I use the 1% concentration. One thing it definitely does is that it slowed down my shedding. Not sure about hair regrowth, but I def think it helps with retaining what you have.
As a canadian that uses 2% ....the secret to not get dry wierd hair...dont rub and scrub....emulisify..with alot of air...let sit for 7 mins...rince..apply conditioner...your welcome..
Was prescribed the cream for my skin and decided to try it on my scalp. I haven’t had any growth in these areas in over 10 years and boom, hair growth. 😮 I apply a small amount to my temples after spraying with rosemary water and then seal with shea butter.
Great, super informative video! This is the kind of video I need to go through again slowly and even jot down some notes. I thank you, because you’re doing the research for us that are dealing with hair thinning and hair loss! Thank you, Helen!
Thank you for putting this out there! The "hair loss industry" is getting bigger and bigger with lots of big talk about how this product or that will help. Minox is the go-to hands down.
Also in addition to using ketaconazole shampoo and lowering your sugar intake which causes fungus on the scalp, you should take a good oral probiotic that keeps candida from flourishing in the body. tinea versacolor also is fungus that should be treated on the scalp the same way. a lot of alopecia should be recognized as fungus on the scalp and treated as such. a lot of hair loss dwould be prevented
great reply. i wish i saw this. i battle with tiena versacolor.... have you experience this? and what has your before and after experience been? thank you
Have you ever tried oiling your hair? I am Indian and we swear by oiling our hair over generations with Aryurveda. It's taking over in the western trends too. Amazing for hairgrowth and thickness and there are oils that even kill bacteria and things that cause itchy scalp.
It's so funny you mention this but I have always been aware of this practice, then noticed the Sharma sisters on Bridgerton doing it, and then I spotted Holiroots oil at Sephora (just like you say)...on my list of things I want to try! Thank you kindly for the comment!
Making my own oil change my life. It definitely made my hair grow better. I was using hair products and this is better. I mix castor, coconut, rosemary and fenugreek and put it in. My hair has changed
@@HelenAvery I actually know the girl who created the brand Fable and Mane for the Holiroots too. Small world! Castor oil, coconut oil, Kalonji oil, Rosemary & Aloe mixed together was a game changer for me.
So many people complain about ketoconazole shampoos irritating their scalps. I get the impression that it might not even be the keto, but the other inactive crap they put in it. I don't understand why they don't try to make a milder version of ketoconazole shampoos without sodium laurel sulfates, etc.
Ketoconazole and the word safe has my vote. I've been using Ketoconazole shampoo since October 29th as I've shared my story with you Helen... love you and your videos of course. I'm getting over my second covid and have not seen lots of shedding going on. Since I stopped the Rogaine , now after shampooing I do loose more hair in the drain but not throughout the day so not really worried about it. Your hair looks great. Would you ever consider stopping Rogaine and trying Ketoconazole shampoo only? For health reasons ❤️
I'm so glad it's working for you! Nah, I like that I have no scalp problems with Rogaine, it seems to get one with me quite well so...ain't broke, don't fix it! lol!
The problem with Dr Dray and many doctors is they are a know it all. They just go off studies and don't really research actual experiences. I believe experiences of large populations of people and if there is a hint of side effects or long term effects, I stay away from it. My prescription of Keto sits on my shelf because Inside the pamphlet says "1 in 100 people experience hair loss." Maybe I will patch test it and see what happens.
It seems irrational to base things solely on a study or solely on your own experience. Part of the reason for double-blind randomized controlled trials in the first place is that people can be wrong about their experience and they often are. People easily assume something is working when it's not. The placebo effect is well known. I've even seen people claim something worked for them when it clearly didn't in my own life. I think it's a bad idea to rely solely on anecdotal evidence or solely on one study (unless it is a very decent study with a large sample size). Generally, I try to look for multiple studies with different authors and I try to find studies with decent methodology (for example randomized, placebo-controlled trials) and larger sample sizes. I will listen to those over a bunch of people claiming something any day. There are just so many examples of people being wrong about the effectiveness of some "remedy". With that said, if there is a lot of anecdotal evidence that contradicts studies and the studies have issues with their methodology, then it might make sense to question the studies. It's a matter of critical thinking rather than just labeling someone to know it all and going with your anecdotal personal experience and intuition instead.
