Thanks for letting me know! I don't have any plans for a response video - mainly because Kevin's video focuses mostly on his analysis of the evidence on botulinum toxin for AGA, whereas my video focuses on the arguments for and against blood flow as a cause or consequence of AGA. I did have time to watch Kevin's video and have a few thoughts: 1. We have a 60-minute video interview with Dr. Freund in our membership. During the interview, Dr. Freund details his team's methods for hair count endpoints in his botox study. His team used the same hair counting methods that Kaufman used in the studies that helped gain finasteride FDA approval. In fact, most of the studies on botox included objective hair counts. My impression was that these measurements were underplayed or unmentioned, while secondary (subjective) endpoints were overemphasized. 2. Botox has a therapeutic index of ~15. Lidocaine has a therapeutic index of ~3. In other words, botox can be dangerous, but relatively speaking, it's not one of the deadliest substances to humans. Moreover, it has a much bigger therapeutic safety margin than many drugs used more regularly in medicine. 3. Case reports on frontal fibrosing alopecia (FFA) following botulinum toxin injections cannot be used to deter interest in botox for AGA. Firstly, FFA has a poorly understand pathophysiology, with multiple factors indicted (and only a handful of cases ever reporting FFA after botox). Secondly, FFA is an autoimmune form of hair loss, whereas AGA is not. Comparing these two hair loss disorders together is like saying someone can reverse type I diabetes with diet + lifestyle (which may work for type II diabetes, but not type I). I know Kevin didn't directly make this claim, but the distinction here is important. 4. As Kevin mentioned, the absence of placebo groups in all botulinum toxin-AGA studies is a huge problem. Same with the absence of hair diameter endpoints. We mention these limitations (and more) in our literature review, which was just accepted for publication. 5. Botulinum toxin injections intramuscularly may improve hair growth by improving blood flow to the scalp, but that does not imply the contraction of these perimeter muscles are the root cause of AGA. Based on 80% response rates across studies, these muscles may act as an accelerator of AGA for the overwhelming majority of people, while still leaving room for AGA to occur without their contraction. This is also an important distinction. We can't think of these data as a "this-or-that" scenario. 6. There's evidence of China falsifying data in manuscripts. The same is true of U.S. research teams. In fact, one study showed that when re-analyzing data from clinical trials, results changed for 35% of those trials. While we have to be aware of these problems, we also can't use a study's country of origin to dismiss its results... just as we can't presume someone is a criminal based on the color of their skin. 7. I can’t help it when companies co-opt my articles or manuscripts to sell people products that they don’t need. This has been particularly aggravating to experience over the past few years - especially with one company that Kevin often mentions. If you're inside our membership community, I highly recommend you look at our product reviews - as we tested this company's supplement for labeling claims and were shocked by the results. 8. Kevin and I probably disagree over certain scientific interpretations, and I think that's healthy. On a related note, I think it's great when people vary their sources of information. Everyone has blindspots (including me). Multiple perspectives often help to reduce those blindspots, and in doing so, improve our own understandings (provided we pick the right sources).
Sorry if bad english..🙏 Im 28 yo.. My hair was bald , i began to head cupping ( islamic therapy ) 5 times.. Result : some hair was longer & thicker.. I'm not using minoxidil or finasteride..I think it's because blood flow or needles..
I think it goes deeper than this. Consider the spine and how it is imperative to not only healthy circulation but the distribution of nutrition through healthy blood flow. I started seeing my hair thin out when I developed neck problems in my teens and I still have them due to bad posture. Maybe this should be looked into more as well. Stress messes with posture and causes tension which reduces circulation too.
My hair thickness doubled during lockdown where I would take very long walks on a daily basis. The blood flow to my scalp improved dramatically and the hair responded.
@@vins7cv139 I'm a man and I walked around 2km a day. Some days I did 4 kms. The results were dramatic. I did this for around 3 months about 4 times a week.
@@jacoboc2244 a fair point..I think genetics comes above everything when it comes to baldness.. if your genetics are against you then no amount of walking/exercise will produce results.
I tested two bottles of wiishcare and 2 bottles of littllextra reactiivate hair growth serum, and littllextra reactiivate hair serum was more effective for me and helped me grow new hair... In general, I think it’s a good serum... I look forward to more growth with 3rd bottle
So basically, "We still don't get it" which I really respect because ive done my research and that really is the truth. The more we study it, the more we seem to learn that its very complex
Although this is a 2 year old video, I have to give props. This was BY FAR the most well put together, short and informative video about this topic, including evidence, supporting both viewpoints/arguments and explaining in a easy to understand manner. Great job, subscribed and liked!
Has anyone come up with a standardized way to actually measure scalp tension? It seems like doing so could go a long way to further (or disprove) this whole scalp tension hypothesis. It would also open the door up for tons of interesting related studies to answer burning questions. For example: Does head size affect scalp tension or risk of balding? What are the most effective ways to reduce scalp tension? does the distribution of scalp tension on a real human head match the pattern of pattern hair loss? and of course the obvious: do bald people actually have tighter scalps and tighter scalp muscles?
Scalp massages are thr best. My hair start thinning infront and at the sides. Since doing scalp massaging i see a significant increase in hair now. I dont massage my hair i massage my scalp.
I have to agree with the 2nd research groups findings regarding the scalp muscle tightening rather than the hair shedding theory, but I think it becomes a cyclic mechanism. The hair shedding theory leading to blood vessel/ hair follicle ministration, would imply balding all over the scalp and not just usual pattern hair loss areas
you only have to feel your own scalp to spot low blood flow areas. the reallly boney parts of your head is where you willl lose hair. My hair sheds all over. i can run my hand through my hair and hair will shed at the same rate wherever on myy head. however im not going bald all over, im thin on top and near the hair line where my scalp is the most boniest(lacks muscle blood flow) natuural remedies are good for keeping your hair but very hard to grow back hair thats been lost for years.
I’ve watched hundreds of videos related to androgenic Alopecia and am fascinated with the topic. It’s safe to say I’ve been down the rabbit hole. These videos from Perfect Hair Health are by far the best out there bar none. 👏
ive doing regular scalp massages, and noticed so far: 1. my scalp is not so tight anymore, I actually feel the skin moving when massaging while this was certainty not the case before. 2. due to this I have less inflammation in my scalp 3. my scalp is less sensitive to shampoo. I had very sensitive scalp and always had dry skin after washing 4. my hair does look healthier and is definitely softer
My mom does this and she also has had good results. She is almost 70. She recently started using rosemary oil about a month ago and she has lots of hairs on her temples now.
@@Tate525 One of the studies was published in the NIH National Library of Medicine. Title of the article is: Rosemary oil vs minoxidil 2% for the treatment of androgenetic alopecia: a randomized comparative trial
@@Ke-na-le-Moemedi no where in study it was mentioned which concentration of rosemary oil was used, not only that, rosemary oil was used twice a day, which is practically not possible to follow. Rest 2 % minoxidil hardly does anything.
@@Tate525 that study itself showed rosemary oil unless used twice not going to benefit much. It's more effective in inflammation based hair loss than androgenic alopecia or telogen effluvium.
Haha yes. He consistently presents evidence against low blood flow causing pattern hair loss. The argument I present in this video is a bit different from his framework, but I felt he definitely deserved a spotlight!
@@PerfectHairHealth dude that's awesome. Rob, do you have any plans on talking about *why* these temporal muscles are chronically contracted in the first place?
@@fruitjuice5672 I don't have any plans to do this on TH-cam. We've made a few videos + posts about this inside the membership. But it goes without saying that any guesses here are entirely speculative and based off hypotheses rather than strong mechanistic + clinical evidence.
So technically you do lose hair due to lack of blood flow. Regardless the hair eventually sheds. The miniaturization is caused by lack of blood flow not a consequence. The lack of blood flow/ inflammation pushes the hair follicle out quicker even after it detached
Not at all. He is selling snake oil. His methods might work if you're loosing hair due to reason X. If you have adrogenic alopecia, nothing will work from this guy. Take finasteride or loose your hair, simple.
Another great video Rob. I love the unbiased and simplistic way you present information. Baldness info is so confusing for the average person to comprehend, what with all the "town-criers" shouting from different soap-boxes and all the "hair-loss sharks" circling to snatch money from the desperate and unaware; it's a complete minefield. When you gain a bit more traction on social media you may become the new hair-loss Oracle! Looking forward to your next videos. Cheers, Darren.
It still doesnt matter if blood flow is the effect of hair miniturization, it can still be reversed in theory if you increase blood flow back, it has a lower chance but its not out of the question.
