What I've Learned and Rob English debunked: What causes hair loss?

00:55:09
https://www.youtube.com/watch?v=X5tVmX8mIF4

概要

TLDRIn this video, the speaker critiques YouTuber Rob England for disseminating pseudoscientific information about hair loss on the popular channel "What I've Learned". The speaker emphasizes how England leverages misinformation, specifically around outdated theories like the blood flow theory, to promote his subscription-based business. They argue against the suggestion that conditions like hair loss can be treated through ineffective methods such as scalp massages, instead advocating for evidence-based treatments like finasteride and minoxidil. The speaker warns that misleading information can have dire consequences, especially for individuals seeking genuine solutions to hair loss.

収穫

  • 🚫 Beware of pseudoscience in health advice.
  • 📉 Misinformation can exploit vulnerable audiences.
  • 👍 Evidence-based medicine is crucial for hair loss treatments.
  • 💊 Finasteride and minoxidil are scientifically supported.
  • 🔬 Scalp massages lack credible evidence for efficacy.
  • ⚠️ Always check the credibility of sources before believing claims.
  • 📣 Education and awareness can combat misinformation.
  • 🤑 Be wary of profit-driven motives in health advice.
  • 🚀 Learning from reputable sources is essential for informed choices.
  • 🧬 Hair loss mechanisms are complex and require scientifically backed understanding.

タイムライン

  • 00:00:00 - 00:05:00

    The speaker expresses disappointment over a popular YouTuber's channel, 'What I've Learned', which has shifted its focus to discuss hair loss and invited a questionable guest purported to promote pseudoscience alongside a low-carb diet. They emphasize the platform's potential impact on viewers who may be misinformed.

  • 00:05:00 - 00:10:00

    The speaker critiques the guest, Rob England, for using the opportunity to promote debunked theories on hair loss while having a conflict of interest, suggesting ethical concerns regarding the promotion of pseudoscientific ideas.

  • 00:10:00 - 00:15:00

    A background on Rob England is presented, noting a friendship that has experienced tension over disagreements about hair loss research and treatment methods, particularly focusing on outdated theories that England promotes.

  • 00:15:00 - 00:20:00

    Attention is drawn to the archaic 'blood flow theory' of hair loss, which England is accused of misrepresenting as his own hypothesis, contrasting it with more recent, scientifically supported explanations of androgenic alopecia.

  • 00:20:00 - 00:25:00

    The speaker argues that multiple factors influence hair loss, emphasizing genetic variations and hormonal effects, rather than environmental factors like blood flow or scalp tension, referencing historical scientific findings to debunk England's claims.

  • 00:25:00 - 00:30:00

    The discussion shifts to the credibility of medical journals, specifically 'Medical Hypotheses', which the speaker critiques for lacking rigorous peer-review processes, implying that Rob England's research is substantively weak despite his claims.

  • 00:30:00 - 00:35:00

    Highlighting the issues of presenting opinions without sufficient evidence, the speaker critiques Rob's claims regarding effectiveness of non-drug treatments for hair loss, asserting that pharmaceutical options have clinically verified outcomes.

  • 00:35:00 - 00:40:00

    The role of DHT in hair loss is explored, asserting that while scalp injuries may occur, blocking DHT remains the primary method to counter hair loss, and addressing misconceptions regarding the efficacy of various treatments is crucial.

  • 00:40:00 - 00:45:00

    The speaker emphasizes the importance of truth in advising hair loss treatments and critiques England's methods of bypassing appropriate scientific sources to promote massage techniques as valid treatments.

  • 00:45:00 - 00:50:00

    As the speaker further analyzes England's claims, they identify a disconnect between the presentation of evidence and the effectiveness of proposed treatments, arguing for evidence over anecdotal experiences.

  • 00:50:00 - 00:55:09

    Finally, the speaker concludes with an appeal to prioritize consumer safety over profit in the hair treatment industry, reiterating their responsibility to provide accurate, science-based information and urging the need for reform in the dissemination of hair loss research.

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ビデオQ&A

  • What is the main criticism of Rob England's content?

    He is criticized for promoting pseudoscientific theories about hair loss and failing to provide evidence-based information.

  • What channel featured Rob England?

    Rob England appeared on 'What I've Learned,' a channel with nearly 2 million subscribers.

  • What theories did Rob England revive in his video?

    He revived the blood flow theory of hair loss, which has been largely debunked.

  • What are the legitimate treatments for hair loss mentioned?

    Finasteride and minoxidil are legitimate treatments for androgenic alopecia.

  • What was the response to the scalp massages theory?

    The video argues that there is no substantial evidence supporting the effectiveness of scalp massages for hair loss.

  • What is the key message against misinformation in the video?

    The speaker highlights the importance of relying on scientifically supported information to avoid harmful treatments.

