly-growing hair versus a miniaturizing hair is to track your progress with photos, or with professional help (like a trichologist with access to dermoscopy equipment + software for hair counting).
Hi i used minoxidile for 3 yrs .. its been 3 months since i left .. i am having a lot of hairfall and dry flakes on my scalp nothing is working .. now my crown area is visible .. i dont want to use minoxidle ..can i regrow naturally .. please guide me what should i do
I started doing 3 15 minute massages per day, i was wondering because now instead of 6 minutes on each massage variation its down to 4 minutes, would that drop in intensity affect the results at all? The amount of time spent on each massage technique for each head region is 12 minutes every 3 days which is the exact same time spent doing 2 20 minute massages each day so the time is virtually the same but the intensity per massage is less. By the way Its great seeing you on youtube! Its pretty mind blowing how dar you've come, and I hope you go much much further!
Hey Keelo - according to the data we collected in our survey study, it didn't seem like the drop in total minutes dramatically affected results. While an extra 10+ minutes per day was associated with better improvements, those additional results came at the expense of an additional 2,400+ minutes of effort over an 8-month window. This is partly why we reduced the time recommendations to 2x15 minutes following the study publication.
@BIGFOOOOOT in my opinion, short frequent massages would be more beneficial than longer intermittent ones +as massaging is about loosening the scalp and the stiff cranial membrane under it, to promote greater flexibility, density to the dermal layer, and generally increasing blood flow and oxygen to the scalp promoting better conditions for hair growth. Massaging at longer intervals, in my opinion, would allow the scalp/cranial membrane to re-tighten for longer, versus shorter massaging but done more often
Hello Rob , very informative video, thus I want to start by thanking you for the well presented information. Do you have any knowledge on what impact taking a break of 1 month from massages does (this within the first year, before any result have occurred). If the theory that its needs to be regular and that it snowballs or that time and effort do not disappear, simply results might come 1 month later?
Thanks! We have limited data here, but anecdotally, it doesn't seem like one-month breaks are that detrimental in the long run. The best predictor of success was total time accumulation stratified over 8+ months of effort. Check out the before-after photos on our site for an example of someone who took a 1-2 month break during a busy period of school, but still saw vertex improvements (Calvin).
Hey rob I'm 18 I've diffuse thinking like lines on top of my head so doctor prescribed me 1mg fin and 5 percent topical minox but I'm only using 0.5mg fin daily and my hair is thickens up I'm now at month 2 completed so do I carry on or I increase the drug I don't notice hair fall and before 0.5mg fin I've got headaches in my scalp but it's gone since I took fin 0.5mg so pls pls pls take my comment and answer me pls 🙏
Hair gains from finasteride and minoxidil depend on their continued use. So please be aware of this before withdrawing. If you're experiencing side effects, speak with your doctor and consider titrating your doses / switching to topical.
I noticed hair loss on my calves. And there is a clear line between where the hair is gone and still growing. Is right at the tibia bone where the line is. Inner part of my calve still has hair but the outer part is shedded with years. Also tight and shiny just like the head of balding people. Any idea?
The hardest part is documenting changes. Hair can look drastically different in each photo, depending on the angle, lighting, head position, hair length. Also when changes are subtle it's more something you notice personally since only you really know how your hair grows. That said I'm pretty certain that massage has helped me in some areas (other areas no change) but definately on the lower part of the temple area and acrosss the scalp ridge). I'm sure that the chronic scalp tightness behind and above the ear caused some thinning in those areas, because once I regularly massaged the scalp perimeter areas the soreness went away and lo and behold the hair looks fuller.
I guess you have to bite the bullet and cut your hair short to the same length with a hair trimmer every time you want to evaluate your progress. At the same time learn to take photos about the same as you did previously. I'm no professional photographer and can do it. Just invest some time to learn it.
Great to see you here Rob! I've been following your site, following diet and doing massages since August. Overall hair quality has improved and dandruff has gone. But I'm not seeing hair regrowth in front and temple. I've had and still have lot of tiny hair there post receding hairline, but they don't seem to grow. I've got my blood reports checked for vit d, iron, zn ,etc, they are all normal. Any suggestions? Should I stick with massages?
