Blood Flow & Hair Growth: What Everyone Gets Wrong!

//Get A Free Course On Achieving Hair Regrowth, With Or Without Drugs//
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Does low blood flow cause hair loss? Some marketers say yes, then try to sell us pills, topicals, and devices that promote blood flow to the scalp.
Others say no, then claim that low blood flow is a consequence (not a cause) of thinning hair.
So, what's the truth? Is low blood flow a cause (or consequence) of hair loss? And if low blood flow causes hair loss, then can treatments that increase scalp circulation actually regrow hair?
As a medical editor who specializes in hair loss disorders, I can say that the answers are complicated. So, I wanted to make a video that highlights the best arguments FOR and AGAINST the blood flow-hair growth connection.
As you'll soon see, the relationship between blood flow and hair loss may change across scalp regions. For instance, if we only look at 1mm scalp zones undergoing hair follicle miniaturization, then reduced blood flow is likely a consequence of hair loss from androgenic alopecia. But if we zoom out and look at the scalp as a whole, there are places whereby restrictions to blood flow may precede (and even trigger) hair shedding.
Having said that, this doesn't mean that increasing blood flow to the scalp will increase hair growth! It's complicated. The video explains why.
//Get A Free Course On Achieving Hair Regrowth, With Or Without Drugs//
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0:00 - Introduction
0:52 - The Blood Flow-Hair Loss Debate
2:35 - Best Argument: AGAINST
7:18 - Best Argument: FOR
11:32 - My Opinion
12:31 - What About Topicals That Promote Blood Flow?
13:49 - Conclusion
About Rob English:
-Editorial board member of Dermatology and Therapy
-Medical editor specializing in hair loss disorders
-Peer-reviewed publications: perfecthairhealth.com/publica...

[@fruitjuice5672]

You gotta make a response to Kevin now! He even copied your thumbnail lol

[@haircafekevin]

I swear that was just a coincidence...as was the title.

[@fruitjuice5672]

@@haircafekevin Of course, Kevin, of course 😆

[@PerfectHairHealth]

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).

[@fruitjuice5672]

@@PerfectHairHealth Superb input, Rob

[@waspadainvestasibodong2054]

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..

[@hridayshree91]

I've been able to grow my hair back with liittleextra reactivate hair growth serum. Taken 3 months apart. First one in Jan, second in March. You must apply the serum directly to the scalp and massage into skin with very firm pressure. Avoid pull on your hair. The hair coming in seems to be good quality. I have less hair fall overall. I use at night, the serum does not make your hair sticky, but you only need a few drops to work - less is more. I also, switched pillows cases to satin so that my sleep is easier on my hair.

[@Ramola_Mali801]

Reactivate serum has restored my hair and confidence.

[@gorillagrip9867]

sounds like promo

[@jerrykooyman]

@@Ramola_Mali801 which brand serum?

[@lsatutube]

lol get the hell out with your marketing copy/paste comment everywhere!

[@booksandhooks3807]

If i see one more of these comments under hair related videos, I'll find you, wherever you are and I'll make you pay. Littleextra and her mom. Tired of this shit already.

[@dante911ify]

Great video, the content was great , the explanation was simple enough for laymen and the pace was correct too.

[@NoBSGameZone]

I gotta say I was looking for a channel just like this, informative, fact based and honest. Best hairloss channel.

[@azadocalan1179]

This is the must watch channel for every hairloss guy. By far the best channel in internet jungle

[@Mr-S.C.]

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]

Are you a man or woman? What distance did you walk daily aproximately?

[@Mr-S.C.]

@@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.

[@OverRule1]

I've seen people stand on their head lol

[@Mr-S.C.]

@@OverRule1 Makes some sense to me.. apparently it works to a degree !!

[@Mr-S.C.]

@@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.

[@mstkaden4867]

You the BOSS.. your theory and studies, totally make sense.

[@krzysztoww]

Great material, thank you Rob!

[@AZ-ln7ky]

I am so happy that I found your channel

[@thornhickey418]

I think it’s definitely safe to say scalp massages are worth doing and probably help

[@sl4983]

Is that what he was saying??