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  • 00:00:00
    how's it going guys thank you all for
  • 00:00:01
    joining me today so recently someone
  • 00:00:04
    brought to my attention a new video from
  • 00:00:06
    a dude whose channel is called what i've
  • 00:00:08
    learned now i have heard of this channel
  • 00:00:10
    only because i remember the youtuber
  • 00:00:12
    unnatural vegan did several videos
  • 00:00:14
    exposing him as a promoter of
  • 00:00:16
    pseudoscience who likes to cherry pick
  • 00:00:18
    research misinterpret data and he
  • 00:00:20
    doesn't even read his own sources as he
  • 00:00:22
    constantly fear mongers about plants and
  • 00:00:24
    that exaggerates the benefits of a high
  • 00:00:26
    fat and low carb lifestyle he also has a
  • 00:00:28
    tendency to invite guests onto his show
  • 00:00:30
    who have a clear conflict of interest
  • 00:00:32
    which he doesn't ever bother disclosing
  • 00:00:34
    but beyond that my impression of his
  • 00:00:36
    channel is he's mostly focused on
  • 00:00:38
    promoting a low-carb high-fat lifestyle
  • 00:00:41
    and he's been pretty damn successful at
  • 00:00:42
    that as he has about two million
  • 00:00:44
    subscribers so anyone who is lucky
  • 00:00:47
    enough to get to speak on his channel is
  • 00:00:48
    going to have a huge platform to reach
  • 00:00:50
    out to many many people
  • 00:00:52
    that is why it is especially unfortunate
  • 00:00:55
    that he's decided to shift the focus of
  • 00:00:57
    his channel to discussing the subject of
  • 00:00:58
    hair loss so as far as i know
  • 00:01:01
    what i've learned he's never actually
  • 00:01:03
    discussed hair loss on his channel
  • 00:01:04
    before so he's built up a following
  • 00:01:06
    based on content that is completely
  • 00:01:08
    unrelated to hair loss therefore
  • 00:01:11
    there is a very good chance that many of
  • 00:01:12
    his viewers are laymen on the subject
  • 00:01:14
    and will believe whatever his channel
  • 00:01:16
    tells them about it so out of all the
  • 00:01:19
    people he could have possibly invited to
  • 00:01:21
    help introduce his audience to hair loss
  • 00:01:23
    he chooses perhaps the worst person
  • 00:01:25
    imaginable rob england this would be
  • 00:01:28
    like if you decide to make a fitness
  • 00:01:30
    video and invited jason blaha to speak
  • 00:01:32
    on his channel so rob england from
  • 00:01:34
    perfect hair health had a great
  • 00:01:36
    opportunity here to provide genuine
  • 00:01:39
    quality information to many potential
  • 00:01:41
    hair loss newcomers instead he
  • 00:01:43
    squandered this opportunity and decided
  • 00:01:45
    to piggyback off a larger channel's
  • 00:01:47
    success and plug his own [ __ ]
  • 00:01:50
    debunked theories about hair loss as
  • 00:01:52
    well as promote his business which is to
  • 00:01:54
    sell subscriptions to his website where
  • 00:01:56
    he promotes pseudoscience combined with
  • 00:01:58
    just enough legitimate science to give
  • 00:02:01
    his content the veneer of legitimacy so
  • 00:02:03
    to give some background about this rob
  • 00:02:05
    england gentleman he and i are actually
  • 00:02:07
    pretty good friends and that's despite
  • 00:02:09
    the fact that we've had some pretty
  • 00:02:10
    strong disagreements about hair loss
  • 00:02:12
    research specifically rob england
  • 00:02:14
    despite not being directly adversarial
  • 00:02:16
    to conventional hair loss treatments
  • 00:02:18
    like finasteride minoxidil is still an
  • 00:02:20
    open promoter of debunked and obsolete
  • 00:02:22
    theories about treating hair loss which
  • 00:02:24
    he uses to market his business most
  • 00:02:26
    notably rob england is an active
  • 00:02:28
    promoter of what is known in the
  • 00:02:30
    scientific community as the brit flu
  • 00:02:32
    theory now i created a few videos
  • 00:02:35
    responding to rob england politely
  • 00:02:37
    explaining why i think the blue through
  • 00:02:39
    theory is wrong not just in practice but
  • 00:02:41
    even in theory and this has
  • 00:02:42
    unfortunately led to disagreements
  • 00:02:44
    between us which have sometimes
  • 00:02:46
    escalated the points where it has
  • 00:02:47
    threatened our good friendship such as
  • 00:02:49
    this one time he threatened to sue me
  • 00:02:51
    when i gave him the prestigious honor of
  • 00:02:53
    joining the likes of people like
  • 00:02:54
    hereguard and attigen in my worst of the
  • 00:02:57
    hair loss industry series and i'll link
  • 00:02:59
    all those videos below in case you
  • 00:03:00
    haven't seen them yet so no hard
  • 00:03:02
    feelings about any of that rob i
  • 00:03:03
    understand that i know you deleted that
  • 00:03:05
    comment where you threatened to sue me
  • 00:03:07
    so i suppose that can only mean that you
  • 00:03:09
    feel bad about having written it but
  • 00:03:11
    that's okay dude i accept your apology
  • 00:03:14
    so
  • 00:03:15
    i thought i had gotten through to rob
  • 00:03:17
    england in my last confrontation with
  • 00:03:18
    him as most of his recent content has
  • 00:03:21
    been pretty run-of-the-mill hair loss
  • 00:03:22
    advice nothing extraordinary but also
  • 00:03:24
    nothing that could mislead people into
  • 00:03:26
    following advice that could cost them
  • 00:03:27
    their hair so no big deal there so i was
  • 00:03:30
    especially disappointed to find out that
  • 00:03:32
    rob england is back to his same old
  • 00:03:35
    dirty tricks again by promoting all the
  • 00:03:37
    same old debunked nonsense we've been
  • 00:03:40
    over together and he's doing it on what
  • 00:03:41
    i've learned channel who has over 2
  • 00:03:43
    million subscribers or close to 2
  • 00:03:45
    million subscribers it's clear he did
  • 00:03:47
    this to take advantage of what i've
  • 00:03:48
    learned massive subscription base and i
  • 00:03:50
    find that especially unethical that he
  • 00:03:53
    has exposed potentially millions of
  • 00:03:55
    people to a false debunk theory that he
  • 00:03:57
    is desperately trying to revive just for
  • 00:04:00
    the sake of profit now it gives me no
  • 00:04:02
    pleasure to have to call you out again
  • 00:04:03
    rob and if it means anything i am much
  • 00:04:06
    more angry at what i've learned than i
  • 00:04:08
    am at you for giving such a huge
  • 00:04:10
    platform to you to spread so much bro
  • 00:04:12
    science but i have a duty here to
  • 00:04:14
    protect people from the [ __ ]
  • 00:04:15
    channels like yours and what i've
  • 00:04:17
    learned spew because i myself was a
  • 00:04:19
    victim of similar misinformation back in
  • 00:04:21
    the day which caused me to hesitate with
  • 00:04:23
    legitimate treatments which put me into
  • 00:04:25
    a position where i had to spend well
  • 00:04:27
    over ten thousand dollars on hair
  • 00:04:29
    transplants just to get back a semblance
  • 00:04:31
    of my original hairline that would have
  • 00:04:33
    never happened had i just had access to
  • 00:04:35
    good information and wasn't exposed to
  • 00:04:38
    the false hope people like you provide i
  • 00:04:40
    don't want anyone else to go through
  • 00:04:42
    this and as pissed off as i am about
  • 00:04:44
    this video's existence i intend to put
  • 00:04:47
    all my own personal feelings aside and
  • 00:04:49
    rely strictly on evidence-based research
  • 00:04:51
    to explain why the things you are saying
  • 00:04:53
    are completely wrong so it's time to oil