@@1DangerMouse1 my experience has been that doctors are mostly idiots parroting information that they read somewhere and the same information I can read. They hardly ever get to the root of the problem to cure it and pretty much only prescribe band aids. Every human being is different and it's important to listen to actual experiences and decide what's best for you while also considering the medical answer to something. I tend to be holistic and it has worked for me in my life so far. Someone else may have an amazing doctor but I haven't met one yet ☹️
It's hard to compare DHT blockers to regrowth stimulants because they don't have the same mechanism of action. I've been using Nizoral since 2004, which was when I started using finasteride. I don't think Nizoral or any shampoo belongs in the same category as the FDA-approved drugs. They recommend Nizoral on the Bald Truth and say that it increases the diameter of the hair shaft. I called the Nizoral customer service number to ask whether it helps with hair loss, and they immediately told me no. They have probably gotten questions before about its potential as a hair loss treatment and are uncomfortable making any claims. I also asked the Nizoral customer service whether it increases the diameter of the hair shaft, and they told me no. It still probably doesn't hurt to use Nizoral as part of a hair loss regimen. I've been using the 2% version since 2004 in hopes that it will at least slow down my hair loss. The more important drugs I use in my regimen are dutasteride and oral minoxidil, and I'm doing well with those. I used to use finasteride, but it wasn't strong enough to stop my hair loss. It is interesting that my regimen is dutasteride, oral minoxidil and Nizoral, which are three prescriptions that are off-label and not FDA approved.
I think the shampoo is good if you're already on minoxidil. I'm on minoxidil and I'm struggling with itchiness and a flaky scalp so using it with minoxidil it might be a good combination.
Thanks for your video. I could be wrong as I saw the Hair Loss Show video some time ago but I thought they didn't really think ketoconazole shampoo was effective because for the skin to start absorbing any active ingredients they would need to be in contact with the skin for at least 5-6 minutes. Most people wouldn't shampoo their hair for this length of time.
The ketoconazole was used daily in the study (see the method section). Also, it was a 2% concentration solution. So, it is not clear to me that using an over-the-counter 1% concentration version (unless you have access in Canada) only twice per week would yield the same result. It seems that, if it does work, we don't fully understand the needed dose or the frequency of use you would need. If you look at minoxidil data, there is data on the dose and the half life of the substance. That's why you use a certain concentration once per day. I would not use ketocanazole over the counter based on that study unless I was willing to use it once per day and remembering that 1% might not work. Also, the authors declared no competing interests. However, I do wonder who funded the study. It's odd that they would take pictures of wet hair first and then dry later in the follow ups. Usually, you would do that for promoting a product. It was just strange to me and it's why I looked for conflicts of interest. Why did they use a 2% concentration of minoxidil rather than 5%? I just see multiple problems with using that study to make a decision about using ketoconazole shampoo for hair loss.
Unless your hair loss is related to an overgrowth of fungus, it doesn't seem like it would work. An over growth of fungus is closely tied to diet and would make me review nutrition first. I.e. fungus over growth is a symptom, not the cause.
I use the 1% concentration. One thing it definitely does is that it slowed down my shedding. Not sure about hair regrowth, but I def think it helps with retaining what you have.
As a canadian that uses 2% ....the secret to not get dry wierd hair...dont rub and scrub....emulisify..with alot of air...let sit for 7 mins...rince..apply conditioner...your welcome..
Emulsify?
@@Ohkeh640 yes..meaning alot of air almost like your massaging mousse..dont rub...
Was prescribed the cream for my skin and decided to try it on my scalp. I haven’t had any growth in these areas in over 10 years and boom, hair growth. 😮 I apply a small amount to my temples after spraying with rosemary water and then seal with shea butter.