Agreed. Id like to know whether topical agents can increase blood flow, and whether that can increase the size of hair follicles, breaking the successive miniaturization of hair follicles after each shedding in patterned hair loss.
@@sagarbadiger5554 try lavender oil and rosemery oil to increase blood circulation and increase cellular repairment. massages is good for improving the hair you already have. most importantly keep your scalp clean
@@yoyo21926 i has been just 2 days i have started with scalp massaging as suggested by Rob, I have been to dermatologist and has proscribed me peptides serum which contains - procapil, redensyl ,anagain, niacinamide Along with 2.5mg oral minoxidil tablets alternative days. I have started that from a week and i want to implement massaging techniques along with it. I have lost like 2000 grafts already. Are there any other ways to fight AGA? I will continue the massaging technique.
Why there is excess body hair in young adult males is that is the sign that they are facing hormonal imbalance and simultaneously facing hair fall. ( is there any natural treatments for excess body hair like massaging the scalp or exercises).
The piece about hair shedding being the cause of reduced blood flow to the scalp (due to blood supply pulling away from the follicle as it's released) got me thinking: does that mean that in the 'hair shedding' phases of some treatments, can people actually lose hair more permanently because of the hair shedding being induced?
Not at all! Just as hair shedding induces hair follicle miniaturization, it’s also the one thing that induces its reversal. We have a video about this in the cue.
yeah, but that's why some treatments say you must take it for as long as 12 months or even more to pass more than a shedding to recover 100% full thickness? theory
I also blame what happens to our skin as we age. The middle layer becomes thinner and outer layer becomes thicker, making a less healthy environment for hair growth, particularly for the thin skin on top of the scalp. The muscles definitely contributed, but finding ways of reversing the thinning skin layer would be even more effective.
Wow this channel is dime for hair loss. Every video has been top notch. I'm curious why you didn't mention in other video of DHT blockers like RU-58841? is it because lack of research of it's safety?
Thanks! We'll definitely get to these experimental treatments in future videos. They weren't included in the DHT Blockers video for a variety of reasons: (1) too much reliance on mechanistic (not interventional) data; (2) unpublished clinical trials; and (3) too few trial participants to discern real safety thresholds. That's not to say that they don't work, or that people shouldn't use them! They definitely work for some people. It's just that we couldn't effectively rank these against other DHT blockers because of the absence of data.
dude i love antioxidants. cant wait to see the next episode. and im really curious about the minoxidil prostaglandin and potassium thing. and they say spicy food increases heart rate so i'd like to hear the studies on that!
I don't know what my mom used on my dad, but she was a hair dresser who started to massage something into my dad's scalp in 1980. He was almost completely bald. Within two months he had vellus hair covering everywhere he ever had hair previously on his scalp. He ended up with a complete head of long peach fuzz. Rather than complete the treatments, he got self conscious and had her stop them. I have no idea what she used, but it was years before Minoxidil was invented.
Yeah, the secret is to have a full head then create a YT channel and convince viewers you're losing your hair but you've got the secret....for a price.😂
thanks for the video.. but you said at the end: "our guess is that blood flow improvements is probably not the main mechanism of minoxidil particularly given how poorly other topicals that attempt to target circulation stimulation perform as a treatment for pattern hairloss".. but rosemary oil, is a vasodilator, and when it is used as a topical on the scalp, it has been proven that it performs as much as minoxidil.. and peppermint oil, another vasodilator, has been proven to perform much better than minoxidil.. then why did you say "given ""how pooly"" other topical performed for circulation"? that just makes no sense?
This man is fucking right i took his lecture video 2 years ago and started applying now and trust me its working i can see visible results...thank you so much
I take cold showers on a regular basis and I am a practitioner of the Wim Hof Method which couples breathing techniques with cold exposure to limit inflammation and improve my mental health. However, as I watch this I can't help but think that the vasoconstriction and dilation response to cold exposure might have some benefit to increasing blood flow in the scalp. Perhaps also coupled with the breathing techniques which aim to flood the body with excessive oxygen can further help prevent the conversion of testosterone into dihydrotestosterone. Also cold exposure causes an adrenaline response which has been shown to act almost as an antithesis to inflammation. I would love to see experimentation on this.
@@sammelibertram1054 Well, I would say that my hair has stopped thinning. It has gotten to a point where I feel like it is going but the barber says it is thick. I think this also maybe attributed to the fact that I have not been using shampoo as you can't in a cold shower as you having your head underwater for too long is painful. I have been taking cold showers nearly every day since 2020. I love them and can't find a more appropriate way to strengthen my body.
Korean Red Ginseng 3,000 mg extract daily has helped me. I know there are studies that show improved similar to minoxidil. KRG is twice as expensive though. You should make a video 😉
If I am not mistaken, I have read somewhere that when there is less blood flow (perhaps because of scalp tension) there is of course less oxygen, and because of that dht is developed instead of the estrogenic equivalent, as apparently dht can come from area's with less oxygen. I know I am explaining this terribly, but I am just writing based on what I remember from somewhere. in other words, dht may cause hair loss, but dht is a by product of low blood flow.
In fact less DHT would be produced with less blood fleo. Because testosterone is jn blood, and the less T reaches the scalp 5ar enzymes the less gets converred to dht
This isn't totally accurate. You cannot use hormone levels of scalp tissue as a proxy for blood flow activity. Consider tissue dissociation timings, glucuronidation, and histological evidence (i.e., balding scalp regions have 40% lower transcutaneous oxygen levels, and yet they also have higher levels of DHT).
@@liamkucht Did you use massages only? Or did you incorporate something like microneedling, minoxidil, or even finasteride? How bad was your hair loss to begin with? And how much did it improve?
hi, did you ask the question why? why do the hairs get shed? I believe the hair is lacking support, so the hair root decides it's time to down grade. But the needed support keeps lowering, so it keeps downgrading. that's why a lack of blood supply causes hair loss.
Or does DHT cause the hair to miniaturize? Isn't shedding a natural cycle? So once the hair starts getting "damaged" or "suffocated" (whatever it is) by DHT, it starts getting smaller which causes a positive feedback loop resulting in reduced bloodflow to the scalp.
hi, I confirm that you are perfectly right, the fault of hair loss is only in the tense muscles of the scalp, I know because it happened to me too and at the age of 20 I was able to release the muscles of the head while half asleep. After 12 months I had very long hair. Unfortunately, when I cut my hair for military reasons, my muscles became tense again and I lost my hair. In any case, I know for sure that I need to release my muscles, and I've been trying for 20 years. I think I finally found a solution, bye
New subscriber here! Great content thank you. I take cayenne pepper caps helps with circulation,pain and weight loss. It aided my 35lb loss and made tons of tiny new hairs pop up!
the first study doesn't prove anything, because it doesn't explain why exactly at the top of the head with each new hair cycle the blood vessles get thinner and thinner. the second study prove that mechanical stress causes miniaturisation (by proving that releiving that stress improves hair in that area), and i bet that this is what causes also the thinning of blood vessles with each cycle. i mean why isn't donor area blood vessles get thinner with each cycle like the top of the head ? Any model that doesn't explain the horse shoe pattern is just incomplete.
This is a good point, and it’s a topic I’ll try to dive into in a later video. For the first part, there is evidence that dermal papillae cell cluster sizing may influence the size of the micro capillary networks connected to the follicle, and that these clusters undergo apoptosis at the beginning of each hair cycle due to a signaling protein stimulated by both DHT and reactive oxygen species. For the second part of the video, the one challenge with placing scalp tension at the very top of the AGA flowchart is that Botox study response rates are all pegged at 80% - meaning 20% of people still don’t see benefit to relieving the contraction of these muscles. At the same time, 10-20% of men also don’t respond to finasteride. So, it’s complicated! I personally consider scalp tension and/or the contraction of that muscle band as an accelerator, but not the root cause, of AGA for the overwhelming majority of people. With more studies, I hope we can get more clarity here.
@@PerfectHairHealth for me the first study is void by definition because they didn’t make a distinction between what part of the scalp they were studying, hair loss indeed may have an infinite level of complexity but I would like the researchers to illiminate every single theory that doesn’t try to explain the horseshoe pattern, that way we can look at a part of infinity and not the whole body of possibilities. The real question about mpb shouldn't be "why men lose their scalp hair" the correct question should be "why do men lose their scalp hair in a horseshoe pattern" the first study didn't even bother to make this distinction and that's just stupid. i know there may be very different types of hairloss, i'm specifically talking about mpb I myself have stopped and reversed by mpb thanks to a variation of your massaging technique after almost 3 years now , but i stimulate my scalp whenever it’s possible, it’s a habit now for me to try to massage my head. I have less respect for the dermatology scientific community because they fell for the most basic logical fallacies and looks like their research is just pushing some big commercial agenda instead of trying to find the truth . I am convinced that the key to unlocking mpb lies under the horseshoe pattern, the truth is staring at us in the face. something about low bloodflow is making dht kill the hair on top of the scalp.