  • 00:04:56
    our blades drink our potions and go
  • 00:04:59
    balls deep because we've got a monster
  • 00:05:01
    of a video to slay so let's get to it
  • 00:05:04
    rob came up with an interesting
  • 00:05:05
    hypothesis for why hair loss happens
  • 00:05:08
    that addressed a couple of unexplained
  • 00:05:10
    phenomenon seen in balding scalps
  • 00:05:13
    no rob you did not come up with this
  • 00:05:15
    hypothesis the blood flow theory is one
  • 00:05:18
    of the oldest theories of hair loss and
  • 00:05:20
    the only reason it was ever taken
  • 00:05:22
    seriously is because it was invented
  • 00:05:24
    during a time when we didn't have tools
  • 00:05:26
    to measure things like hormones which we
  • 00:05:28
    now know today are the real culprits of
  • 00:05:30
    androgenic alopecia in fact
  • 00:05:33
    the blood flow theory is so archaic and
  • 00:05:36
    obsolete that it was debunked over a
  • 00:05:38
    century ago and was debunked in 1916 in
  • 00:05:42
    fact by a scientist who was old enough
  • 00:05:44
    to be rob england's great great
  • 00:05:46
    grandmother named dorothy osborne so
  • 00:05:49
    dorothy osborne was a scientist who
  • 00:05:52
    published the first paper showing that
  • 00:05:54
    androgenic alopecia was a genetic
  • 00:05:56
    condition and that the blue through
  • 00:05:58
    theory back then just simply known as
  • 00:05:59
    the blood flow theory was complete
  • 00:06:02
    nonsense back in those days literally
  • 00:06:04
    all men wore hats and who can blame them
  • 00:06:07
    they didn't have finasteride minoxidil
  • 00:06:09
    back then so if you got androgenic
  • 00:06:11
    alopecia your only choices were to wear
  • 00:06:13
    a hat or just shave it brethren
  • 00:06:16
    one of the types of hats that was most
  • 00:06:18
    popular back then was the fedora believe
  • 00:06:20
    it or not there was a time when wearing
  • 00:06:22
    a fedora was actually considered cool
  • 00:06:25
    but one characteristic of fedora and
  • 00:06:27
    other popular hat styles back then was
  • 00:06:30
    that they had tight headbands so they
  • 00:06:32
    wouldn't get blown off by the wind
  • 00:06:34
    so one of the major theories of hair
  • 00:06:36
    loss back then was that tight headbands
  • 00:06:38
    restricted blood flow to the scalp even
  • 00:06:41
    more than that just as people like paul
  • 00:06:43
    taylor claim that the shape of the skull
  • 00:06:44
    determines the severity of hair loss the
  • 00:06:46
    blood flu fanatics from over 100 years
  • 00:06:48
    ago felt that the interaction between
  • 00:06:50
    the shape of the head and hats caused
  • 00:06:52
    baldness as miss osborne says about the
  • 00:06:55
    theory quote
  • 00:06:57
    not baldness itself but the shape of the
  • 00:06:59
    head is inherited and in wearing hats
  • 00:07:01
    the consequent pressure on the blood
  • 00:07:02
    vessels nourishing the scalp causes the
  • 00:07:04
    loss of hair unquote well in this very
  • 00:07:07
    very old article dorothy osborne showed
  • 00:07:10
    that baldness runs in families and is
  • 00:07:12
    clearly a genetic condition there were
  • 00:07:14
    families where baldness were completely
  • 00:07:16
    absent and others with lots of family
  • 00:07:18
    members who were bald and this was
  • 00:07:20
    totally independent of people wearing
  • 00:07:22
    hats she even noted that the pattern of
  • 00:07:24
    baldness did not match where the hat
  • 00:07:27
    band was constricting brute flow so even
  • 00:07:29
    back when we were still fighting world
  • 00:07:31
    war one scientists had a firm enough
  • 00:07:34
    understanding of human anatomy and
  • 00:07:35
    physiology to understand that
  • 00:07:37
    impingement of blood flow was not the
  • 00:07:39
    reason for hair loss now there have been
  • 00:07:42
    a lot of new studies on this subject
  • 00:07:43
    since 1916 as you might imagine but as
  • 00:07:46
    it turns out these studies only further
  • 00:07:48
    reinforce the fact that factors like
  • 00:07:50
    blue flu scalp tension and skull shape
  • 00:07:53
    have no bearing on the genesis of
  • 00:07:55
    androgenic alopecia whatsoever i just
  • 00:07:57
    want to show this article to demonstrate
  • 00:07:59
    that rob's theory is definitely not his
  • 00:08:02
    and rob isn't bringing anything new to
  • 00:08:04
    the table here in fact the paper he
  • 00:08:06
    wrote on this was accepted into an
  • 00:08:07
    academic journal
  • 00:08:10
    so what i've learned brings up that rob
  • 00:08:12
    had his theory published in a medical
  • 00:08:13
    journal called medical hypotheses later
  • 00:08:16
    on rob includes this specific journal as
  • 00:08:19
    one of the peer-reviewed journals where
  • 00:08:20
    he has had papers published and as of
  • 00:08:23
    today i've published four peer-reviewed
  • 00:08:25
    publications on one of the most common
  • 00:08:27
    types of hair loss that you can be
  • 00:08:29
    diagnosed with as an adult
  • 00:08:31
    the problem is that medical hypotheses
  • 00:08:34
    is not a peer-reviewed journal it is a
  • 00:08:36
    pay-to-publish journal costing
  • 00:08:39
    eight hundred and fifty dollars to
  • 00:08:40
    publish just one article and it is
  • 00:08:42
    ranked in journal ranking numbers as
  • 00:08:44
    eleven thousand two hundred and eight i
  • 00:08:46
    didn't even know that number of medical
  • 00:08:48
    journals existed so it's gotta be pretty
  • 00:08:50
    close to the bottom not only that
  • 00:08:52
    it has also published really bizarre
  • 00:08:54
    articles like the effect of masturbation
  • 00:08:57
    on nasal congestion and the journal got
  • 00:08:59
    into hot water for publishing articles
  • 00:09:01
    that denied the existence of aids hiv
  • 00:09:04
    perhaps not surprisingly this is also
  • 00:09:06
    where rob england's buddy paul taylor
  • 00:09:08
    published his hilariously stupid article
  • 00:09:11
    claiming skull expansion causes hair
  • 00:09:13
    loss and i made a video debunking that
  • 00:09:15
    which i'll link below so i don't know
  • 00:09:17
    why rob england would consider this to
  • 00:09:19
    be a flex of some sort as far as
  • 00:09:21
    credentials go it's actually pretty
  • 00:09:23
    embarrassing now as the average youtube
  • 00:09:25
    viewer you might think that publishing
  • 00:09:27
    four medical articles is in fact
  • 00:09:29
    impressive but you should realize here
  • 00:09:32
    that real career scientists who have the
  • 00:09:33
    credentials to theorize about hair loss
  • 00:09:36
    usually have published several hundred
  • 00:09:38
    academic articles so rob is over hyping
  • 00:09:40
    his background and i know people may
  • 00:09:42
    react by saying oh yeah kevin well what
  • 00:09:44
    are your credentials okay well let's try
  • 00:09:47
    to put things into perspective for a
  • 00:09:48
    moment me what i'm trying to do i am
  • 00:09:51
    just trying to present the medical
  • 00:09:53
    consensus on various things you don't
  • 00:09:55
    need to have any credentials in order to
  • 00:09:57
    do that you only need to know how to
  • 00:09:58
    interpret research i am not trying to
  • 00:10:00
    refute the accepted theories behind hair
  • 00:10:02
    loss nor am i trying to resurrect an
  • 00:10:04
    ancient debunk theory like the blue flu
  • 00:10:06
    theory i am just coming from this from
  • 00:10:09
    the same perspective as the rest of you
  • 00:10:10
    guys i have a consumer and being that
  • 00:10:12
    hair loss is one of the biggest scam