[@ah925]

@@sl4983 yes, he’s been a strong advocate of scalp massages in his other vids

[@LM-dl3yx]

What about derma roller for hair growth?

[@thisisrandomphrase]

But he should talk about some sensitive areas to massage, like the temporal artery region.

[@unassailable6138]

You inform without being infantile and cursing like other hair loss channels. What an oasis in the midst of filth. Kudos to you !

[@michaeltnewyorknights8413]

"What an Oasis in the midst of filth" highly quotable and very funny!!

[@ptime5612]

You need way more subscribers amazing video

[@gogojean007]

I love that u are so concern with this..Thank u

[@GeorgeT370]

That whole video and information it gave was very interesting....thanks...

[@demondayuk]

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.

[@thinkcat01]

Darren A Munday Can you tell me what he said was the solution for hair growth?

[@britanica7539]

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.

[@charlotteknutsen7262]

Very very good info!! Thank you!

[@themetaldudespodcast8136]

Another ace vid! thanks!

[@PerfectHairHealth]

Thanks for watching!!!

[@lucindaoconnor6425]

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.

[@Yashodhan1917]

Are you on any DHT blockers

[@vins7cv139]

How long did It take you to notice the improvement? How long did you massage per day?

[@Drvol1]

Make a video about your current routine

[@tikhon1996]

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. 👏

[@arth_chart5280]

Update on your condition.

[@asgacc8789]

Hi I'm starting to go down the rabbit hole. How is your hair nowaday

[@ps9501]

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?

[@PerfectHairHealth]

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.

[@Ke-na-le-Moemedi]

Studies have shown that Rosemary essential oil improves hair growth like Minoxidil but without the side effects.

[@Tate525]

Please forward me those studies 😂? I have found none at all.

[@Ke-na-le-Moemedi]

@@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

[@agaba5500]

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!

[@RememberTrueStyle]

Thanks Rob!

[@musetale4447]

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!

[@estefanydovaletrespalacios1444]

Nice video! Rob, i would like listen you talk about dermaroller if it Works or does not work on scalp.

[@fruitjuice5672]

Oh my god. The fact that you put Kevin Mann in this video... legend!!

[@PerfectHairHealth]

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!

[@Vivek-wo6ws]

lol this shows rob is the true legend

[@fruitjuice5672]

@@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?

[@PerfectHairHealth]

@@fruitjuice5672 I don't have any plans to do this on KZbin. 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.

[@fruitjuice5672]

@@PerfectHairHealth Aww man :(

[@mjoe7561]

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.

[@lanthanumlanthanium6373]

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.

[@fishbrain58]

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?

[@bbqdsushi2585]

Thank you for the information. I was also hoping more details on calcification because it seems like botox also helps against this.

[@jackpetersen7231]

Im gonna try it out. ill write about my experience

[@moulefrite6]

Thank you for thoses informations

[@theawesomesausage]

Nice video. I'd like to see your take on the sulforaphane, 3-alpha-hydroxysteroid dehydrogenase, and procyanidin B2 connection.

[@PerfectHairHealth]

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/

[@jenab8884]

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!

[@taylorsara1237]

Thx friend!! Great info!!

[@TheSebiestor]

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

[@yoyo21926]

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.

[@razergaming4172]

But what about DHT isn't it the cause of male pattern baldness?

[@yoyo21926]

@@razergaming4172 dht is related to overall hair shed

[@razergaming4172]

@@yoyo21926 but what about people who don't have 5 alpha reductase enzyme on their head, why don't they bald then?

[@yoyo21926]

@@razergaming4172 some people have really good scalp blood circulation

[@liamkucht]

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👌🏼

[@dhruvshah6461]

Care to tell us how?

[@liamkucht]

@@dhruvshah6461 Massaging!

[@jemand7488]

@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

[@shafialanower3820]

@@liamkucht how often and long for?

[@fruitjuice5672]

@@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?

[@Johnny-hq3cd]

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

[@OverRule1]

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.

[@lelonkushk]

How long have you been doing scalp massages?

[@LEXNOLYRICS]

@@lelonkushk u can experience this effect around 3-4 days

[@C.J.JOSEPH]

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).

[@namratam1522]

Please make a video on premature grey hair

[@user-pd7il3xz5j]

Thank you.