Thanks for following the site! If you check out the video, you'll see that the results horizon for massaging is 8-12 months. So, if you've been massaging since August 2020, it sounds like you're well within that window. It almost always helps to multi-target with several hair loss therapies, but based on the data, I don't think we can draw a conclusion (yet) about your response.
Used oral Finasteride and topical Minoxidil for 4-5 years and although I was a NW4a when I started, it seemed to hold everything together well until recently where I see hair falling out much more than I had prior to my regimine. I'm now switching from topical to oral minoxidil (1.25mg) and going to add in oral Dutasteride (5mg) once/week while continuing oral Finasteride 6 times/week. How long should I expect to need before the oral Minoxidil begins to take effect? Should I expect a shed with either of these new regimes?
@@mickrozycki451 No bad sides but no progress either. It does cause a little weight gain though. Start with a smaller dose and then slowly increase. Your doctor will likely recommend the same.
Hey Ed - we would've loved to include hair counts as a measurement endpoint! However, doing so would've brought our costs of the study to $100,000+. Self-assessment endpoints are of lower quality, but they can still be directionally insightful and/or encourage other investigation groups to conduct follow up studies.
@@PerfectHairHealth couldn't it have been a case of cutting hair in say a 2cm squared area and counting hairs with a microscope though? Perhaps I am oversimplifing but I know people do this themselves when looking for results? I actually have a microscopic camera myself which was cheap which I used years ago to show a hair transplant surgeon my balding areas and poor quality donor area.
@@edjeffries1137 Yes, it is certainly that simple. Now find 350 people willing to buzz their hair down in a 2x2cm region. Then make sure those same 350 people can travel to the same hospital or dermatology clinic where a clinician (prior to starting treatment) will tattoo their scalp, photograph that 2x2cm scalp region with a 20x-magnified dermoscope centered around the tattoo, run the image through a trichoscopy software to measure vellus hair, terminal hair, anagen:telogen ratios, and hair diameters, and then de-identify the data. Then make sure all 350 people (1) adhere to the therapy and (2) actually return for their "after" photo follow-up appointment. Then make sure to pay everyone for their travel. As you can see, these studies can get complicated and expensive relatively quickly :)
@@PerfectHairHealth yeah, fair enough. It would be reassuring to see it done perhaps even just in a few people in future studies but yes I see your point regarding costs and difficulties.
We must never forget that hair growth is not simply just hair growth. People assume that hair growth is between the follicle and the scalp but it’s much more complicated than that. Looking from a holistic point of view and the bigger picture, hair growth is rather a BIOLOGICAL process. We must take care the health of our body first and eliminating the root problem to see the results. We can’t simply say that hair is an individual thing, buts it’s actually interconnected to the entire body. We must have the sufficient amount vitamins and minerals first before you see the results. I had a digestive issues which I lacked gut bacteria and fiber. So I started eating fibre cereal and consume probiotic and within a month I saw my hairline regrew.
@@cranny5237 I would mostly agree with theory of DHT causing hair loss but finasteride working different for different people makes me skeptical. Now they give different sensitivity among people being reason for this which is again amazing to me that what is factor at microscopic dna level which is making hair loss not just white and black but varying extent of balness among individuals
After detumessence tharapy my right side sacalp fell pain front of right side ear and cold sensecetion on right side head and pain in nerve plz rply me sir
But it doesn't hurt to keep trying,and even though haven't seen regrowth, but it may helps to prevent things getting worse. Please don't ask anyone to stop trying! Even it's a thin chance. we keep buying lottery tickets even it's near impossible don't we?
Hi Rob, I was wondering based on your massage technique: Can knuckle massage cause damage to the arteries of the head? Same for the pinching and stretching. Thanks a lot!