@@napster2333 do you have any pics of your hair loss reversal? I ve been doing massages on and off for 3 years as well and initially saw decent results, but later lost most gains. Now im doing them again since 3 months and usin minox as well . Congrats for your success!
@@napster2333 I know why it happens in horse show pattern ! I think when we sleep only three portions of our head gets pressurized that is the back region and the other two side regions, the upper part of the head never feels the pressure. The blood flow is more in these 3 portions as compare to the upper part of your head. That's why I think first upper part of the head hair miniatures as compare to other three part. This is probably due to stress in the upper part. Do u notice that the people with healthy hair have very elastic scalp in all the regions of their head whereas the person who is thinning and facing hairloss doesn't have elastic scalp in the upper part of the head but the back and other side portion are elastic. This is all play of blood circulation!
@@meenakshinaidu195 They key to understanding hair loss is understanding why hair continues to grow on the back and sides of our head even as we get older. Why do they continue to grow while the scalp, hairline and temples start to fade/recede and miniaturize. But definitely the understanding the george jefferson is key to solving this hairless problem for good. I think its a multitude of things besides genetics cuz genetics is the most basic answer one can give. Cuz there's some people where who have full heads of hair while most of the men in their family are bald, ppl who are bald but their family has full heads of hair, a man who is bald but his brother is not, and etc.
maybe I'm missing something, but isn't the quote from the paper at 5:55 says that the miniaturization process is abrupt and not gradual like the voice over claims?
QUESTION; What if a form of scalp massage is applied NOT to increase blood flow, but tho counteract the contractions of the scalp muscles....Would this exercise produce more hair growth???
This is a great video, spoken really well, with nice pacing, and the animations are very helpful! Was so easy to follow along. Just a heads up that it seems the video is cut off a little short at the end. I've followed your website content on and off over the last few years. I bought your ebook and it was fascinating. Was the best content/research I have found on the topic. I did actually stop doing the massage routine out of lack of discipline after a few months of doing them. But even from those few months I could tell that it made my scalp feel far more healthy and flexible, and made my hair feel noticeably stronger. I am less bothered by my temple recession now but I still find this research very interesting and may restart a routine at some point. I am very interested to see the discussions within your ongoing group/forum membership but I have always decided against it based on the cost.
Obviously not because this guy is talking about his rear. When he made the claim that minoxidil didn't work around the sides of your head, I realized this guy is wrong. I've used it to regrow my hairline and fill in my patchy beard. It doesn't work for everyone, but if you use it in combination with derma-rolling 1mm needle length, it will work for many.
Seems like my guess that my new pillow is a reason of my tremendous hairloss is right. I've mentioned that my neck muscles often in tension when I lay on it.
Makes no sense to say that the follicle is what controls the growth of vessels. Sure the vessels shrink after shedding. But the fact they regrow smaller has nothing to do with the follicle, but mechanism already there before the follicle even starts regrooming.
Does Botox need to be injected into the scalp or can it be microneedled into the scalp? Clinics around me offer a botox lotion that is then microneedled into the scalp, they do not provide injections
hello video creator, massaging helped you to reduce the bald spot on your crown. This means that increased blood flow through external stimulation act of massaging helps the hair growth, however in this video the points mentioned is a bit contradicting the earlier video. Can you please explain ?
We still don't know the purported mechanisms of massaging, or its quantifiable effects on hair loss sufferers (unfortunately, we just have survey data on self-perceived changes, which comes with a risk of bias). In any case, I don't believe this video contradicts anything from earlier videos; it's more so just to explain the nuances of the relationship between this one histological feature of AGA.
I thought you were charging people quite large sums of money peddling your massage theory and technique that had proven evidence (your own experience + a small amount of your own anecdotal selected sample data) backing it up? And isn’t this whole channel and your income based on convincing people that massaging works? Now that you’re established you’re saying that there’s no quantifiable data supporting it and what data we do have is too sketchy to be conclusive? We need beyond PHD thinkers giving us the evidence, not well spoken TH-cam income warriors. Everything in this video zooms in too far and simplifies broad potentialities and speculates on 1 or 2 possible causes of what is likely a 100,000 piece puzzle. I was reluctant to watch any of your videos, this is the first one. No need to watch any more, I’ll take my kickbacks elsewhere
I thought blood flow could be my issue, because when I was young I smashed my head into a board and if I rub that spot it still feels oddly sore sometimes. Maybe I caused arterial damage. I should get a scan.
Here's a " theory " Hair loss a result of chewing habbits. When I use my jaw to chew I can feel the Superficial Temporal a PARIETAL & FRONTAL Division flex only. Do these muscles get over strained as a result of eating habits?
Thanks! I'll add this topic to the list, but it may be a while before we get to it. In the meantime, I know that Haircafe (Kevin Mann) did a breakdown + critique of the hypothesis. For starters, I love alternative hypotheses that attempt to explain pattern hair loss - especially ones rooted in strong mechanistic + interventional data. Having said that, I remember seeing that reddit thread about sulforaphane and DHT metabolism, and I also remember disagreeing with several assumptions that the reddit user made when attempting to justify the initial conditions of the hypothesis. While I haven't watch Haircafe's video, I'm sure that Kevin did a great job identifying these points of concern. That's not to say that targeting DHT metabolism isn't of therapeutic interest for pattern hair loss. On the contrary, it is! It's just that the hypothesis about DHT metabolism (at least the version presented by that reddit user) contains a few claims that run contrary to the body of literature on the subject. If you're curious about my thoughts on 3-alpha-hydroxysteroid dehydrogenase, sulforaphane, and DHT metabolism - I wrote an article about this back in 2017. The article hasn't been updated in a long time, so it's likely that my opinions here have changed. But if you're curious, here it is: perfecthairhealth.com/part-4-of-4-attacking-dht-by-increasing-dht-metabolism/
If you’re able to see my comment- could you do a video for women? I haven’t had issues in the past but now I’m having some thinning around the temples (middle age). Is it hormonal? Stress? Something on the scalp that needs to be treated? Could you share anything if you know about this for women? Thank you!
@PerfectHairHealth 12:47 "Applying topicals at the top of the head... is not the right region." Are you theorizing that these could be more effective if applied directly over the arteries supplying the scalp?
Great video ! Since the beginning of the year when i discovered you , i realized you re a very knowledgeable guy who i really enjoy to watch ! What do you think about taurine ? I have a shampoo with taurine and i want your thoughts
What about guys are usually talk to have shorter hair, which leads to more sun exposure which, leads to issues of hydration of the scalp and scarring of the scalp meaning it gets harder and more scaly like a scab more sun, more damage etc. etc.?
What I don't get is, if it's something to do with blood supply in the scalp then why do hair transplants work? Wouldn't transplanted hair be affected by lack of blood flow and oxygen supply just as much as original hair? And yet hair taken from other parts of the skull seems to be unaffected, as if it were still growing in its original location.
He did a video addressing that titled "Hair Transplants: Do They Last Forever? - The Truth". The conclusion he comes to is somewhat controversial, but basically there is some evidence that transplanted hairs do thin over time, it just takes a long time because they are starting fully healthy.
It seem to me the argument against blood flow being a consequence is not a strong one. What if follicle shrinkage after the hair fall is just an adaptation to a lack of blood supply?
DHT is found all over the body, even where hair is doing very well. Blaming DHT doesn’t explain why it only happens on top of the head and not the sides. The answer might be in how much thinner the skin is as it’s compressed against the top of the scalp. And as you age, the subcutaneous tissues become thinner, which explains how it progresses as you age.
let's think logically about this. When does our body restrict blood flow? when an appendage is dying and it wants to expel it. There is obviously a genetic component to this, but this is not to say that an external intervention could not help this issue.