[@nomars4827]

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.

[@toonfroeyen5300]

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?

[@catalinn6924]

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

[@jss.2020]

taurine helps with fibrosis, can make you sleepy as well

[@fh2234]

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.

[@alexfranklin5539]

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

[@milenavidmar2733]

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.

[@mozhganbhanji3535]

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 .

[@nurkholis6975]

just rosemary only?

[@madangowda3614]

​@@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

[@jarroddavid8352]

How often do you do this? How long do you leave it on for? Could you give details? Thank you!@@madangowda3614

[@ryananderson1757]

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 😉

[@PerfectHairHealth]

Thanks! I'll check it out

[@ceecheve]

Thank you, great information. What about scalo massages like the ones pro.oted in one of the youtube videos of which you show a little clip at the beginning? Will they be effective as botox for relaximg those muscles?

[@Umiizack]

I was doing handstands everyday for fun last year and I noticed my hair was really healthy

[@pooravsankhyan7700]

Are youa women or a man Do you have this condition due to aga

[@godogood5712]

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?

[@PerfectHairHealth]

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.

[@runebdrim6733]

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

[@Ranteray]

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?

[@eddie195777]

What is your opinion of bee venom cream for stimulating blood flood. I've read some articles that it helps restore hair growth. Thanks for sharing all your videos. I love your perspective on the subject.

[@SharkFishSF]

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.

[@jeremiahcomer]

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.

[@evelynn4273]

that could be a result of low blood flow

[@ptime5612]

I’d love you to do some videos in beards

[@Shoot4Nothing]

So, does DHT causes the hair to become smaller (miniaturization)? Does the miniaturization of the hair cause the body to say "You aren't as big now. You don't need as much blood as before, so we will reduce the amount of blood we are sending to you."?

[@jcbusto122]

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

[@bobbylee2853]

Hair loss is a syndrome with cascading effects.

[@petesantana7302]

Great video man. Do you know anything about body electric part as cause of hair loss if low level of body electricity ? Thank you

[@o00user00o]

So how many people here got any improvement on their MPB by doing massages alone to reduce muscle tension and increase blood flow?

[@marcogiantin8636]

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

[@MM71017]

Your solution ?

[@miladsamim6077]

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 👏🏻

[@kollarclothing9717]

Yes, how did you release the muscle while asleep?

[@joshuacampbell4186]

24 hour head massage

[@JustPlaqohh]

Interesting points being made here. Does that mean that the hypoxia effect created by stemoxydine can be harmful for hair growth instead of beneficial?

[@syed_21188]

Is there a video showing how to relax the perimeter muscles. Also wouldn't peppermint work around the top scalp or just the entire surface of the scalp for a better regrowth?

[@daredariuz]

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.

[@agentagent2241]

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.

[@cdtpal3061]

Rob, what about the hair thickness? Does that ever come back?

[@runebdrim6733]

this is the closest and best theory from youtuber hair loss pundits i've seen all my life that it think should be look into more deeply, even though 5ar inhibitors and minoxidil are very potent drugs for stopping hair loss I dont believe androgenic is the whole story. Someone in forums have tried botox with dermaneedling or injecting ?

[@sunnindawg]

Great vid 3:30 4:57 6:50 8:55 gold: 10:27 11:05

[@davidbasil3161]

I've noticed that scalp areas that have contact with a pillow at night never go bald.

[@Montu96]

In short, yes, if you hair follicles continue to receive good blood flow, then your hair will stay shiny and healthy

[@InfiniteDreamzxP]

Even if scalp massages don’t work for my hair it feels great and make me feel better about going bald

[@hobsalam1]

Hi Rob, I will add this comment to some of your vids in a hope you would read it. You advocate scalp massage but I have not seen any videos on how to actually correctly do it with your fingers. Many youtubers are circulating different info, and I's rather take it from you as you base your advice on studies. thank you. love!

[@PerfectHairHealth]

Thanks! Here are the techniques from our study: Video: vimeo.com/310444236/bed6eb03c2 PDF: perfecthairhealth.com/dermatology-and-therapy/excerpt_suppinfo1.pdf

[@hobsalam1]

@@PerfectHairHealth Thank you so much. I appreciate it!