Have you tried pounding on your scalp with your fists? Do this twice a day for ten minutes. This will really lessen the stress involved in hair loss which should lead to maximum hair regrowth. The scalp pounding should be combined with daily doses of 7x47 5ml. You can get this from the usual places, Latvia, Muldova, Albania. The pills should be ground into a powder and snorted, preferably just before your work day, or stay at home day.
The photo of your head in 2007, doesn’t look like you’re losing your hair. That corn roll or whatever you call it is normal, tilting your head even slightly will show more or less hair. Bad photo reference. I’m having doubts that you were losing your hair at all. Don’t take this the wrong way, but think you might think of seeing a hair stylist. I don’t want to sound to mean, but has anyone else commented on how bad your hair looks in this video?
I wish everyone saw results, but it seems like for any viable hair loss intervention or treatment, there will always be a group of non-responders. Take finasteride, for example, which boasts an 80-90% response rate (but still doesn't work for 10-20% of men using it). It's tough to say why this is the case, but generally speaking, it's often because someone's hair loss is multifactorial (i.e., multiple types of hair loss), or that their AGA is a subset type that is less dependent on the 5-alpha reductase enzyme pathway. An example of this would be in children / women who have close to no androgen levels due to being prepubertal or due to a pituitary injury, but who still undergo hair follicle miniaturization from AGA because of backdoor pathways to DHT conversion. There are only a few papers on this, but I'd recommend checking out this one: "Kasick JM, Bergfeld WF, Steck WD, Gupta MK. Adrenal androgenic female-pattern alopecia: sex hormones and the balding woman. Cleve Clin Q. 1983 Summer;50(2):111-22. doi: 10.3949/ccjm.50.2.111. PMID: 6227431."
I am not agree with you... I don't know what is your intention...... You are against minoxidil.. But you have made many videos on minoxidil lol...... There are many peoples are getting result by using minoxidle.... They are also showing it...what are you trying to say?? That they are lying and you are right???...... I am really confused seing your videos
Another great video Rob! This definitely is a trap many fall into, myself included. The massages by themself can be very effective for some. But if you're not seeing results after a certain amount of time, it may be worth it to throw in something else in addition to the massages. Never stop experimenting until you see improvements. A wise man once said the definition of insanity is doing the same thing over and over again, but expecting different results. Gotta keep changing it up.
Excellent comment.
Why don't u ever make a video on how to do the actual massages
Vimeo???
It's there on his website
You have to buy it..
@@princeforteza728no you don't
@@hailster69i can’t open it please send me
I just started finasteride and minoxidil 2 months ago and it's very effective for me with LLLT 3x a week. I'm thankful for the pandemic because it made me take the plunge in trying the FDA approved medications. BTW, I subscribed to your site for 6 months. Nice to see you on TH-cam now. I'm going to add microneedling if I dont get good density in certain areas but right now I am very pleased with just fin, min and LLLT results so far.
Congrats on your success so far! Very excited to hear that you've landed on a regimen that is working for you.
What's LLLT?
@@harshitwadhwani1313 low level laser therapy
Suggest me good finasteride and minoxidil company name please thanks
What is Low Level Laser Therapy ?
I treated a fungal/candida skin rash I had ten years ago (naturally), it went away, but took around 9-12 months....it won't take one month :) I'm hoping I can do the same for my thinning hair (naturally)
Second day… and still nothing 😢
This was so helpful. Thank you.
Hi Rob! On that chart on 7:13 show that dutasteride effects are only in first 3-12 months of using but I wonder how you evaluate that since there is no studies on dutasteride longer than 12 months, while most of them are actually only 6 months?? 🤔
Great vid, well done sir! 🇺🇸
What do you think about rosemary oil?
Hi Rob. I've been massagin for more than a year, and I'm not syre if I have seen new growth, but my hair doesn't fall. The thing is that I have had thinning hair since my childhood, now I'm 24 years old.
Could I ever get a thick hair hairline? I'm confused with the results, as sometimes I see more hair, sometimes not
How long does it usually take to see results with dermarolling?
Nobody on prescription drugs for hair loss should be included in these results. Absolutely no way of differentiating between the results from scalp massages and drugs.