Dear Rob, your channel is a blessing! Amongst thousands of sources, you are one of the few who taps into original research. Thank you. Now a quick "letter in the bottle"! I had great hair until two years ago (mid 50s) it started thinning a bit and losing quality. But it improved with message and some home remedies (onion water, castor oil, rosemary oil...). Then all of sudden the crown area thinned and in a matter of 4-5 weeks, a bald spot the size of palm formed! There are tiny (short) hair in the patch but they don't seem to grow much. The patch is growing slowly in all directions. None of the theories of hair loss I have seen could describe such a sudden event. I am now massaging a lot, continuing some of the substantiated home remedies and planning to add derma roller. I appreciate any thoughts from anyone who read this. I know, hair loss is not the end of the world but is still a big challenge. Be blessed.
I'm sorry to hear about your situation. Based on the rapidity of onset, it sounds like you might be facing alopecia areata - which is different from androgenic alopecia. But the hair loss also sounds confined to the typical regions of androgenic alopecia. Send some photos over email!
@@PerfectHairHealth Thank you Rob for checking and replying. I am currently taking your 7 day email and want to join the community. I will send pics to the same email as the email course.
@@PerfectHairHealthHi. About this video I think blood flow is both a cause and effect in a feedback loop, like CO2 works for climate change. Putting the pieces together of what you said basically looks like this: DHT production rises in the body due to various factors linked to getting out of the puberty hormones or stressors or whatever and causes miniaturization, then miniaturized follicles reduce the need for as much blood flow to the scalp, which in turn makes it easier for DHT to keep miniaturizing the follicles in a continuous cycle. By the way my scalp has been totally bare for almost 3 years just with some vellous hairs here and there, in the last 6 months I've lost 22Kg started eating more leafy greens and protein, going to the gym and supplementing with MSM for my joints. Two weeks ago I noticed that I have much more and longer vellous hairs and quite a few thin but black long hairs, as a matter of fact my entire scalp now has tons of vellous like hairs with 3-6mm. The only reason I found your channel was because I was curious as to why my hair started regrowing our of the blue. I thought you would like to know my case and perspectives, maybe it will be of some use to you.
@@squith99 No itchiness. Normal skin. My physician thought it was Alopecia Areata and recommended topical steroids. Ever since I have recovered about 60% of lost areas and hope the trend will continue. Thank you for asking.
In the first study, you mentioned, that first, the hair follicles die then the blood vessels go away. How do we know that the proper nutrients (through the vessels) aren't getting through to the hair follicles and that is the reason the hair miniaturizes, then the blood vessel goes away after? Secondly. I just did bloodwork and found out and pre-diabetic, which negatively impacts blood flow. I've had poor blood flow for years my hands and feet are always cold. This recent news of pre-diabeties I believe is due to a fasting diet as there are no other health indicators to point anywhere else. The poor circulation and recent fasting over the last few years correlate to the time I started losing my hair. Thoughts? I've tried the red light helmet, and minoxidil both in pill form and topical, but I don't like either. Should I reconsider the topical? I use Nizoral once a week that's about it. I was going to go to Turkey for a transplant (take your healthy follicles and inject them into the bald spot) a few of my friends have done this and its works. But now this recent pre-diabetic news has got me thinking it could be more to do with insulin, blow flow and diet. Thoughts?
Interesting points being made here. Does that mean that the hypoxia effect created by stemoxydine can be harmful for hair growth instead of beneficial?
Rob - I follow your channel regularly. I am sure you know the reason. Yes, I am balding for sure. Mostly started last year & am getting closer to my 40’s. I am loosing mostly from my crown. It’s visible in normal light now. Its not completely gone by super thin now. I have checked the condition through a trichoscope , its looks like baby hairs are still there . So miniaturisation is happening. I am advised to use Minox & also Fina . What’s your suggestions?
It's tough for me to comment effectively, mainly because the answer really depends on a lot of factors - one of which being your comfortability using those treatments (efficacy, adherence, tolerability, etc). Moreover, there's always the possibility that you're facing multiple types of hair loss - like AGA alongside a hair shedding disorder. In addition to these treatments, I think a cursory health evaluation to rule of certain micronutrient imbalances and chronic conditions associated with hair shedding disorders is a good first step.
@@PerfectHairHealth Thanks Rob . Can you put some lights on the Micronutrients imbalance & chronic condition association part & what to do next for that. I am sure I am getting AGA but for the other part , I seek guidance please. Can you help here, Rob?
What is your current opinion on skull expansion and will you make vid about it in future? There is paid so little attention to this theory but I believe it might contribute to scalp tension a lot. Thanks
I've been noticing that the guys with prominent and broad eyebrow ridge then their upper forehead don't go bald. You can looks at the pictures of MMA fighters and boxers. Guys with small eyebrow ridge go bald. It's just my observation. I don't know if it's true or not.
![Scalp Massage For Hair Loss [48 Weeks] + Top Hair Loss Treatments](http://i.ytimg.com/vi/M45DexVMvsw/mqdefault.jpg)
You gotta make a response to Kevin now! He even copied your thumbnail lol
I swear that was just a coincidence...as was the title.
@@haircafekevin Of course, Kevin, of course 😆
Thanks for letting me know! I don't have any plans for a response video - mainly because Kevin's video focuses mostly on his analysis of the evidence on botulinum toxin for AGA, whereas my video focuses on the arguments for and against blood flow as a cause or consequence of AGA. I did have time to watch Kevin's video and have a few thoughts:
1. We have a 60-minute video interview with Dr. Freund in our membership. During the interview, Dr. Freund details his team's methods for hair count endpoints in his botox study. His team used the same hair counting methods that Kaufman used in the studies that helped gain finasteride FDA approval. In fact, most of the studies on botox included objective hair counts. My impression was that these measurements were underplayed or unmentioned, while secondary (subjective) endpoints were overemphasized.
2. Botox has a therapeutic index of ~15. Lidocaine has a therapeutic index of ~3. In other words, botox can be dangerous, but relatively speaking, it's not one of the deadliest substances to humans. Moreover, it has a much bigger therapeutic safety margin than many drugs used more regularly in medicine.
3. Case reports on frontal fibrosing alopecia (FFA) following botulinum toxin injections cannot be used to deter interest in botox for AGA. Firstly, FFA has a poorly understand pathophysiology, with multiple factors indicted (and only a handful of cases ever reporting FFA after botox). Secondly, FFA is an autoimmune form of hair loss, whereas AGA is not. Comparing these two hair loss disorders together is like saying someone can reverse type I diabetes with diet + lifestyle (which may work for type II diabetes, but not type I). I know Kevin didn't directly make this claim, but the distinction here is important.
4. As Kevin mentioned, the absence of placebo groups in all botulinum toxin-AGA studies is a huge problem. Same with the absence of hair diameter endpoints. We mention these limitations (and more) in our literature review, which was just accepted for publication.
5. Botulinum toxin injections intramuscularly may improve hair growth by improving blood flow to the scalp, but that does not imply the contraction of these perimeter muscles are the root cause of AGA. Based on 80% response rates across studies, these muscles may act as an accelerator of AGA for the overwhelming majority of people, while still leaving room for AGA to occur without their contraction. This is also an important distinction. We can't think of these data as a "this-or-that" scenario.
6. There's evidence of China falsifying data in manuscripts. The same is true of U.S. research teams. In fact, one study showed that when re-analyzing data from clinical trials, results changed for 35% of those trials. While we have to be aware of these problems, we also can't use a study's country of origin to dismiss its results... just as we can't presume someone is a criminal based on the color of their skin.
7. I can’t help it when companies co-opt my articles or manuscripts to sell people products that they don’t need. This has been particularly aggravating to experience over the past few years - especially with one company that Kevin often mentions. If you're inside our membership community, I highly recommend you look at our product reviews - as we tested this company's supplement for labeling claims and were shocked by the results.
8. Kevin and I probably disagree over certain scientific interpretations, and I think that's healthy. On a related note, I think it's great when people vary their sources of information. Everyone has blindspots (including me). Multiple perspectives often help to reduce those blindspots, and in doing so, improve our own understandings (provided we pick the right sources).
@@PerfectHairHealth Superb input, Rob
Sorry if bad english..🙏
Im 28 yo..
My hair was bald , i began to head cupping ( islamic therapy ) 5 times..
Result : some hair was longer & thicker..
I'm not using minoxidil or finasteride..I think it's because blood flow or needles..
I think it goes deeper than this. Consider the spine and how it is imperative to not only healthy circulation but the distribution of nutrition through healthy blood flow. I started seeing my hair thin out when I developed neck problems in my teens and I still have them due to bad posture. Maybe this should be looked into more as well. Stress messes with posture and causes tension which reduces circulation too.
My hair thickness doubled during lockdown where I would take very long walks on a daily basis. The blood flow to my scalp improved dramatically and the hair responded.
Are you a man or woman? What distance did you walk daily aproximately?