[@kaziasifhossain3353]

Little knowledge is often dangerous

[@ajz1324]

Combat Biology in the hair world. Thanks for this "lit" video review

[@danieldumas7361]

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???

[@smoakpipe]

scalp tension is a real thing

[@dool1002]

So microneedling and massaging is the key.

[@LikeTheVik]

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?

[@M13x13M]

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?

[@sansui77]

Ha ha ha ha…..

[@aaronhassay5663]

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.?

[@mindtriplx]

Is there any research on electric scalp massagers increasing blood flow and helping?

[@Reader481]

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.

[@PerfectHairHealth]

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!

[@Reader481]

@@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.

[@thefirehawk1495]

​@@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]

Was the area that was shedding really itchy during this time period?

[@Reader481]

@@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.

[@25851414]

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?

[@PerfectHairHealth]

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.

[@25851414]

@@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?

[@sandipsahani637]

This guy has got full head of hair

[@curiousmind6472]

I wonder how micro-needling could help to increase circulation as well.

[@StanleydeWekker]

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.

[@Shoot4Nothing]

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.

[@LM-dl3yx]

Hair regrowth is also a natural cycle. So he has a valid question here.

[@angrymurloc7626]

my scalp hurts a lot when my neck is stiff, and this is for sure a blood issue. I don't have hair loss though, just slow growth

[@tgd02]

are there massages or any exercising that one can do so we do not experiment with botox? thank you!!

[@phunkface]

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

[@theguywiththeshades6792]

Vthis guy has good hair genetically and he is going to be the perfect guy to push his product. His product being his content... Guys, some will some wont and some can stop it due to fixing autoimmunity they have.

[@LuIsSaNcHeZ510]

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.

[@dila01]

So what do you think about electric scalp massager for blood flow restoration?

[@Chandravadancena]

My argument- If I do Sirsasana Yoga, my hair grow thick. Many reported full hair regrowth especially in women. If it works, it works 💪

[@Poraqui]

Hi, Congratulations for the content. Thorough and evidence based. Currently I'm having a preemptive treatment for Helicobacter pylori, involving heavy doses of antibiotics for 14 days. I'm currently on day 2 of the second week of treatment. What I've been noticing is that my hair is thinning very rapidly and what used to be "manageable" thin haired head top has now become very concerning. I believe it's a bout of antibiotic induced telogen effluvium. Apparently antibiotic driven hair loss, is due to depletion of your vitamin B and hemoglobin. Basically, an anemic state elicited hair shedding. From your perspective, could this explain this shedding episode or is "just" seasonal telogen effluvium, since we're in July or "just" that my hair loss was enhanced as part of its "natural unattended process"? I'm 43. Thank you

[@vins7cv139]

My hair loss/thinning started after these antibiotics for h.pylori. It was 7 years ago and my shedding continue...

[@its-umair]

What about for people on Blood Thinners (like Coumadin/Warfarin) who start experiencing hair loss at month 3+ of taking the thinner. Is there a way to reverse this hair loss with out coming off of blood thinners?

[@yoyo21926]

warfarin blocks vitamin k. dude if you want to get off blood thinners. take serrapeptase once or twice. it cleans out your arteries.

[@XxKINGatLIFExX]

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]

Has this worked for you? How long have you been doing this?

[@XxKINGatLIFExX]

@@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.

[@ysi34rt67kii]

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 ?

[@PerfectHairHealth]

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.

[@davidstonecreation]

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 KZbin 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

[@marwaadel8459]

But if stimulating blood flow doesn’t work, why scalp massage then?

[@gogojean007]

Hi wondering why they are not using botox injections for hair growth

[@Spritsailor]

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.

[@tiagofilipe2481]

Bro Ask to your mom what it is, theres hundreds of people who want to know

[@Spritsailor]

@@tiagofilipe2481 She died years ago.

[@tiagofilipe2481]

@@Spritsailor Ohhh sorry 😟

[@yoyo21926]

@@Spritsailor self conscious about?

[@indianamenesty3341]

​@@Spritsailor amin

[@lavellnutrition]

What about calcification from a deficiency in K2?