Hi Ed - could you please specify which intervention you're referencing? Are you talking about the massages? We did control for prescription drug use in the study, and the results are reported without prescription drug use. Please see the regression modeling in Table 1. In fact, minoxidil and finasteride (in our study) alongside massaging were associated with worse results, because those participants had only arrived to us after having failed to see improvements from those drugs.
@@PerfectHairHealth maybe i misunderstood it but at one point in the vid it sounded to me like some people in the scalp massaging study were also using finasteride. Maybe I'm wrong on that.
Tbh I'm starting with scalp massaging but am not particularly confident about it. I can give around 20-25 minutes a day, but I have concerns about the fact the study results seem to have been self reported rather than checking hair counts etc. I'm someone who can't systemically lower hormones with finasteride and who had a bad experience with minoxodil do I really am limited to other options like potentially microneedling (been doing alone for 3 months with no results so far) and scalp massage. Any other suggestions would be good.
@@edjeffries1137 Those regression analyses should help clarify any misunderstandings. The data were self reported, but my reply to your other comment explains why this is the case - as you'll see this happen frequently in studies evaluating therapeutics in the early stages of research and/or therapeutics with no patentable or proprietary components.
Could you explain a few more details about your issues with finasteride and minoxidil? In knowing you why you can't reduce DHT and what happened with you while taking minoxidil, that'd better equip me to help where I can.
@@PerfectHairHealth thanks for the reply.
So with finasteride it is a personal thing and a case of me knowing that I just wouldn't be happy lowering my DHT systemically. The reason for this is partly due to concerns longer term about sexual side effects (I read studies showing that free/bioavailable testosterone could also be lowered on fin too), but also because I am a strength athlete and so I believe that DHT is important. On top of this I've had issues with anxiety and ocd before and I believe that finasteride can worsen these things in some people. I'm interested in topical treatments which can act against the effect of DHT on the scalp but also don't see good enough data on the ability of these not to go systemic and lower DHT or cause side effects in the same way.
Regarding minoxidil...well, when I first noticed balding 10 years ago now I borrowed it off my cousin who was older than me and thinning all over. I used it just at the corners of my hairline. Trouble is, where I used it shed fairly quickly, and ten months later it never came back. I shaved my hair short then to mentally help me deal with hair loss (still do often) and it actually left me with asymmetrical patches of baldness/thinning where I had spread the minoxidil unequally on each side of my head with my fingers. Naturally because of this I have been reluctant to use it again especially in other parts of my hair that were doing better. My cousin continued using minoxdil but it did very little/nothing for his hair and he is now very bald/NW5+ slick bald/shaved. Perhaps we just have hair genetics that don't react well to it.
So I'm in a difficult position where I'm not really a HT candidate (very fine hair and poor donor area), am really against using finasteride and can't use minox. Have been dermarolling once per week with 1mm for a few months without results, using keto 2% shampoo 3 times per weeek for the same time frame and have tried scalp massages for the last few days. But if there's anything else I can do, like a topical that doesn't go systemic then I could consider that.
Thanks for your reply.
@@edjeffries1137 Thanks for the additional information. Two quick comments: (1) If you're concerned about oral finasteride and aren't confident enough in the data on topical finasteride / dutasteride, perhaps consider fluridil. (2) Shedding at the beginning of treatment is generally a good sign (this is covered in part three of this video series). Otherwise, I think your opinion about finasteride / dutasteride might change with more information. For reference, I work with a lot of professional athletes who happen to be on oral finasteride.
Hey Rob, natty approaches not really working for me so gonna trial finesteride for a while. Any idea if 5-Alpha reductase returns more aggressively (thus converting T to more DHT) if you take fin for a while then quit? Wondering if it has some hormetic effect kindve opposite to what happens to the gonads if getting exogenous help 💁♂️
I have a question about the result horizons chart. For the "new results unlikely" part, does that mean you are unlikely to see results if you have not already, or that if you have gotten results earlier, hair regrowth stops at this point? For example, say I've been micro-needling and see results in 3 months. Would micro-needling stop regrowing new hair after around 8 months? Also, would this mean if I did every method on this chart simultaneously, it would be highly unlikely/impossible to grow any more hair after 24 months (since finasteride has the longest result horizon)?