@@vins7cv139 I'm a man and I walked around 2km a day. Some days I did 4 kms. The results were dramatic. I did this for around 3 months about 4 times a week.
I've seen people stand on their head lol
@@OverRule1 Makes some sense to me.. apparently it works to a degree !!
@@jacoboc2244 a fair point..I think genetics comes above everything when it comes to baldness.. if your genetics are against you then no amount of walking/exercise will produce results.
You inform without being infantile and cursing like other hair loss channels. What an oasis in the midst of filth. Kudos to you !
"What an Oasis in the midst of filth" highly quotable and very funny!!
I think it’s definitely safe to say scalp massages are worth doing and probably help
Is that what he was saying??
@@sl4983 yes, he’s been a strong advocate of scalp massages in his other vids
What about derma roller for hair growth?
But he should talk about some sensitive areas to massage, like the temporal artery region.
I was doing handstands everyday for fun last year and I noticed my hair was really healthy
Are youa women or a man
Do you have this condition due to aga
I tested two bottles of wiishcare and 2 bottles of littllextra reactiivate hair growth serum, and littllextra reactiivate hair serum was more effective for me and helped me grow new hair... In general, I think it’s a good serum... I look forward to more growth with 3rd bottle
me also getting a lot of hair growth after using 2 bottles of reactiivvate hair growth serum
This is the must watch channel for every hairloss guy.
By far the best channel in internet jungle
So basically, "We still don't get it" which I really respect because ive done my research and that really is the truth. The more we study it, the more we seem to learn that its very complex
Hair loss is a syndrome with cascading effects.
Make a video about your current routine
I gotta say I was looking for a channel just like this, informative, fact based and honest. Best hairloss channel.
Although this is a 2 year old video, I have to give props. This was BY FAR the most well put together, short and informative video about this topic, including evidence, supporting both viewpoints/arguments and explaining in a easy to understand manner. Great job, subscribed and liked!
Has anyone come up with a standardized way to actually measure scalp tension? It seems like doing so could go a long way to further (or disprove) this whole scalp tension hypothesis.
It would also open the door up for tons of interesting related studies to answer burning questions. For example: Does head size affect scalp tension or risk of balding? What are the most effective ways to reduce scalp tension? does the distribution of scalp tension on a real human head match the pattern of pattern hair loss? and of course the obvious: do bald people actually have tighter scalps and tighter scalp muscles?
Scalp massages are thr best. My hair start thinning infront and at the sides. Since doing scalp massaging i see a significant increase in hair now. I dont massage my hair i massage my scalp.
Are you on any DHT blockers
How long did It take you to notice the improvement? How long did you massage per day?
هل لديك DHT
Loosing hair was a great problem for me , I started using rosemary water and oil .
After few months my hair stopped shedding and is fine now .
just rosemary only?
@@nurkholis6975I am also Use Rosemary oil It's Awesome
Just take 2tbsp Coconut oil and 4-5 drops rosemary oil mix it and apply on Scalp
How often do you do this? How long do you leave it on for? Could you give details? Thank you!@@madangowda3614
I have to agree with the 2nd research groups findings regarding the scalp muscle tightening rather than the hair shedding theory, but I think it becomes a cyclic mechanism. The hair shedding theory leading to blood vessel/ hair follicle ministration, would imply balding all over the scalp and not just usual pattern hair loss areas
you only have to feel your own scalp to spot low blood flow areas. the reallly boney parts of your head is where you willl lose hair. My hair sheds all over. i can run my hand through my hair and hair will shed at the same rate wherever on myy head. however im not going bald all over, im thin on top and near the hair line where my scalp is the most boniest(lacks muscle blood flow)
natuural remedies are good for keeping your hair but very hard to grow back hair thats been lost for years.
But what about DHT isn't it the cause of male pattern baldness?
@@InsaneRG4172 dht is related to overall hair shed
@@yoyo21926 but what about people who don't have 5 alpha reductase enzyme on their head, why don't they bald then?
@@InsaneRG4172 some people have really good scalp blood circulation
I’ve watched hundreds of videos related to androgenic Alopecia and am fascinated with the topic. It’s safe to say I’ve been down the rabbit hole. These videos from Perfect Hair Health are by far the best out there bar none. 👏
Update on your condition.
Hi I'm starting to go down the rabbit hole. How is your hair nowaday
ive doing regular scalp massages, and noticed so far:
1. my scalp is not so tight anymore, I actually feel the skin moving when massaging while this was certainty not the case before.
2. due to this I have less inflammation in my scalp
3. my scalp is less sensitive to shampoo. I had very sensitive scalp and always had dry skin after washing
4. my hair does look healthier and is definitely softer
My mom does this and she also has had good results. She is almost 70. She recently started using rosemary oil about a month ago and she has lots of hairs on her temples now.
How long have you been doing scalp massages?
@@lelonkushk u can experience this effect around 3-4 days
@@LEXNOLYRICS 😢😢😢😢 بليز هل ينفع للصلع الوراثي ارجوك رد عليا يااخي ينفع التدليك الهرمون الوراثي
بليزززززز يمكن ينفع التدليك للصلع الوراثي
Studies have shown that Rosemary essential oil improves hair growth like Minoxidil but without the side effects.
Please forward me those studies 😂? I have found none at all.
@@Tate525 One of the studies was published in the NIH National Library of Medicine. Title of the article is: Rosemary oil vs minoxidil 2% for the treatment of androgenetic alopecia: a randomized comparative trial
@@Ke-na-le-Moemedi no where in study it was mentioned which concentration of rosemary oil was used, not only that, rosemary oil was used twice a day, which is practically not possible to follow. Rest 2 % minoxidil hardly does anything.
@@Tate525 that study itself showed rosemary oil unless used twice not going to benefit much. It's more effective in inflammation based hair loss than androgenic alopecia or telogen effluvium.
Oh my god. The fact that you put Kevin Mann in this video... legend!!
Haha yes. He consistently presents evidence against low blood flow causing pattern hair loss. The argument I present in this video is a bit different from his framework, but I felt he definitely deserved a spotlight!
lol this shows rob is the true legend
@@PerfectHairHealth dude that's awesome.
Rob, do you have any plans on talking about *why* these temporal muscles are chronically contracted in the first place?
@@fruitjuice5672 I don't have any plans to do this on TH-cam. We've made a few videos + posts about this inside the membership. But it goes without saying that any guesses here are entirely speculative and based off hypotheses rather than strong mechanistic + clinical evidence.
@@PerfectHairHealth Aww man :(
So technically you do lose hair due to lack of blood flow. Regardless the hair eventually sheds. The miniaturization is caused by lack of blood flow not a consequence. The lack of blood flow/ inflammation pushes the hair follicle out quicker even after it detached
Not at all. He is selling snake oil.
His methods might work if you're loosing hair due to reason X.
If you have adrogenic alopecia, nothing will work from this guy.
Take finasteride or loose your hair, simple.
Another great video Rob. I love the unbiased and simplistic way you present information. Baldness info is so confusing for the average person to comprehend, what with all the "town-criers" shouting from different soap-boxes and all the "hair-loss sharks" circling to snatch money from the desperate and unaware; it's a complete minefield. When you gain a bit more traction on social media you may become the new hair-loss Oracle! Looking forward to your next videos. Cheers, Darren.
Darren A Munday Can you tell me what he said was the solution for hair growth?
It still doesnt matter if blood flow is the effect of hair miniturization, it can still be reversed in theory if you increase blood flow back, it has a lower chance but its not out of the question.
Agreed. Id like to know whether topical agents can increase blood flow, and whether that can increase the size of hair follicles, breaking the successive miniaturization of hair follicles after each shedding in patterned hair loss.
You the BOSS.. your theory and studies, totally make sense.
Great video, the content was great , the explanation was simple enough for laymen and the pace was correct too.
My argument- If I do Sirsasana Yoga, my hair grow thick. Many reported full hair regrowth especially in women. If it works, it works 💪
Might scalp massage be an effective treatment for relaxing the scalp muscles and increasing blood flow?
yes, the trick is to remember to do it everyday. itss like feeding your hair.
@@yoyo21926 have you been doing it? Do you see any difference, can you share with me how to massage?
@@sagarbadiger5554 try lavender oil and rosemery oil to increase blood circulation and increase cellular repairment. massages is good for improving the hair you already have. most importantly keep your scalp clean
@@yoyo21926 i has been just 2 days i have started with scalp massaging as suggested by Rob, I have been to dermatologist and has proscribed me peptides serum which contains - procapil, redensyl ,anagain, niacinamide
Along with 2.5mg oral minoxidil tablets alternative days.