  • 00:10:14
    industries to ever exist as consumers it
  • 00:10:17
    is our responsibility to be skeptical
  • 00:10:19
    that is all i am trying to do here so
  • 00:10:22
    run the website perfecthairhealth.com
  • 00:10:24
    which showcases evidence-based
  • 00:10:25
    approaches for hair regrowth with the
  • 00:10:27
    drug model and without the drug model uh
  • 00:10:29
    it doesn't really matter to me which
  • 00:10:31
    path somebody takes what matters is that
  • 00:10:33
    they're getting access to good
  • 00:10:34
    information
  • 00:10:36
    so it's clear what rob is doing here is
  • 00:10:38
    presenting a false hope on his website
  • 00:10:41
    he repeatedly says that hair loss can be
  • 00:10:43
    treated with or without drugs this may
  • 00:10:46
    be an appealing thought but it is
  • 00:10:47
    completely false there is no means of
  • 00:10:50
    regrowing hair outside of the drug model
  • 00:10:52
    even hair transplantation surgery
  • 00:10:54
    doesn't actually give you any new hairs
  • 00:10:56
    it just moves hair from one region to
  • 00:10:58
    another so rob's business model is based
  • 00:11:01
    on the notion of hey i don't care about
  • 00:11:03
    your preferences my job is just just
  • 00:11:05
    help give you the knowledge you need to
  • 00:11:06
    regrow your hair but the problem is you
  • 00:11:09
    should care about their preferences
  • 00:11:11
    because that's kind of a big deal here
  • 00:11:13
    if someone were to come up to me and ask
  • 00:11:15
    me for advice on how to build muscle
  • 00:11:17
    without exercise or using steroids i'm
  • 00:11:19
    telling you [ __ ] out of luck i'd say the
  • 00:11:21
    same thing to someone who asked me for
  • 00:11:22
    advice on how to regrow hair without
  • 00:11:24
    using pharmaceuticals maybe it's not
  • 00:11:26
    what they want to hear but it is the
  • 00:11:28
    truth and the fact that you take
  • 00:11:30
    liberties with truth for the sake of
  • 00:11:31
    your business is unethical because
  • 00:11:34
    people who see your website will be
  • 00:11:36
    convinced that either approach has merit
  • 00:11:38
    which isn't true and even you yourself
  • 00:11:41
    say later in the video that the level of
  • 00:11:43
    evidence behind scalp massages as a hair
  • 00:11:45
    loss treatment is very low yet here you
  • 00:11:48
    are outright claiming scalp massages can
  • 00:11:50
    treat hair loss you know that's not true
  • 00:11:53
    now rob would probably counter this by
  • 00:11:55
    saying he doesn't claim that the drug
  • 00:11:56
    and non-drug models are equal however
  • 00:11:58
    when you have text on your website like
  • 00:12:00
    this that says quote hair regrowth is
  • 00:12:03
    possible with and without drugs unquote
  • 00:12:06
    the implication here is that either
  • 00:12:08
    approach is totally reasonable and
  • 00:12:10
    basically equal or at least comparable
  • 00:12:12
    in efficacy when the reality is that
  • 00:12:14
    scalp massages have not been shown to
  • 00:12:16
    work at all in fact
  • 00:12:18
    while promoting scalp massages what i've
  • 00:12:21
    learned even makes fun of laser therapy
  • 00:12:23
    these lasers that are helping you
  • 00:12:26
    restore your hair and it can be under a
  • 00:12:28
    beautiful fashionable hat
  • 00:12:30
    so no doubt things like laser helmets
  • 00:12:32
    which are also known as low level laser
  • 00:12:34
    light therapy or llt are largely
  • 00:12:37
    considered to be jokes by most hair loss
  • 00:12:39
    veterans however even laser therapy has
  • 00:12:42
    much more evidence backing its efficacy
  • 00:12:44
    than scout massages and i say that as
  • 00:12:46
    someone who has strongly criticized and
  • 00:12:49
    made several videos bashing low-level
  • 00:12:51
    laser light therapy as a treatment that
  • 00:12:53
    i'll link below in laser therapy's
  • 00:12:55
    defense though there is evidence
  • 00:12:57
    suggesting that it helps a little bit
  • 00:12:59
    the problem is the results are so low
  • 00:13:01
    that it is often not even cosmetically
  • 00:13:03
    noticeable but these results are still
  • 00:13:06
    better than scout massages where it's
  • 00:13:08
    been shown that if anything it might
  • 00:13:10
    actually make hair density worse as you
  • 00:13:12
    can see in this graph from a japanese
  • 00:13:14
    randomized control trial that compared
  • 00:13:16
    scalp massages to placebo and found a
  • 00:13:18
    significant decrease in hair density
  • 00:13:20
    after 12 weeks of scalp massage and
  • 00:13:22
    certainly no improvement over placebo
  • 00:13:25
    so clearly you're in this not to
  • 00:13:28
    emphasize what's been proven to be
  • 00:13:29
    effective which of course is drug
  • 00:13:31
    therapy what you're doing is you're
  • 00:13:33
    trying to attract people who are afraid
  • 00:13:35
    to take finasteride and rather than tell
  • 00:13:37
    them the red pill reality that they have
  • 00:13:39
    no choice you offer them this false blue
  • 00:13:42
    pill alternative which means they're
  • 00:13:44
    going to be losing both their hair and
  • 00:13:46
    their money by listening to you but the
  • 00:13:48
    reality is is that there's some things
  • 00:13:51
    that have yet to be explained by
  • 00:13:53
    researchers in terms of how this
  • 00:13:56
    condition advances
  • 00:13:57
    and i can give you a couple examples so
  • 00:14:00
    there's obviously a very strong genetic
  • 00:14:02
    and androgenic basis to androgenic
  • 00:14:04
    alopecia but
  • 00:14:06
    nobody really knows why
  • 00:14:08
    dht begins to increase in balding scalps
  • 00:14:12
    i am afraid this is only a mystery to
  • 00:14:14
    rob england and soon we're going to see
  • 00:14:16
    him present this convoluted theory that
  • 00:14:18
    there is an increased amount of
  • 00:14:19
    inflammation in the scalp and that this
  • 00:14:21
    somehow attracts dht to the scalp and
  • 00:14:23
    progresses androgenic alopecia however
  • 00:14:26
    it has already been well established
  • 00:14:27
    that in the hair follicles of balding
  • 00:14:29
    scalps there is increased levels of the
  • 00:14:31
    5-ar enzyme which converts testosterone
  • 00:14:34
    into the trash hormone dht people with
  • 00:14:37
    androgenetic alopecia also have more
  • 00:14:39
    androgen receptors on their scalp hair
  • 00:14:41
    so the combination of increased dht as
  • 00:14:44
    well as increased androgen receptor
  • 00:14:45
    activity results in the destruction of
  • 00:14:48
    the hair follicle this is all determined
  • 00:14:50
    by genetics and it is not due to the
  • 00:14:52
    local environmental factors like scalp
  • 00:14:54
    tension or blood flow because there have
  • 00:14:56
    been experiments done where hairs that
  • 00:14:59
    are harvested from balding region of the
  • 00:15:00
    scalp are then transplanted to
  • 00:15:02
    non-balding regions such as the forearm
  • 00:15:04
    or the back of the head and those hairs
  • 00:15:07
    were shown to continue to miniaturize at
  • 00:15:08
    the exact same pace this research dates
  • 00:15:11
    back to the 1950s and it helped
  • 00:15:13
    establish the science behind hair
  • 00:15:15
    transplants since we know that hairs
  • 00:15:17
    transplanted from non-balding reach of
  • 00:15:18
    the scalp such as the occipital region
  • 00:15:20
    will not miniaturize when transplanted
  • 00:15:23
    to the front of the scalp so robin's
  • 00:15:25
    followers may counter this by saying
  • 00:15:26