Could you please make a video about the exercise n scalp message technique?
Link is in description
Hey rob, i'm from Pakistan, please tell yourself how to do message, it will be done with some oil or without oil?? Can we do message, headstand and dermaroller combined in our hair growth journey?
okay but what are the massage techniques we should be using?
Hi Rob! How about when you do see regrowth but at the same time you are still seeing a lot of hair fall. At least that has being my case with topical minoxidil and PRP.
This would suggest that you're either (1) responding well to those treatments (as shedding is often required for hair regrowth to occur), or (2) experiencing increases to hair counts while simultaneously experiencing decreases to hair follicle diameters (i.e., hair follicle miniaturization). The latter can occur if someone uses growth stimulants (i.e., PRP, minoxidil, etc.) but never targets DHT (i.e., finasteride, dutasteride, spironolactone, potentially botox/perimeter massages, etc.)
what about when they are combined?
Hi Rob, do the scalp massages plateau, for the people that saw cosmetic regrowth?
What are your suggestions for women doing hormone replacement therapy making Dark hair growth in on the face and thinning the hair line quite a bit.
Are any of the drugs you listed in the video not suitable for women?
Can you immediately do massage with drugs and microneedling? Or do you suggest 1 thing at a time to see what works?
Can you talk about DHT blockers and what those are, where to get it, is it topical, how effective is it, etc?
I am strictly Keto, 1 cheat meal a month ONLY, and 2x a year I am Carnivore for a month, OMAD moat of the time (1 meal a day). So my gut biome should be good.
Hi Rob, I've been doing the massages consistently for 9 months now. I pretty much followed your 2016 video demonstration. I exercise and eat a very healthy diet. So far I'm still losing ground though. Not even stabilisation! However, shedding seems to be almost nil when I comb my hair now. 5 years ago I tried Fin, but had really bad sides and messed with my hormones, so I dropped it. Just want to know if you've encountered anyone in the same boat as me regarding the massages? I know there are lots of factors involved. Wondering if I should give up at the 12 month mark?
The reason why this doesn’t work my g is because scalp massages don’t address the cause of hair loss aka DHT
Scalp massages don't work
Yep, agree 100%. Deep down I knew all along it's DHT, but seeing I can't tolerate Propecia, I tried scalp massage. HUGE MISTAKE.
@Muslim Fundamentalist. Hair is really sh*t. I did a whole year of scalp massages. I initially thought I was shedding less, but I think it's really just seasonal?! Quit scalp massages one year ago. No results to speak of.
@@timsommerfeld6385 try customising ya Dose mate
I’ve been on oral finasteride (1 mg) for 6 months. Been on minoxidil for 5+ years.
Still seeing 8-10 hairs on my hand after applying minoxidil twice a day. No noticeable regrowth. Been debating adding low dose topical fin. But I guess I should wait 18 months total?
This is tearing me up.
I started topical minox + topical fin 6 months ago. I also was on oral fin. Was sheding like 150 hairs per day at the shower. Now it's like 10. Very different.
Can i keep shaving my head when i message my head for regrowth?
Hi Do you use a wig or is this your natural hair?
It's natural hair and I definitely need a different haircut.
Can massage start working at much earlier time, 2-3 months?
Do you take creatine?
Hey Rob, great video man very informative, just wanted to know that when I touch my temples I feel small pointy spiky hair, is that a sign of regrowth? I’ve been massaging for 8 months now along with few diet changed and putting green tea on my scalp.
Thanks man
Cheers
It really depends! The only way to differentiate a newly-growing hair versus a miniaturizing hair is to track your progress with photos, or with professional help (like a trichologist with access to dermoscopy equipment + software for hair counting).
Sicorax 00 how much time you spend to massage your scalp.
Diet....