Wow! Great routine! On a related note: Have you signed up for my newsletter? helenavery.substack.com
Great, super informative video! This is the kind of video I need to go through again slowly and even jot down some notes. I thank you, because you’re doing the research for us that are dealing with hair thinning and hair loss! Thank you, Helen!
Angeli you're welcome! I too have to jot things down, and after I report on them I often forget and have to revisit it...I'm always learning, too!
Thank you for putting this out there! The "hair loss industry" is getting bigger and bigger with lots of big talk about how this product or that will help. Minox is the go-to hands down.
Also in addition to using ketaconazole shampoo and lowering your sugar intake which causes fungus on the scalp, you should take a good oral probiotic that keeps candida from flourishing in the body. tinea versacolor also is fungus that should be treated on the scalp the same way. a lot of alopecia should be recognized as fungus on the scalp and treated as such. a lot of hair loss dwould be prevented
great reply. i wish i saw this. i battle with tiena versacolor.... have you experience this? and what has your before and after experience been? thank you
I was unaware of this and will definitely give it a try. Thanks, Helen!
You're welcome! Glad to inform :)
Have you ever tried oiling your hair? I am Indian and we swear by oiling our hair over generations with Aryurveda. It's taking over in the western trends too. Amazing for hairgrowth and thickness and there are oils that even kill bacteria and things that cause itchy scalp.
It's so funny you mention this but I have always been aware of this practice, then noticed the Sharma sisters on Bridgerton doing it, and then I spotted Holiroots oil at Sephora (just like you say)...on my list of things I want to try! Thank you kindly for the comment!
Did nothing for me
Making my own oil change my life. It definitely made my hair grow better. I was using hair products and this is better. I mix castor, coconut, rosemary and fenugreek and put it in. My hair has changed
becka j - can you please share your oil recipe with us? TIA 🙏
@@HelenAvery I actually know the girl who created the brand Fable and Mane for the Holiroots too. Small world! Castor oil, coconut oil, Kalonji oil, Rosemary & Aloe mixed together was a game changer for me.
So many people complain about ketoconazole shampoos irritating their scalps. I get the impression that it might not even be the keto, but the other inactive crap they put in it. I don't understand why they don't try to make a milder version of ketoconazole shampoos without sodium laurel sulfates, etc.
Hmm yes, excellent point!
Great video Helen. The 1% nizoral here smells so strong and is full of blue dye. I couldn't stand it.
Ketoconazole and the word safe has my vote.
I've been using Ketoconazole shampoo since October 29th as I've shared my story with you Helen... love you and your videos of course.
I'm getting over my second covid and have not seen lots of shedding going on.
Since I stopped the Rogaine , now after shampooing I do loose more hair in the drain but not throughout the day so not really worried about it.
Your hair looks great.
Would you ever consider stopping Rogaine and trying Ketoconazole shampoo only? For health reasons ❤️
I'm so glad it's working for you! Nah, I like that I have no scalp problems with Rogaine, it seems to get one with me quite well so...ain't broke, don't fix it! lol!
@@HelenAvery
Yes indeed! I just looooove you!
Thanks so much for another great informative video. I truly enjoy your work and the way you present your findings. You're fun to watch! 😊
Oh thanks Peg, that means a lot! Glad you got something from it. :)
The problem with Dr Dray and many doctors is they are a know it all. They just go off studies and don't really research actual experiences. I believe experiences of large populations of people and if there is a hint of side effects or long term effects, I stay away from it. My prescription of Keto sits on my shelf because Inside the pamphlet says "1 in 100 people experience hair loss." Maybe I will patch test it and see what happens.
It's definitely interesting to see the different perspectives from different doctors!
It seems irrational to base things solely on a study or solely on your own experience. Part of the reason for double-blind randomized controlled trials in the first place is that people can be wrong about their experience and they often are. People easily assume something is working when it's not. The placebo effect is well known. I've even seen people claim something worked for them when it clearly didn't in my own life. I think it's a bad idea to rely solely on anecdotal evidence or solely on one study (unless it is a very decent study with a large sample size). Generally, I try to look for multiple studies with different authors and I try to find studies with decent methodology (for example randomized, placebo-controlled trials) and larger sample sizes. I will listen to those over a bunch of people claiming something any day. There are just so many examples of people being wrong about the effectiveness of some "remedy". With that said, if there is a lot of anecdotal evidence that contradicts studies and the studies have issues with their methodology, then it might make sense to question the studies. It's a matter of critical thinking rather than just labeling someone to know it all and going with your anecdotal personal experience and intuition instead.