    things like oh they actually do make
  • 00:15:28
    sure i sometimes but the reason this
  • 00:15:30
    happens is because of poor harvesting
  • 00:15:32
    techniques such as when the hairs are
  • 00:15:34
    transplanted outside of the donor region
  • 00:15:36
    or in issues where the surgery is just
  • 00:15:37
    poorly performed which doesn't allow the
  • 00:15:39
    transplanted hair follicle to recover
  • 00:15:41
    from the trauma of surgery which is what
  • 00:15:43
    we see in places like cheap turkish hair
  • 00:15:46
    mills the fact of the matter is though
  • 00:15:48
    is that the whole hair transplant
  • 00:15:49
    industry would not exist at all if hair
  • 00:15:52
    transplants didn't work and the only
  • 00:15:55
    reason why they are able to work is
  • 00:15:56
    because of genetic determinism which
  • 00:15:59
    protects transplanted hairs from the
  • 00:16:01
    trash hormone dht where those hairs are
  • 00:16:03
    located on the scalp doesn't matter
  • 00:16:05
    provided the transplantation is
  • 00:16:06
    performed well
  • 00:16:08
    why individuals who are undergoing hair
  • 00:16:11
    loss and then completely reduce that
  • 00:16:12
    hormone dht
  • 00:16:14
    why do we only see a stop in the
  • 00:16:16
    progression of pattern hair loss rather
  • 00:16:17
    than a full cycle hair regrowth where
  • 00:16:20
    our hair density returns to complete
  • 00:16:22
    normal
  • 00:16:23
    so what rob is trying to do here is say
  • 00:16:25
    something like oh even if you completely
  • 00:16:27
    suppress dht some people will still go
  • 00:16:30
    bald so clearly dht is only part of the
  • 00:16:33
    equation here this is completely
  • 00:16:34
    misleading because not even the
  • 00:16:36
    strongest 5ar inhibitor on the planet
  • 00:16:39
    will completely eliminate dht from the
  • 00:16:41
    scalp even 2.5 milligrams of dutasterod
  • 00:16:45
    used daily which is five times the
  • 00:16:47
    standard dose will only suppress scalp
  • 00:16:49
    dht by about 80 percent even if
  • 00:16:52
    theoretically you could suppress 100 of
  • 00:16:55
    the five error enzyme it still wouldn't
  • 00:16:57
    completely eliminate dht from the scalp
  • 00:16:59
    or the body because there are backdoor
  • 00:17:02
    pathways to producing dht and this is an
  • 00:17:05
    important point to bring up not just in
  • 00:17:06
    the context of this video but also to
  • 00:17:09
    remind people that even though dht is a
  • 00:17:11
    trash hormone even if i am wrong and
  • 00:17:13
    someone could prove that there is some
  • 00:17:15
    important role dht serves that
  • 00:17:17
    testosterone cannot already do better
  • 00:17:19
    the fact is taking a five air inhibitor
  • 00:17:22
    does not eliminate dht completely so
  • 00:17:24
    even if there is some minimal role of
  • 00:17:27
    importance dht plays in the body in
  • 00:17:28
    adulthood you're not eliminating the
  • 00:17:30
    hormone completely by suppressing the
  • 00:17:32
    five air enzyme it's simply not possible
  • 00:17:35
    also
  • 00:17:36
    rob asked why suppressing dht only stops
  • 00:17:39
    hair loss but can't cause regrowth this
  • 00:17:42
    question is based on a false pretense
  • 00:17:44
    though because finasteride absolutely
  • 00:17:46
    can regrow hair and in some cases it can
  • 00:17:48
    even regrow a substantial amount of hair
  • 00:17:51
    the initial clinical trials as well as
  • 00:17:53
    the follow-up data both confirmed that
  • 00:17:55
    the majority of people who take
  • 00:17:56
    finasteride will stop the progression of
  • 00:17:58
    hair loss at two years and 83 of
  • 00:18:01
    subjects and will actually improve hair
  • 00:18:03
    growth at two years in 66 percent of
  • 00:18:06
    subjects so that's not bad at all how
  • 00:18:08
    much regrowth you get will be based on
  • 00:18:10
    factors such as genetic severity and
  • 00:18:13
    just how far gone you are but regrowth
  • 00:18:15
    with finasteride can and does occur and
  • 00:18:17
    it can even continue to occur after 10
  • 00:18:20
    years of usage and i made a video about
  • 00:18:22
    that which proves that finasteride is
  • 00:18:24
    extremely effective both in the short as
  • 00:18:26
    well as the long term so it's clear rob
  • 00:18:29
    is downplaying the effectiveness of
  • 00:18:30
    finasteride so more people will buy into
  • 00:18:33
    his [ __ ] ideas about alternative
  • 00:18:35
    theories when it really is just as
  • 00:18:37
    simple as suppressing the goddamn dht
  • 00:18:40
    now there are going to be a very small
  • 00:18:42
    minority of people where finasteride may
  • 00:18:44
    not be enough because maybe they waited
  • 00:18:46
    too long and simply have too much scar
  • 00:18:47
    tissue which has taken the place of
  • 00:18:49
    healthy hair or could be their hair loss
  • 00:18:51
    is so aggressive that they need a
  • 00:18:53
    stronger five air inhibitor like
  • 00:18:54
    dutasteride but let's cut the [ __ ]
  • 00:18:56
    here a 5 air inhibitor is absolutely the
  • 00:18:59
    best means of stopping hair loss and it
  • 00:19:01
    absolutely can reverse hair loss so what
  • 00:19:04
    rob is saying here is completely wrong
  • 00:19:06
    and then another thing that i think is
  • 00:19:09
    well well well under researched is the
  • 00:19:12
    fact that dht is strongly associated
  • 00:19:16
    with hair loss in the scalp in men and
  • 00:19:18
    women especially in adults
  • 00:19:20
    but dht is also this hormone it's
  • 00:19:22
    strongly associated with beard growth in
  • 00:19:26
    the face
  • 00:19:27
    and chest hair growth
  • 00:19:30
    congratulations rob you've discovered
  • 00:19:32
    the androgen paradox welcome to 1981.
  • 00:19:35
    what you're saying here is true but it's
  • 00:19:37
    not like everyone doesn't already know
  • 00:19:39
    this after all what do 99 of men try to
  • 00:19:42
    do when they go bald they try to
  • 00:19:44
    compensate for it by growing a nasty ass
  • 00:19:46
    beard but all it does is make them look
  • 00:19:48
    like they are growing their hair upside
  • 00:19:50
    down so contrary to rob's implication
  • 00:19:53
    about some arcane mystery behind how
  • 00:19:56
    engines affect hair there has been
  • 00:19:57
    plenty of research on the subject and it
  • 00:19:59
    is very well understood people who are
  • 00:20:02
    genetically susceptible to androgenetic
  • 00:20:03
    alopecia produce more dht on their scalp
  • 00:20:06
    and it has been shown that excessive dht
  • 00:20:08
    causes downstream effects including
  • 00:20:10
    suppressing the wnt wind pathway which
  • 00:20:13
    is critical for hair growth and so when
  • 00:20:15
    we start to zoom out we notice that it's
  • 00:20:18
    not just dht no rob it really is just
  • 00:20:21
    dht i know telling people to use proven
  • 00:20:24
    treatments doesn't make for a good
  • 00:20:25
    business model for your subscription
  • 00:20:27
    surface but it is the truth here there
  • 00:20:29
    are even populations of people who have
  • 00:20:31
    genetic mutations where they do not
  • 00:20:33
    produce the five error enzyme and guess
  • 00:20:35
    what zero percent of them have hair loss
  • 00:20:38
    so it really is just a matter of
  • 00:20:40
    suppressing dht now there are other
  • 00:20:42
    factors linked to dht like for instance
  • 00:20:44
    dht also decreases igf-1 which is a
  • 00:20:47
    positive hair growth factor and dht also
  • 00:20:50
    increases negative growth factors like
  • 00:20:52
    tgf beta 1. there are many biochemical