Plz tell me
Hi i used minoxidile for 3 yrs .. its been 3 months since i left .. i am having a lot of hairfall and dry flakes on my scalp nothing is working .. now my crown area is visible .. i dont want to use minoxidle ..can i regrow naturally .. please guide me what should i do
I started doing 3 15 minute massages per day, i was wondering because now instead of 6 minutes on each massage variation its down to 4 minutes, would that drop in intensity affect the results at all? The amount of time spent on each massage technique for each head region is 12 minutes every 3 days which is the exact same time spent doing 2 20 minute massages each day so the time is virtually the same but the intensity per massage is less. By the way Its great seeing you on youtube! Its pretty mind blowing how dar you've come, and I hope you go much much further!
Yeah i also go some more minutes because i like the more intensity better
Hey Keelo - according to the data we collected in our survey study, it didn't seem like the drop in total minutes dramatically affected results. While an extra 10+ minutes per day was associated with better improvements, those additional results came at the expense of an additional 2,400+ minutes of effort over an 8-month window. This is partly why we reduced the time recommendations to 2x15 minutes following the study publication.
@@PerfectHairHealth oh thats perfect then thanks Rob :)
@@jemand7488 high intensity makes me skip massages cos i just dread doing them lol. Im only cutting the time down to make it more consistent.
@BIGFOOOOOT in my opinion, short frequent massages would be more beneficial than longer intermittent ones +as massaging is about loosening the scalp and the stiff cranial membrane under it, to promote greater flexibility, density to the dermal layer, and generally increasing blood flow and oxygen to the scalp promoting better conditions for hair growth. Massaging at longer intervals, in my opinion, would allow the scalp/cranial membrane to re-tighten for longer, versus shorter massaging but done more often
Rob what about the result horizon for micro-needling combined with minoxidil? Thanks!
In cases of multi-targeting, my general rule-of-thumb is to use the longest results horizon of your selected treatments.
@@PerfectHairHealth thank you rob!
Is it normal to lose more hair in first 2 weeks (or even longer but I have just started) of massaging?
for me its normal
Plz give the solution for baldness
I stopped my hairful by massaging my scalp .
How to do massage
Please Make a video on Zix
(zinc sulfate +B6)
Hi Rob, can you add subtitles?
How did your hair go from light brown to almost black?
just camera/lighting. in one photo, he is outside with more light
Hello Rob , very informative video, thus I want to start by thanking you for the well presented information. Do you have any knowledge on what impact taking a break of 1 month from massages does (this within the first year, before any result have occurred). If the theory that its needs to be regular and that it snowballs or that time and effort do not disappear, simply results might come 1 month later?
Thanks! We have limited data here, but anecdotally, it doesn't seem like one-month breaks are that detrimental in the long run. The best predictor of success was total time accumulation stratified over 8+ months of effort. Check out the before-after photos on our site for an example of someone who took a 1-2 month break during a busy period of school, but still saw vertex improvements (Calvin).
Hey rob I'm 18 I've diffuse thinking like lines on top of my head so doctor prescribed me 1mg fin and 5 percent topical minox but I'm only using 0.5mg fin daily and my hair is thickens up I'm now at month 2 completed so do I carry on or I increase the drug I don't notice hair fall and before 0.5mg fin I've got headaches in my scalp but it's gone since I took fin 0.5mg so pls pls pls take my comment and answer me pls 🙏
Hair gains from finasteride and minoxidil depend on their continued use. So please be aware of this before withdrawing. If you're experiencing side effects, speak with your doctor and consider titrating your doses / switching to topical.
@@PerfectHairHealth yes I'll continue it but I'm taking 0.5mg should I increase or stick to it as I have hairloss at 18
I noticed hair loss on my calves. And there is a clear line between where the hair is gone and still growing. Is right at the tibia bone where the line is. Inner part of my calve still has hair but the outer part is shedded with years. Also tight and shiny just like the head of balding people. Any idea?