I have started that from a week and i want to implement massaging techniques along with it.
I have lost like 2000 grafts already.
Are there any other ways to fight AGA?
I will continue the massaging technique.
Oh yes it's working. I'm doing it and it's really good.
So how many people here got any improvement on their MPB by doing massages alone to reduce muscle tension and increase blood flow?
So what is the scientific reason for hair shedding? I can remember that I had excessive shedding for a month when I was 24 and I had no idea why.
Why there is excess body hair in young adult males is that is the sign that they are facing hormonal imbalance and simultaneously facing hair fall. ( is there any natural treatments for excess body hair like massaging the scalp or exercises).
The piece about hair shedding being the cause of reduced blood flow to the scalp (due to blood supply pulling away from the follicle as it's released) got me thinking: does that mean that in the 'hair shedding' phases of some treatments, can people actually lose hair more permanently because of the hair shedding being induced?
Not at all! Just as hair shedding induces hair follicle miniaturization, it’s also the one thing that induces its reversal. We have a video about this in the cue.
yeah, but that's why some treatments say you must take it for as long as 12 months or even more to pass more than a shedding to recover 100% full thickness? theory
I also blame what happens to our skin as we age. The middle layer becomes thinner and outer layer becomes thicker, making a less healthy environment for hair growth, particularly for the thin skin on top of the scalp. The muscles definitely contributed, but finding ways of reversing the thinning skin layer would be even more effective.
that could be a result of low blood flow
Wow this channel is dime for hair loss. Every video has been top notch. I'm curious why you didn't mention in other video of DHT blockers like RU-58841? is it because lack of research of it's safety?
Thanks! We'll definitely get to these experimental treatments in future videos. They weren't included in the DHT Blockers video for a variety of reasons: (1) too much reliance on mechanistic (not interventional) data; (2) unpublished clinical trials; and (3) too few trial participants to discern real safety thresholds. That's not to say that they don't work, or that people shouldn't use them! They definitely work for some people. It's just that we couldn't effectively rank these against other DHT blockers because of the absence of data.
I am so happy that I found your channel
dude i love antioxidants. cant wait to see the next episode. and im really curious about the minoxidil prostaglandin and potassium thing. and they say spicy food increases heart rate so i'd like to hear the studies on that!
What do you think of bad posture and stretching of the galea? Did you perhaps have an office job back in the day when you started losing hair?
I don't know what my mom used on my dad, but she was a hair dresser who started to massage something into my dad's scalp in 1980. He was almost completely bald. Within two months he had vellus hair covering everywhere he ever had hair previously on his scalp. He ended up with a complete head of long peach fuzz. Rather than complete the treatments, he got self conscious and had her stop them. I have no idea what she used, but it was years before Minoxidil was invented.
Bro Ask to your mom what it is, theres hundreds of people who want to know
@@tiagofilipe2481 She died years ago.
@@Spritsailor Ohhh sorry 😟
@@Spritsailor self conscious about?
@@Spritsailor amin
I think this guy knows the secret and he's hiding it from the world. Look at his hair.
Haha he can be a billionaire for sure :)
Its a native monkey
This is also what I think, when I watch his hair 😅
Well he does. He was balding and he managed to reverse the progression of his androgenic alopecia.
Yeah, the secret is to have a full head then create a YT channel and convince viewers you're losing your hair but you've got the secret....for a price.😂
I would like to know how hair is growing profusely on my ears ( and every where else) but not on my head as I get older?
Ha ha ha ha…..
thanks for the video..
but you said at the end:
"our guess is that blood flow improvements is probably not the main mechanism of minoxidil particularly given how poorly other topicals that attempt to target circulation stimulation perform as a treatment for pattern hairloss"..
but rosemary oil, is a vasodilator, and when it is used as a topical on the scalp, it has been proven that it performs as much as minoxidil.. and peppermint oil, another vasodilator, has been proven to perform much better than minoxidil.. then why did you say "given ""how pooly"" other topical performed for circulation"? that just makes no sense?
This man is fucking right i took his lecture video 2 years ago and started applying now and trust me its working i can see visible results...thank you so much
I take cold showers on a regular basis and I am a practitioner of the Wim Hof Method which couples breathing techniques with cold exposure to limit inflammation and improve my mental health. However, as I watch this I can't help but think that the vasoconstriction and dilation response to cold exposure might have some benefit to increasing blood flow in the scalp. Perhaps also coupled with the breathing techniques which aim to flood the body with excessive oxygen can further help prevent the conversion of testosterone into dihydrotestosterone. Also cold exposure causes an adrenaline response which has been shown to act almost as an antithesis to inflammation. I would love to see experimentation on this.
Has this worked for you? How long have you been doing this?
@@sammelibertram1054 Well, I would say that my hair has stopped thinning. It has gotten to a point where I feel like it is going but the barber says it is thick. I think this also maybe attributed to the fact that I have not been using shampoo as you can't in a cold shower as you having your head underwater for too long is painful. I have been taking cold showers nearly every day since 2020. I love them and can't find a more appropriate way to strengthen my body.
In short, yes, if you hair follicles continue to receive good blood flow, then your hair will stay shiny and healthy
You need way more subscribers amazing video
Korean Red Ginseng 3,000 mg extract daily has helped me. I know there are studies that show improved similar to minoxidil. KRG is twice as expensive though. You should make a video 😉
Thanks! I'll check it out
Even if scalp massages don’t work for my hair it feels great and make me feel better about going bald
If I am not mistaken, I have read somewhere that when there is less blood flow (perhaps because of scalp tension) there is of course less oxygen, and because of that dht is developed instead of the estrogenic equivalent, as apparently dht can come from area's with less oxygen.
I know I am explaining this terribly, but I am just writing based on what I remember from somewhere.
in other words, dht may cause hair loss, but dht is a by product of low blood flow.
In fact less DHT would be produced with less blood fleo.
Because testosterone is jn blood, and the less T reaches the scalp 5ar enzymes the less gets converred to dht
This isn't totally accurate. You cannot use hormone levels of scalp tissue as a proxy for blood flow activity. Consider tissue dissociation timings, glucuronidation, and histological evidence (i.e., balding scalp regions have 40% lower transcutaneous oxygen levels, and yet they also have higher levels of DHT).
Best hair loss guy since 2014. I remember when you barely had any public info back then. Glad you grew into something. Stopped my AGA because of you👌🏼
Care to tell us how?
@@dhruvshah6461 Massaging!
@Liam Kuchta have you seen regrowth? I did in the past but after starting the massages again im yet to see regrowth, only stabilization i think
@@liamkucht how often and long for?
@@liamkucht Did you use massages only? Or did you incorporate something like microneedling, minoxidil, or even finasteride? How bad was your hair loss to begin with? And how much did it improve?
hi, did you ask the question why? why do the hairs get shed? I believe the hair is lacking support, so the hair root decides it's time to down grade. But the needed support keeps lowering, so it keeps downgrading. that's why a lack of blood supply causes hair loss.
Or does DHT cause the hair to miniaturize? Isn't shedding a natural cycle? So once the hair starts getting "damaged" or "suffocated" (whatever it is) by DHT, it starts getting smaller which causes a positive feedback loop resulting in reduced bloodflow to the scalp.
Hair regrowth is also a natural cycle. So he has a valid question here.
hi, I confirm that you are perfectly right, the fault of hair loss is only in the tense muscles of the scalp, I know because it happened to me too and at the age of 20 I was able to release the muscles of the head while half asleep. After 12 months I had very long hair. Unfortunately, when I cut my hair for military reasons, my muscles became tense again and I lost my hair. In any case, I know for sure that I need to release my muscles, and I've been trying for 20 years. I think I finally found a solution, bye
Your solution ?
How do you realease muscles of the head marco what is the method?
Glad to see you have hope and not giving up on it 👏🏻
Yes, how did you release the muscle while asleep?
24 hour head massage
New subscriber here! Great content thank you. I take cayenne pepper caps helps with circulation,pain and weight loss. It aided my 35lb loss and made tons of tiny new hairs pop up!
Thx friend!! Great info!!
Is there any research on electric scalp massagers increasing blood flow and helping?
the first study doesn't prove anything, because it doesn't explain why exactly at the top of the head with each new hair cycle the blood vessles get thinner and thinner.
the second study prove that mechanical stress causes miniaturisation (by proving that releiving that stress improves hair in that area), and i bet that this is what causes also the thinning of blood vessles with each cycle. i mean why isn't donor area blood vessles get thinner with each cycle like the top of the head ?