  • 00:20:55
    processes that are involved in the
  • 00:20:56
    destruction of hair follicles but they
  • 00:20:58
    are all intrinsically linked to the
  • 00:21:00
    presence of the trash hormone dht on the
  • 00:21:02
    scalp so if you want to stop hair loss
  • 00:21:04
    you simply block the dht it's that easy
  • 00:21:07
    now there are some drugs in development
  • 00:21:09
    that target some of these individual
  • 00:21:11
    effects without directly blocking dht
  • 00:21:13
    like the wnt wind pathway stimulants and
  • 00:21:16
    i have made videos on all these
  • 00:21:17
    treatments which i'll link below if
  • 00:21:18
    you're interested but these are not
  • 00:21:20
    commercially available yet and their
  • 00:21:22
    efficacy as well as their safety has not
  • 00:21:24
    yet been established as they are still
  • 00:21:26
    undergoing testing therefore
  • 00:21:28
    for the time being at least five air
  • 00:21:30
    inhibitors are the best thing we have
  • 00:21:32
    for fighting androgenic alopecia
  • 00:21:34
    the tissue level we see reductions to
  • 00:21:37
    blood supply and we also see reductions
  • 00:21:39
    to oxygen did somebody say brute flu
  • 00:21:42
    well he's going to get into that more
  • 00:21:43
    later in this video but rest assured
  • 00:21:46
    everything you're hearing coming out of
  • 00:21:47
    this man's mouth is 100
  • 00:21:50
    [ __ ] and i fully intend to explain
  • 00:21:53
    why so let's give him the chance to dig
  • 00:21:55
    himself into an even deeper hole before
  • 00:21:57
    i burn him with the igni sign
  • 00:21:59
    and the question is
  • 00:22:01
    is low blood flow a cause of that hair
  • 00:22:03
    loss or is it a consequence of hair loss
  • 00:22:06
    and there is some evidence to suggest
  • 00:22:08
    that low blood flow actually might be a
  • 00:22:10
    consequence of hair loss
  • 00:22:12
    so here is rob trying to come across as
  • 00:22:14
    being fair and balanced and this is
  • 00:22:16
    something he does a lot because it gives
  • 00:22:18
    the impression that he's actually
  • 00:22:19
    open-minded and that he's really not
  • 00:22:21
    pushing an agenda but it really is just
  • 00:22:23
    a way to cover his own ass since he'll
  • 00:22:25
    always mix in legitimate science with
  • 00:22:27
    research he likes to cherry pick and
  • 00:22:29
    often outright misrepresent in order to
  • 00:22:31
    push his fraudulent marketing push for
  • 00:22:33
    example after making this accurate
  • 00:22:36
    statement about lo buflo being a
  • 00:22:37
    consequence of hair loss he then says
  • 00:22:39
    this
  • 00:22:40
    but there are also some research groups
  • 00:22:42
    dating back to the 1990s that have
  • 00:22:44
    argued that
  • 00:22:45
    the reductions that we're seeing to
  • 00:22:47
    blood flow in the scalp cannot be
  • 00:22:50
    explained by these microvascular
  • 00:22:51
    insufficiencies alone there has to be
  • 00:22:53
    some sort of potential anatomical
  • 00:22:55
    trigger that is also contributing to the
  • 00:22:57
    reductions in blood and oxygen although
  • 00:22:59
    in this paper the authors hypothesize
  • 00:23:02
    that lower blood flow could cause hair
  • 00:23:04
    loss they also say that the opposite
  • 00:23:06
    could also be true unlike what rob
  • 00:23:08
    claims they do not say their quote has
  • 00:23:11
    to be an anatomical trigger unquote this
  • 00:23:13
    is something rob imagined when he read
  • 00:23:15
    the paper what the investigators really
  • 00:23:17
    said is quote
  • 00:23:19
    we have documented this hypoxia meaning
  • 00:23:21
    low oxygen levels but our study was not
  • 00:23:23
    designed to test or prove the existence
  • 00:23:25
    of a causal relationship between hypoxia
  • 00:23:28
    and male pattern baldness unquote
  • 00:23:30
    so rob is just reading what he wishes
  • 00:23:33
    the researchers concluded rather than
  • 00:23:34
    what they really said it's kind of like
  • 00:23:36
    when a girl tells a bald guy she just
  • 00:23:38
    wants to be friends and then the bald
  • 00:23:40
    guy interprets that as i love you the
  • 00:23:42
    other study by clem that rob shows but
  • 00:23:45
    doesn't quote to support the blood flow
  • 00:23:46
    theory has a similar warning the
  • 00:23:48
    investigators wrote quote however we
  • 00:23:51
    cannot conclude whether the reduced
  • 00:23:52
    scalp blue flow is primary secondary or
  • 00:23:55
    irrelevant for the etiology of early
  • 00:23:57
    male pattern baldness from the present
  • 00:23:59
    study unquote
  • 00:24:00
    if you talk to dermatologists who are
  • 00:24:02
    really familiar with feeling people's
  • 00:24:04
    scalps who have pattern baldness they'll
  • 00:24:06
    say that about 80 percent of the
  • 00:24:08
    individuals that they see with pattern
  • 00:24:09
    baldness have really really tight scalps
  • 00:24:12
    relative to their non-balding
  • 00:24:14
    counterparts is that what makes the
  • 00:24:15
    scalp so shiny
  • 00:24:17
    is that what makes the scalp so shiny i
  • 00:24:20
    swear this dork has to be related to
  • 00:24:21
    danny roddy i wonder what he thinks
  • 00:24:23
    about aspirin and hair loss but whatever
  • 00:24:25
    the case it's befuddling this dweeb
  • 00:24:27
    somehow as amassed 2 million subscribers
  • 00:24:30
    but getting to the point here people who
  • 00:24:31
    are full-blown bald let's say they're in
  • 00:24:33
    norwood 7 have lost all their hair
  • 00:24:35
    follicles on the crown and vertex and
  • 00:24:37
    the healthy skin and capillaries
  • 00:24:39
    supporting the hair follicles have all
  • 00:24:41
    been replaced by scar tissue scar tissue
  • 00:24:43
    is a vascular so the tissue loses its
  • 00:24:46
    sponginess due to the fact that there's
  • 00:24:48
    less fluid in the tissue which is one of
  • 00:24:50
    the reasons why the scalp feels tight
  • 00:24:52
    the other reason is because the tissue
  • 00:24:54
    is made up of collagen which is more
  • 00:24:56
    plastic meaning it doesn't retract as
  • 00:24:58
    much when you stretch it also
  • 00:25:00
    there are fewer elastin fibers and
  • 00:25:02
    elastin fibers are the stretch elastic
  • 00:25:05
    fibers which go back into place when you
  • 00:25:07
    stretch them so this goes back to the
  • 00:25:09
    whole cause versus consequence argument
  • 00:25:11
    bald men have a tighter scalp as a
  • 00:25:13
    consequence of going bald it isn't
  • 00:25:15
    because of going bald that is just a
  • 00:25:17
    side effect of it
  • 00:25:19
    you know you talk about these
  • 00:25:20
    dermatologists and they say that you
  • 00:25:21
    know the scalp in men who are balding 80
  • 00:25:24
    of these individuals have a very tight
  • 00:25:25
    scalp and that they seem to suggest that
  • 00:25:28
    that tension seems to arise mainly from
  • 00:25:31
    this involuntary and chronic contraction
  • 00:25:34
    of the scalp perimeter muscles that
  • 00:25:37
    basically round the entire top part of
  • 00:25:39
    the scalp and are anchored to this dense
  • 00:25:41
    fibrous membrane that underlies balding
  • 00:25:44
    protein regions called the galeaprotic
  • 00:25:46
    cup
  • 00:25:48
    okay who are the dermatologists making
  • 00:25:50
    claims that the scalp is tight due to
  • 00:25:52
    chronic contractions of the scalp
  • 00:25:53
    perimeter muscles what doctor actually
  • 00:25:56
    believes this is it dr trash anyways i
  • 00:25:59
    think this is something that rob just
  • 00:26:00
