Excellent comment.

Vimeo???

It's there on his website

You have to buy it..

​@@princeforteza728no you don't

@@hailster69i can’t open it please send me

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

Link is in description

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).

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.)

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

for me its normal

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.

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!

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

@@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.

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

Nope. We just don't notice it. Same as smell. It's there but we don't notice it. I will recommend keep taking dose. As finasteride can actually work for lifetime.

​@@prajwalbharambe343 The smell is there, but it doesn't stimulate your nervous system. Meaning there's no effect. You get less and less stimulation from 80mg of caffeine the longer you drink it. Take a break for a week and try the 80mg and you will feel it again. Just a theory. Thanks for the response.

@@Shoot4Nothing ok. My dermatologist said we don't create tolerance to drug. It's always effective in reducing DHT.

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

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

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

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

just camera/lighting. in one photo, he is outside with more light

It's natural hair and I definitely need a different haircut.

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.

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!!

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.

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."

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.

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

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