Any model that doesn't explain the horse shoe pattern is just incomplete.
This is a good point, and it’s a topic I’ll try to dive into in a later video. For the first part, there is evidence that dermal papillae cell cluster sizing may influence the size of the micro capillary networks connected to the follicle, and that these clusters undergo apoptosis at the beginning of each hair cycle due to a signaling protein stimulated by both DHT and reactive oxygen species. For the second part of the video, the one challenge with placing scalp tension at the very top of the AGA flowchart is that Botox study response rates are all pegged at 80% - meaning 20% of people still don’t see benefit to relieving the contraction of these muscles. At the same time, 10-20% of men also don’t respond to finasteride. So, it’s complicated! I personally consider scalp tension and/or the contraction of that muscle band as an accelerator, but not the root cause, of AGA for the overwhelming majority of people. With more studies, I hope we can get more clarity here.
@@PerfectHairHealth for me the first study is void by definition because they didn’t make a distinction between what part of the scalp they were studying, hair loss indeed may have an infinite level of complexity but I would like the researchers to illiminate every single theory that doesn’t try to explain the horseshoe pattern, that way we can look at a part of infinity and not the whole body of possibilities.
The real question about mpb shouldn't be "why men lose their scalp hair" the correct question should be "why do men lose their scalp hair in a horseshoe pattern" the first study didn't even bother to make this distinction and that's just stupid. i know there may be very different types of hairloss, i'm specifically talking about mpb
I myself have stopped and reversed by mpb thanks to a variation of your massaging technique after almost 3 years now , but i stimulate my scalp whenever it’s possible, it’s a habit now for me to try to massage my head. I have less respect for the dermatology scientific community because they fell for the most basic logical fallacies and looks like their research is just pushing some big commercial agenda instead of trying to find the truth . I am convinced that the key to unlocking mpb lies under the horseshoe pattern, the truth is staring at us in the face. something about low bloodflow is making dht kill the hair on top of the scalp.
@@napster2333 do you have any pics of your hair loss reversal? I ve been doing massages on and off for 3 years as well and initially saw decent results, but later lost most gains. Now im doing them again since 3 months and usin minox as well . Congrats for your success!
@@napster2333 I know why it happens in horse show pattern ! I think when we sleep only three portions of our head gets pressurized that is the back region and the other two side regions, the upper part of the head never feels the pressure. The blood flow is more in these 3 portions as compare to the upper part of your head. That's why I think first upper part of the head hair miniatures as compare to other three part. This is probably due to stress in the upper part. Do u notice that the people with healthy hair have very elastic scalp in all the regions of their head whereas the person who is thinning and facing hairloss doesn't have elastic scalp in the upper part of the head but the back and other side portion are elastic.
This is all play of blood circulation!
@@meenakshinaidu195 They key to understanding hair loss is understanding why hair continues to grow on the back and sides of our head even as we get older. Why do they continue to grow while the scalp, hairline and temples start to fade/recede and miniaturize. But definitely the understanding the george jefferson is key to solving this hairless problem for good. I think its a multitude of things besides genetics cuz genetics is the most basic answer one can give. Cuz there's some people where who have full heads of hair while most of the men in their family are bald, ppl who are bald but their family has full heads of hair, a man who is bald but his brother is not, and etc.
maybe I'm missing something, but isn't the quote from the paper at 5:55 says that the miniaturization process is abrupt and not gradual like the voice over claims?
QUESTION; What if a form of scalp massage is applied NOT to increase blood flow, but tho counteract the contractions of the scalp muscles....Would this exercise produce more hair growth???
This is a great video, spoken really well, with nice pacing, and the animations are very helpful! Was so easy to follow along. Just a heads up that it seems the video is cut off a little short at the end.
I've followed your website content on and off over the last few years. I bought your ebook and it was fascinating. Was the best content/research I have found on the topic. I did actually stop doing the massage routine out of lack of discipline after a few months of doing them. But even from those few months I could tell that it made my scalp feel far more healthy and flexible, and made my hair feel noticeably stronger. I am less bothered by my temple recession now but I still find this research very interesting and may restart a routine at some point.
I am very interested to see the discussions within your ongoing group/forum membership but I have always decided against it based on the cost.
Obviously not because this guy is talking about his rear. When he made the claim that minoxidil didn't work around the sides of your head, I realized this guy is wrong. I've used it to regrow my hairline and fill in my patchy beard. It doesn't work for everyone, but if you use it in combination with derma-rolling 1mm needle length, it will work for many.
Seems like my guess that my new pillow is a reason of my tremendous hairloss is right. I've mentioned that my neck muscles often in tension when I lay on it.
Makes no sense to say that the follicle is what controls the growth of vessels. Sure the vessels shrink after shedding. But the fact they regrow smaller has nothing to do with the follicle, but mechanism already there before the follicle even starts regrooming.
exactly.
Does Botox need to be injected into the scalp or can it be microneedled into the scalp? Clinics around me offer a botox lotion that is then microneedled into the scalp, they do not provide injections
hello video creator, massaging helped you to reduce the bald spot on your crown. This means that increased blood flow through external stimulation act of massaging helps the hair growth, however in this video the points mentioned is a bit contradicting the earlier video. Can you please explain ?
We still don't know the purported mechanisms of massaging, or its quantifiable effects on hair loss sufferers (unfortunately, we just have survey data on self-perceived changes, which comes with a risk of bias). In any case, I don't believe this video contradicts anything from earlier videos; it's more so just to explain the nuances of the relationship between this one histological feature of AGA.
I thought you were charging people quite large sums of money peddling your massage theory and technique that had proven evidence (your own experience + a small amount of your own anecdotal selected sample data) backing it up? And isn’t this whole channel and your income based on convincing people that massaging works? Now that you’re established you’re saying that there’s no quantifiable data supporting it and what data we do have is too sketchy to be conclusive? We need beyond PHD thinkers giving us the evidence, not well spoken TH-cam income warriors. Everything in this video zooms in too far and simplifies broad potentialities and speculates on 1 or 2 possible causes of what is likely a 100,000 piece puzzle. I was reluctant to watch any of your videos, this is the first one. No need to watch any more, I’ll take my kickbacks elsewhere
So microneedling and massaging is the key.
That whole video and information it gave was very interesting....thanks...
I've noticed that scalp areas that have contact with a pillow at night never go bald.
I thought blood flow could be my issue, because when I was young I smashed my head into a board and if I rub that spot it still feels oddly sore sometimes. Maybe I caused arterial damage. I should get a scan.
So what do you think about electric scalp massager for blood flow restoration?
What about calcification from a deficiency in K2?
Here's a " theory " Hair loss a result of chewing habbits. When I use my jaw to chew I can feel the Superficial Temporal a PARIETAL & FRONTAL Division flex only. Do these muscles get over strained as a result of eating habits?
Great material, thank you Rob!
Nice video! Rob, i would like listen you talk about dermaroller if it Works or does not work on scalp.
I wonder how micro-needling could help to increase circulation as well.
Nice video. I'd like to see your take on the sulforaphane, 3-alpha-hydroxysteroid dehydrogenase, and procyanidin B2 connection.
Thanks! I'll add this topic to the list, but it may be a while before we get to it. In the meantime, I know that Haircafe (Kevin Mann) did a breakdown + critique of the hypothesis. For starters, I love alternative hypotheses that attempt to explain pattern hair loss - especially ones rooted in strong mechanistic + interventional data. Having said that, I remember seeing that reddit thread about sulforaphane and DHT metabolism, and I also remember disagreeing with several assumptions that the reddit user made when attempting to justify the initial conditions of the hypothesis. While I haven't watch Haircafe's video, I'm sure that Kevin did a great job identifying these points of concern. That's not to say that targeting DHT metabolism isn't of therapeutic interest for pattern hair loss. On the contrary, it is! It's just that the hypothesis about DHT metabolism (at least the version presented by that reddit user) contains a few claims that run contrary to the body of literature on the subject.
If you're curious about my thoughts on 3-alpha-hydroxysteroid dehydrogenase, sulforaphane, and DHT metabolism - I wrote an article about this back in 2017. The article hasn't been updated in a long time, so it's likely that my opinions here have changed. But if you're curious, here it is: perfecthairhealth.com/part-4-of-4-attacking-dht-by-increasing-dht-metabolism/
If you’re able to see my comment- could you do a video for women? I haven’t had issues in the past but now I’m having some thinning around the temples (middle age). Is it hormonal? Stress? Something on the scalp that needs to be treated? Could you share anything if you know about this for women? Thank you!