    came up with because it is fundamental
  • 00:26:02
    to his whole business model that
  • 00:26:04
    everybody who is bald is walking around
  • 00:26:06
    with chronically tight scalp muscles
  • 00:26:08
    that are inhibiting food to the scalp if
  • 00:26:10
    there are any dermatologists who claim
  • 00:26:12
    this then remember that every medical
  • 00:26:14
    field has its share of quacks but even
  • 00:26:16
    if what rob is saying here is true it
  • 00:26:18
    doesn't matter because anatomically
  • 00:26:20
    speaking it isn't possible for scalp
  • 00:26:23
    muscles to inhibit blood flow the blood
  • 00:26:25
    flow and gallia aponeurotica theory is
  • 00:26:28
    100 false not just in terms of outcome
  • 00:26:31
    data but even the theory is completely
  • 00:26:34
    wrong and there is plenty of evidence
  • 00:26:35
    which confirms just that first of all
  • 00:26:38
    rob doesn't understand the anatomy of
  • 00:26:40
    the scalp blood vessels the blood
  • 00:26:42
    vessels that supply blood to the hair do
  • 00:26:44
    not run under or through the muscles of
  • 00:26:46
    the scalp or through the gallia abandon
  • 00:26:47
    erotica in fact if you look at any
  • 00:26:50
    anatomy chart you can clearly see that
  • 00:26:52
    the scalp blood vessels lie above the
  • 00:26:54
    gallia abnertica and scalp muscle layer
  • 00:26:56
    and are just underneath the skin where
  • 00:26:58
    they are located within adipose tissue
  • 00:27:01
    which is a very loose and mobile tissue
  • 00:27:03
    which allows blood to pump through the
  • 00:27:05
    arteries uninhibited so factors like
  • 00:27:08
    tight scalp muscles or a tight galley
  • 00:27:10
    abnordica would not have any effect on
  • 00:27:12
    the blood pathways of the scalp arteries
  • 00:27:15
    in fact you can see in this figure that
  • 00:27:17
    the superficial temporal artery as the
  • 00:27:19
    name would imply is very superficial it
  • 00:27:22
    is so superficial in fact that you can
  • 00:27:24
    see it underneath the skin it is one of
  • 00:27:26
    the very few arteries in the body you
  • 00:27:28
    can actually see under the skin in fact
  • 00:27:30
    the second point here is that there are
  • 00:27:32
    several arteries that supply blood to
  • 00:27:34
    the scalp and these arteries are all
  • 00:27:36
    interconnected so even if one were
  • 00:27:38
    obstructed it would just cause the other
  • 00:27:40
    arteries to compensate by just
  • 00:27:42
    increasing the blood flow in those
  • 00:27:43
    arteries one reason we know obstructing
  • 00:27:46
    the blood vessels does not cause hair
  • 00:27:47
    loss is because there is a cosmetic
  • 00:27:49
    surgical procedure or some people who
  • 00:27:52
    don't like the way the superficial
  • 00:27:53
    temporal artery looks on their forehead
  • 00:27:55
    will have that artery ligated meaning it
  • 00:27:58
    is tied off completely
  • 00:28:00
    the surgeons who perform this surgery
  • 00:28:02
    make the observation that despite this
  • 00:28:04
    obstruction no hair loss occurs
  • 00:28:06
    afterwards and this is because of the
  • 00:28:08
    redundancy of the scalp vascular
  • 00:28:10
    networks you tie up one the others will
  • 00:28:12
    just compensate so blue flue in the
  • 00:28:14
    scalp will be exactly the same you can
  • 00:28:16
    almost think of it like a pipe that
  • 00:28:18
    splits off into two pipes that has water
  • 00:28:20
    running through it if you were to block
  • 00:28:21
    off one end the water flow would just
  • 00:28:23
    increase in the other pipe also if rob
  • 00:28:26
    can get away with just quoting random
  • 00:28:28
    unknown dermatologists to back up his
  • 00:28:29
    claims then i'll go ahead and report to
  • 00:28:31
    you that emergency room doctors who have
  • 00:28:34
    to treat scalp wounds will often say
  • 00:28:36
    that scalp wounds bleed more than any
  • 00:28:38
    other type of wound because the scalp is
  • 00:28:40
    extremely vascular and that includes
  • 00:28:42
    bald scalps so there's no way the hair
  • 00:28:44
    follicles which are really just tiny
  • 00:28:46
    organs supported by microscopic
  • 00:28:48
    capillaries are not getting adequate
  • 00:28:50
    blood or oxygen to survive if that were
  • 00:28:52
    the case then the skin of the scalp
  • 00:28:54
    would become necrotic and then die so if
  • 00:28:57
    hair loss really was caused by low blood
  • 00:28:59
    flow you wouldn't just see their scalp
  • 00:29:01
    you'd see their whole skull get exposed
  • 00:29:03
    and the skin would slough off because of
  • 00:29:05
    the low blood flow but that never
  • 00:29:07
    happens because in the body there is
  • 00:29:09
    always sufficient blood supply to meet
  • 00:29:11
    tissue demands finally
  • 00:29:14
    even if rob's thesis about blood vessels
  • 00:29:16
    being impinged by tight muscles were
  • 00:29:17
    true it wouldn't matter in the slightest
  • 00:29:20
    because massaging muscles does not
  • 00:29:22
    increase blood flow and this was proven
  • 00:29:24
    in a study from 1997 from jk schumacher
  • 00:29:28
    that is titled quote failure of manual
  • 00:29:31
    massage to alter limb blood flow
  • 00:29:33
    measured by doppler ultrasound unquote
  • 00:29:35
    now in case you haven't heard of a
  • 00:29:37
    doppler we're not talking about the
  • 00:29:38
    shape-shifting creature from the witcher
  • 00:29:40
    what a doppler is it's basically just a
  • 00:29:42
    medical instrument that is used to
  • 00:29:44
    measure blood flow simple as that
  • 00:29:45
    anyways
  • 00:29:47
    in this study the investigators measured
  • 00:29:49
    doppler blood flow in the forearm and in
  • 00:29:51
    the quadricep leg muscles before and
  • 00:29:53
    after different types of massage the
  • 00:29:55
    bottom line from the study was quote the
  • 00:29:58
    results indicate that manual massage
  • 00:30:00
    does not elevate muscle blood flow
  • 00:30:02
    irrespective of massage type or muscle
  • 00:30:04
    mass receiving the treatment unquote so
  • 00:30:06
    what they are saying here is that
  • 00:30:08
    regardless of the size the muscle
  • 00:30:10
    massaging has no influence on blood flow
  • 00:30:13
    and that would apply even to small
  • 00:30:15
    muscles such as those surrounding the
  • 00:30:17
    scalp perimeter where rob claims that
  • 00:30:19
    arteries are being pinched off which as
  • 00:30:21
    we've already shown isn't even true so
  • 00:30:23
    the blue flow theory isn't just wrong
  • 00:30:26
    it's awesomely wrong it manages to be
  • 00:30:28
    theoretically wrong on multiple fronts
  • 00:30:30
    such as being anatomically impossible as
  • 00:30:33
    well as mechanically impossible so you
  • 00:30:35
    can't get much worse than that when it
  • 00:30:37
    comes to failed theories but it is
  • 00:30:39
    nevertheless downright impressive just
  • 00:30:41
    how awful this theory is it leaves me
  • 00:30:44
    feeling the same way i felt after
  • 00:30:45
    watching star wars the rise of skywalker
  • 00:30:48
    i couldn't be angry with how bad it was
  • 00:30:50
    because of just how astonishing it was
  • 00:30:52
    in its atrociousness it wasn't just so
  • 00:30:55
    bad that it was good it was so bad that
  • 00:30:57
    it was perfect so i have to give the
  • 00:31:00
    blue through theory the rise of
  • 00:31:01
    skywalker award and i would credit you
  • 00:31:03
    for rob if it weren't for the fact that
  • 00:31:05
    you didn't even come up with it so in
  • 00:31:07
    the portraits contracture it's this
  • 00:31:09