If its shiny it could be scar tissue a.k.a fibrosis
crazy, I notice the exact same pattern on my legs like you did - guess its really fibrosis
Lichen Planopilaris is een optie
The hardest part is documenting changes. Hair can look drastically different in each photo, depending on the angle, lighting, head position, hair length. Also when changes are subtle it's more something you notice personally since only you really know how your hair grows. That said I'm pretty certain that massage has helped me in some areas (other areas no change) but definately on the lower part of the temple area and acrosss the scalp ridge). I'm sure that the chronic scalp tightness behind and above the ear caused some thinning in those areas, because once I regularly massaged the scalp perimeter areas the soreness went away and lo and behold the hair looks fuller.
We might have a solution for the documentation part soon!
@@PerfectHairHealth Think you could go more in-depth about that?
I guess you have to bite the bullet and cut your hair short to the same length with a hair trimmer every time you want to evaluate your progress. At the same time learn to take photos about the same as you did previously. I'm no professional photographer and can do it. Just invest some time to learn it.
Great to see you here Rob!
I've been following your site, following diet and doing massages since August. Overall hair quality has improved and dandruff has gone. But I'm not seeing hair regrowth in front and temple. I've had and still have lot of tiny hair there post receding hairline, but they don't seem to grow. I've got my blood reports checked for vit d, iron, zn ,etc, they are all normal. Any suggestions? Should I stick with massages?
Thanks for following the site! If you check out the video, you'll see that the results horizon for massaging is 8-12 months. So, if you've been massaging since August 2020, it sounds like you're well within that window. It almost always helps to multi-target with several hair loss therapies, but based on the data, I don't think we can draw a conclusion (yet) about your response.
Any update plz....
Any update bro
Great information! But Do "wrong" scalp massages cause more hair-loss? And How to avoid wrong scalp massages?
He has a video on how to do the massages which is pretty idiot proof. The only mistake you can do is overdo the massages which might cause more harm
Used oral Finasteride and topical Minoxidil for 4-5 years and although I was a NW4a when I started, it seemed to hold everything together well until recently where I see hair falling out much more than I had prior to my regimine. I'm now switching from topical to oral minoxidil (1.25mg) and going to add in oral Dutasteride (5mg) once/week while continuing oral Finasteride 6 times/week. How long should I expect to need before the oral Minoxidil begins to take effect? Should I expect a shed with either of these new regimes?
@@mickrozycki451 No bad sides but no progress either. It does cause a little weight gain though. Start with a smaller dose and then slowly increase. Your doctor will likely recommend the same.
Also, why were the results only recorded with self reporting? Why didn't the study just look at actual hair counts if so confident it works?
Hey Ed - we would've loved to include hair counts as a measurement endpoint! However, doing so would've brought our costs of the study to $100,000+. Self-assessment endpoints are of lower quality, but they can still be directionally insightful and/or encourage other investigation groups to conduct follow up studies.
@@PerfectHairHealth couldn't it have been a case of cutting hair in say a 2cm squared area and counting hairs with a microscope though? Perhaps I am oversimplifing but I know people do this themselves when looking for results? I actually have a microscopic camera myself which was cheap which I used years ago to show a hair transplant surgeon my balding areas and poor quality donor area.
@@edjeffries1137 Yes, it is certainly that simple. Now find 350 people willing to buzz their hair down in a 2x2cm region. Then make sure those same 350 people can travel to the same hospital or dermatology clinic where a clinician (prior to starting treatment) will tattoo their scalp, photograph that 2x2cm scalp region with a 20x-magnified dermoscope centered around the tattoo, run the image through a trichoscopy software to measure vellus hair, terminal hair, anagen:telogen ratios, and hair diameters, and then de-identify the data. Then make sure all 350 people (1) adhere to the therapy and (2) actually return for their "after" photo follow-up appointment. Then make sure to pay everyone for their travel. As you can see, these studies can get complicated and expensive relatively quickly :)
@@PerfectHairHealth yeah, fair enough. It would be reassuring to see it done perhaps even just in a few people in future studies but yes I see your point regarding costs and difficulties.
thanks
We must never forget that hair growth is not simply just hair growth. People assume that hair growth is between the follicle and the scalp but it’s much more complicated than that.