Hi wondering why they are not using botox injections for hair growth
@PerfectHairHealth 12:47 "Applying topicals at the top of the head... is not the right region." Are you theorizing that these could be more effective if applied directly over the arteries supplying the scalp?
pls do a video on using soil instead of shampoo for a healthy hair. I've tried it myself and it does feel good, but I can't quantify any change.
Great video ! Since the beginning of the year when i discovered you , i realized you re a very knowledgeable guy who i really enjoy to watch !
What do you think about taurine ? I have a shampoo with taurine and i want your thoughts
taurine helps with fibrosis, can make you sleepy as well
Very very good info!! Thank you!
are there massages or any exercising that one can do so we do not experiment with botox? thank you!!
What about guys are usually talk to have shorter hair, which leads to more sun exposure which, leads to issues of hydration of the scalp and scarring of the scalp meaning it gets harder and more scaly like a scab more sun, more damage etc. etc.?
What I don't get is, if it's something to do with blood supply in the scalp then why do hair transplants work? Wouldn't transplanted hair be affected by lack of blood flow and oxygen supply just as much as original hair? And yet hair taken from other parts of the skull seems to be unaffected, as if it were still growing in its original location.
He did a video addressing that titled "Hair Transplants: Do They Last Forever? - The Truth". The conclusion he comes to is somewhat controversial, but basically there is some evidence that transplanted hairs do thin over time, it just takes a long time because they are starting fully healthy.
I believe transplanted hair remains on the scalp because they are not or cannot be affected by dht.
It seem to me the argument against blood flow being a consequence is not a strong one. What if follicle shrinkage after the hair fall is just an adaptation to a lack of blood supply?
Another ace vid! thanks!
Thanks for watching!!!
Can lymphatic drainage by jade rollers resurrect dead frontal hair follicles?
Obviously generally blood flow can effect the hair, such as say smoking cigarettes could ruin hair, but it's mostly DHT doing the most damage
DHT is found all over the body, even where hair is doing very well. Blaming DHT doesn’t explain why it only happens on top of the head and not the sides. The answer might be in how much thinner the skin is as it’s compressed against the top of the scalp. And as you age, the subcutaneous tissues become thinner, which explains how it progresses as you age.
@@jeremiahcomer top of scalp has different receptors for dht, dummy, read up
@@_baller you took offense to my interpretation of a study? resorting to name calling is childish.
@@jeremiahcomer you sounds greatly ignorant
Don’t get mad blacky
let's think logically about this. When does our body restrict blood flow? when an appendage is dying and it wants to expel it. There is obviously a genetic component to this, but this is not to say that an external intervention could not help this issue.
Dear Rob, your channel is a blessing! Amongst thousands of sources, you are one of the few who taps into original research. Thank you. Now a quick "letter in the bottle"! I had great hair until two years ago (mid 50s) it started thinning a bit and losing quality. But it improved with message and some home remedies (onion water, castor oil, rosemary oil...). Then all of sudden the crown area thinned and in a matter of 4-5 weeks, a bald spot the size of palm formed! There are tiny (short) hair in the patch but they don't seem to grow much. The patch is growing slowly in all directions. None of the theories of hair loss I have seen could describe such a sudden event. I am now massaging a lot, continuing some of the substantiated home remedies and planning to add derma roller. I appreciate any thoughts from anyone who read this. I know, hair loss is not the end of the world but is still a big challenge. Be blessed.
I'm sorry to hear about your situation. Based on the rapidity of onset, it sounds like you might be facing alopecia areata - which is different from androgenic alopecia. But the hair loss also sounds confined to the typical regions of androgenic alopecia. Send some photos over email!
@@PerfectHairHealth Thank you Rob for checking and replying. I am currently taking your 7 day email and want to join the community. I will send pics to the same email as the email course.
@@PerfectHairHealthHi. About this video I think blood flow is both a cause and effect in a feedback loop, like CO2 works for climate change. Putting the pieces together of what you said basically looks like this: DHT production rises in the body due to various factors linked to getting out of the puberty hormones or stressors or whatever and causes miniaturization, then miniaturized follicles reduce the need for as much blood flow to the scalp, which in turn makes it easier for DHT to keep miniaturizing the follicles in a continuous cycle.
By the way my scalp has been totally bare for almost 3 years just with some vellous hairs here and there, in the last 6 months I've lost 22Kg started eating more leafy greens and protein, going to the gym and supplementing with MSM for my joints. Two weeks ago I noticed that I have much more and longer vellous hairs and quite a few thin but black long hairs, as a matter of fact my entire scalp now has tons of vellous like hairs with 3-6mm. The only reason I found your channel was because I was curious as to why my hair started regrowing our of the blue. I thought you would like to know my case and perspectives, maybe it will be of some use to you.
Was the area that was shedding really itchy during this time period?
@@squith99 No itchiness. Normal skin. My physician thought it was Alopecia Areata and recommended topical steroids. Ever since I have recovered about 60% of lost areas and hope the trend will continue. Thank you for asking.
Please make a video on premature grey hair
Rob, what about the hair thickness? Does that ever come back?
In the first study, you mentioned, that first, the hair follicles die then the blood vessels go away. How do we know that the proper nutrients (through the vessels) aren't getting through to the hair follicles and that is the reason the hair miniaturizes, then the blood vessel goes away after?
Secondly. I just did bloodwork and found out and pre-diabetic, which negatively impacts blood flow. I've had poor blood flow for years my hands and feet are always cold. This recent news of pre-diabeties I believe is due to a fasting diet as there are no other health indicators to point anywhere else. The poor circulation and recent fasting over the last few years correlate to the time I started losing my hair. Thoughts?
I've tried the red light helmet, and minoxidil both in pill form and topical, but I don't like either. Should I reconsider the topical? I use Nizoral once a week that's about it. I was going to go to Turkey for a transplant (take your healthy follicles and inject them into the bald spot) a few of my friends have done this and its works. But now this recent pre-diabetic news has got me thinking it could be more to do with insulin, blow flow and diet. Thoughts?
I used a hair massager and multiple hairs started falling out so no.
scalp tension is a real thing
Hi does rosemary oil is same as minoxidil does it work effectively
Interesting points being made here. Does that mean that the hypoxia effect created by stemoxydine can be harmful for hair growth instead of beneficial?
Could i just stand on my head a few minutes each day to improve blood flow?
if vessels are blocked, that will only help partially. you still need to massage the whole scalp.
How 's thyroid disorder a fact in hair thinning. Do you have a video with information on this matter? Piease repply, Thank you.
Rob - I follow your channel regularly. I am sure you know the reason. Yes, I am balding for sure. Mostly started last year & am getting closer to my 40’s. I am loosing mostly from my crown. It’s visible in normal light now. Its not completely gone by super thin now. I have checked the condition through a trichoscope , its looks like baby hairs are still there . So miniaturisation is happening.
I am advised to use Minox & also Fina .
What’s your suggestions?
It's tough for me to comment effectively, mainly because the answer really depends on a lot of factors - one of which being your comfortability using those treatments (efficacy, adherence, tolerability, etc). Moreover, there's always the possibility that you're facing multiple types of hair loss - like AGA alongside a hair shedding disorder. In addition to these treatments, I think a cursory health evaluation to rule of certain micronutrient imbalances and chronic conditions associated with hair shedding disorders is a good first step.
@@PerfectHairHealth Thanks Rob . Can you put some lights on the Micronutrients imbalance & chronic condition association part & what to do next for that.
I am sure I am getting AGA but for the other part , I seek guidance please. Can you help here, Rob?
But if stimulating blood flow doesn’t work, why scalp massage then?
I love that u are so concern with this..Thank u
What is your current opinion on skull expansion and will you make vid about it in future? There is paid so little attention to this theory but I believe it might contribute to scalp tension a lot. Thanks
I've been noticing that the guys with prominent and broad eyebrow ridge then their upper forehead don't go bald. You can looks at the pictures of MMA fighters and boxers. Guys with small eyebrow ridge go bald. It's just my observation. I don't know if it's true or not.
@@YoYo73 and what about that bald pornstar dude, he has strong eyebrow ridge lol
@@mousinius haha yes he seems to have prominent brow ridge. I think my observation is wrong.
@@mousinius plus isn't it weird that I know which pornstar you are talking about even though there are many bald pornstar in the industry😂😂😂
@@YoYo73 haha I don't even watch porn anymore but whenever I think of famous bald dudes I also think of him
Im gonna try it out. ill write about my experience