@@1DangerMouse1 my experience has been that doctors are mostly idiots parroting information that they read somewhere and the same information I can read. They hardly ever get to the root of the problem to cure it and pretty much only prescribe band aids. Every human being is different and it's important to listen to actual experiences and decide what's best for you while also considering the medical answer to something. I tend to be holistic and it has worked for me in my life so far. Someone else may have an amazing doctor but I haven't met one yet ☹️
It's hard to compare DHT blockers to regrowth stimulants because they don't have the same mechanism of action. I've been using Nizoral since 2004, which was when I started using finasteride. I don't think Nizoral or any shampoo belongs in the same category as the FDA-approved drugs. They recommend Nizoral on the Bald Truth and say that it increases the diameter of the hair shaft. I called the Nizoral customer service number to ask whether it helps with hair loss, and they immediately told me no. They have probably gotten questions before about its potential as a hair loss treatment and are uncomfortable making any claims. I also asked the Nizoral customer service whether it increases the diameter of the hair shaft, and they told me no. It still probably doesn't hurt to use Nizoral as part of a hair loss regimen. I've been using the 2% version since 2004 in hopes that it will at least slow down my hair loss. The more important drugs I use in my regimen are dutasteride and oral minoxidil, and I'm doing well with those. I used to use finasteride, but it wasn't strong enough to stop my hair loss. It is interesting that my regimen is dutasteride, oral minoxidil and Nizoral, which are three prescriptions that are off-label and not FDA approved.
I think the shampoo is good if you're already on minoxidil.
I'm on minoxidil and I'm struggling with itchiness and a flaky scalp so using it with minoxidil it might be a good combination.
Thanks for your video. I could be wrong as I saw the Hair Loss Show video some time ago but I thought they didn't really think ketoconazole shampoo was effective because for the skin to start absorbing any active ingredients they would need to be in contact with the skin for at least 5-6 minutes. Most people wouldn't shampoo their hair for this length of time.
That's right, I rewatched it and that's part of the issue the doctor mentions. And yet...some derms do recommend it 🤷🏻♀️
Actually my dermatologist told me to leave Ketoconazole shampoo on my scalp 7 minutes 3 times a week
The ketoconazole was used daily in the study (see the method section). Also, it was a 2% concentration solution. So, it is not clear to me that using an over-the-counter 1% concentration version (unless you have access in Canada) only twice per week would yield the same result. It seems that, if it does work, we don't fully understand the needed dose or the frequency of use you would need. If you look at minoxidil data, there is data on the dose and the half life of the substance. That's why you use a certain concentration once per day. I would not use ketocanazole over the counter based on that study unless I was willing to use it once per day and remembering that 1% might not work. Also, the authors declared no competing interests. However, I do wonder who funded the study. It's odd that they would take pictures of wet hair first and then dry later in the follow ups. Usually, you would do that for promoting a product. It was just strange to me and it's why I looked for conflicts of interest. Why did they use a 2% concentration of minoxidil rather than 5%? I just see multiple problems with using that study to make a decision about using ketoconazole shampoo for hair loss.
Very valid points Dave, thank you for the extra analysis on my reporting!
@@HelenAvery thank you. I appreciate the info you provided in the video.
Can I mix nizoral shampoo with a small amount of another shampoo just before washing my hairy to avoid dryness?
Not sure you will get the full effect
Unless your hair loss is related to an overgrowth of fungus, it doesn't seem like it would work. An over growth of fungus is closely tied to diet and would make me review nutrition first. I.e. fungus over growth is a symptom, not the cause.
Despite this study, I am still a skeptic!
Are you a qualified dermatologist Shrimpy?