Looking from a holistic point of view and the bigger picture, hair growth is rather a BIOLOGICAL process. We must take care the health of our body first and eliminating the root problem to see the results. We can’t simply say that hair is an individual thing, buts it’s actually interconnected to the entire body.
We must have the sufficient amount vitamins and minerals first before you see the results.
I had a digestive issues which I lacked gut bacteria and fiber. So I started eating fibre cereal and consume probiotic and within a month I saw my hairline regrew.
But why does that issue concentrate hair loss on scalp but not beard?
@@user-it5po2dq9w Good question. I don’t know. 🤔
@@cranny5237 I would mostly agree with theory of DHT causing hair loss but finasteride working different for different people makes me skeptical. Now they give different sensitivity among people being reason for this which is again amazing to me that what is factor at microscopic dna level which is making hair loss not just white and black but varying extent of balness among individuals
I have problems with my gut, I've got some serious disbacteriosis, what type of probiotics and cereals did you consume man, can you link me directly?
My only issue with your theory is, even under nourished people maintain full heads of hair, even homeless people living on the streets for many years
After detumessence tharapy my right side sacalp fell pain front of right side ear and cold sensecetion on right side head and pain in nerve plz rply me sir
love your hair
But it doesn't hurt to keep trying,and even though haven't seen regrowth, but it may helps to prevent things getting worse.
Please don't ask anyone to stop trying!
Even it's a thin chance.
we keep buying lottery tickets even it's near impossible don't we?
Hi Rob,
I was wondering based on your massage technique:
Can knuckle massage cause damage to the arteries of the head?
Same for the pinching and stretching.
Thanks a lot!
Have you tried pounding on your scalp with your fists? Do this twice a day for ten minutes. This will really lessen the stress involved in hair loss which should lead to maximum hair regrowth. The scalp pounding should be combined with daily doses of 7x47 5ml. You can get this from the usual places, Latvia, Muldova, Albania. The pills should be ground into a powder and snorted, preferably just before your work day, or stay at home day.
@@jaxflfreebird shut the front door!!
The photo of your head in 2007, doesn’t look like you’re losing your hair. That corn roll or whatever you call it is normal, tilting your head even slightly will show more or less hair. Bad photo reference. I’m having doubts that you were losing your hair at all.
Don’t take this the wrong way, but think you might think of seeing a hair stylist. I don’t want to sound to mean, but has anyone else commented on how bad your hair looks in this video?
Are you wearing a wig?
Hey Rob why some people didn't get results from massaging . Is due to some of their biological reasons or any other reasons
I wish everyone saw results, but it seems like for any viable hair loss intervention or treatment, there will always be a group of non-responders. Take finasteride, for example, which boasts an 80-90% response rate (but still doesn't work for 10-20% of men using it). It's tough to say why this is the case, but generally speaking, it's often because someone's hair loss is multifactorial (i.e., multiple types of hair loss), or that their AGA is a subset type that is less dependent on the 5-alpha reductase enzyme pathway. An example of this would be in children / women who have close to no androgen levels due to being prepubertal or due to a pituitary injury, but who still undergo hair follicle miniaturization from AGA because of backdoor pathways to DHT conversion. There are only a few papers on this, but I'd recommend checking out this one: "Kasick JM, Bergfeld WF, Steck WD, Gupta MK. Adrenal androgenic female-pattern alopecia: sex hormones and the balding woman. Cleve Clin Q. 1983 Summer;50(2):111-22. doi: 10.3949/ccjm.50.2.111. PMID: 6227431."
Just another selling his own product... If he really want to help you he will make a video to show you what todo
👍
I am not agree with you... I don't know what is your intention...... You are against minoxidil.. But you have made many videos on minoxidil lol...... There are many peoples are getting result by using minoxidle.... They are also showing it...what are you trying to say?? That they are lying and you are right???...... I am really confused seing your videos
Hey! I'm in favor of minoxidil. We have a few videos coming out that should help clarify where I stand on all treatments.
@@PerfectHairHealth Hope you will clear it..
And thanks Rob for the information of scalp massaging... It is helpful for me... And I like it