    tendon related condition where your
  • 00:31:10
    tendons completely contract like this
  • 00:31:13
    and then your finger gets stuck
  • 00:31:15
    if you biopsy that tendon you tend to
  • 00:31:17
    see increases to 5-alpha reductase you
  • 00:31:19
    see increases dht you see increases the
  • 00:31:22
    transforming growth factor beta-1 you
  • 00:31:24
    also see fibrosis
  • 00:31:26
    so i don't know if rob has any sources
  • 00:31:29
    for these claims he's making but if he
  • 00:31:30
    does then what i've learned didn't
  • 00:31:32
    bother to list any of them which isn't
  • 00:31:33
    very convenient for people who want to
  • 00:31:35
    fact check these claims this is pretty
  • 00:31:37
    important when you run a science-based
  • 00:31:39
    youtube channel and that is why on my
  • 00:31:41
    videos i always list all of my sources
  • 00:31:44
    as you can see here in my last video i
  • 00:31:46
    couldn't find any data supporting his
  • 00:31:48
    claims that biopsies of dupuytren's
  • 00:31:50
    tissues have elevated dht or 5ar enzyme
  • 00:31:53
    i did however find one article where
  • 00:31:55
    tgf-beta1 was elevated and there is data
  • 00:31:58
    that androgen receptors are increased in
  • 00:32:00
    the fibrous tissues affected by
  • 00:32:02
    dupatrens however dupren's contractions
  • 00:32:04
    are not thought to be due to constant
  • 00:32:06
    tension on the tendons as rob claims is
  • 00:32:08
    what happens in the scalp rather it is
  • 00:32:10
    some kind of tendon abnormality of
  • 00:32:12
    unknown mechanism that shortens the
  • 00:32:14
    tendon and makes it impossible to
  • 00:32:16
    straighten the finger but this is not
  • 00:32:18
    the same process as he claims happens in
  • 00:32:20
    the scalps of people who have androgenic
  • 00:32:22
    alopecia this is just him throwing in
  • 00:32:24
    data that superficially sounds like it's
  • 00:32:26
    related to his scalp tension theory when
  • 00:32:28
    in reality it is completely different oh
  • 00:32:31
    and by the way rob it's pronounced
  • 00:32:32
    dubitrans not dupoitrons so you're
  • 00:32:35
    welcome he then tries to expand this to
  • 00:32:37
    other issues like the eyelids of people
  • 00:32:39
    with graves disease which is due to
  • 00:32:41
    hyperthyroidism but it's known that
  • 00:32:43
    hyperthyroidism causes increased android
  • 00:32:45
    levels so it's not surprising that there
  • 00:32:47
    are increased dht tissue levels it has
  • 00:32:50
    nothing to do with tension in the
  • 00:32:52
    eyeballs
  • 00:32:53
    the same is true with prostates that are
  • 00:32:56
    enlarged and thereby under chronic
  • 00:32:58
    pressure you see increased 5-alpha
  • 00:33:00
    reductase activity and dht increased
  • 00:33:03
    inflammation
  • 00:33:04
    increased transforming growth factor
  • 00:33:05
    beta-1 in some cases fibrosis
  • 00:33:08
    so this is a classic example of rob
  • 00:33:11
    england putting the cart before the
  • 00:33:12
    horse which he obnoxiously does all the
  • 00:33:15
    time why does he think these prostates
  • 00:33:17
    are enlarged to begin with what causes
  • 00:33:19
    prostate enlargement it's dht obviously
  • 00:33:22
    which is why finasteride is also fda
  • 00:33:25
    approved for the treatment of enlarged
  • 00:33:26
    prostate it's not like the prostate
  • 00:33:28
    enlarges and then that causes dht levels
  • 00:33:30
    to go up it's the exact opposite in fact
  • 00:33:33
    so the fact that the dht is increased in
  • 00:33:35
    enlarged prostates has nothing to do
  • 00:33:37
    with his scalp tension thing dht is the
  • 00:33:40
    cause and not the result of prostate
  • 00:33:42
    enlargement
  • 00:33:44
    when you model the contraction of the
  • 00:33:46
    frontalis and the occipital muscles you
  • 00:33:49
    pull those tightly
  • 00:33:50
    fascinatingly the tensile pattern that
  • 00:33:53
    you generate across the top of the scalp
  • 00:33:55
    perfectly aligns with the progression
  • 00:33:58
    and the rapidity of male pattern hair
  • 00:34:00
    loss so these diagrams showing patterns
  • 00:34:03
    of scalp tension correlating with the
  • 00:34:04
    progression of hair loss are very
  • 00:34:06
    commonly brought up to promote the scalp
  • 00:34:08
    tension theory but there are details
  • 00:34:10
    about these diagrams that rob
  • 00:34:11
    conveniently leaves out first of all
  • 00:34:14
    these are not actual diagrams of scalp
  • 00:34:16
    tension in actual human beings these
  • 00:34:19
    diagrams are based on a two-dimensional
  • 00:34:21
    computer model which attempts to predict
  • 00:34:23
    scalp tension but this model has not
  • 00:34:26
    been validated and obviously wouldn't
  • 00:34:28
    perfectly correlate with a human scalp
  • 00:34:30
    since the scalp is of a
  • 00:34:31
    three-dimensional origin not a
  • 00:34:33
    two-dimensional picture like we see in
  • 00:34:35
    the diagrams furthermore it isn't
  • 00:34:37
    scientifically relevant as at best it's
  • 00:34:39
    just a correlation and it does not prove
  • 00:34:42
    that scalp tension tension causes hair
  • 00:34:44
    loss this is just used to manipulate
  • 00:34:46
    people into believing the scalp tension
  • 00:34:48
    theory which is why you see other
  • 00:34:50
    scammers in the hair loss industry like
  • 00:34:52
    hair guard promote it so he can sell his
  • 00:34:54
    repurposed blood pressure cuff as a hair
  • 00:34:56
    loss treatment
  • 00:34:58
    yeah they were getting improvements to
  • 00:35:00
    hair counts just by relaxing these scalp
  • 00:35:02
    perimeter muscles
  • 00:35:04
    just through botox injections and what
  • 00:35:06
    they found is over a 10-month window 75
  • 00:35:10
    percent of individuals responded
  • 00:35:12
    favorably to botox in terms of stopping
  • 00:35:14
    or improving their hair loss and they
  • 00:35:16
    also found an 18
  • 00:35:17
    increase in hair counts overall so here
  • 00:35:20
    we get to the botox research and i knew
  • 00:35:22
    rob was going to bring this up because
  • 00:35:24
    this is the foundation for pretty much
  • 00:35:26
    all of his research he equates all the
  • 00:35:28
    hair loss outcomes associated with botox
  • 00:35:30
    to scalp massages since botox just so
  • 00:35:33
    happens to have muscle relaxing
  • 00:35:34
    properties now i've created several
  • 00:35:36
    videos discussing this botox theory but
  • 00:35:39
    the fact is is that the potential
  • 00:35:41
    regrowth properties of botox have
  • 00:35:43
    nothing at all to do with muscle
  • 00:35:44
    relaxation and blood flow and rob is
  • 00:35:47
    conveniently leaving out data that
  • 00:35:49
    describes other more plausible
  • 00:35:51
    mechanisms as to why botox may help
  • 00:35:54
    promote hair growth and it has nothing
  • 00:35:56
    to do with its muscle relaxation
  • 00:35:57
    properties it turns out that botox
  • 00:36:00
    inhibits tgf beta 1 which is a negative
  • 00:36:02
    growth factor so suppressing it promotes
  • 00:36:05
    hair growth
  • 00:36:06
    in fact one of the ways dht destroys
  • 00:36:08
    your hair follicles is by increasing the
  • 00:36:11
    levels of tgf beta 1. this was all
  • 00:36:13
    demonstrated in the study that rob
  • 00:36:15
    doesn't bring up here so as the
  • 00:36:17
    investigators say in this study quote
  • 00:36:19
    intradermal injection of botox was
  • 00:36:21
    effective against androgenic alopecia by
  • 00:36:23
    inhibiting tgf beta-1 secretion in the
  • 00:36:25
    hair bulb which is thought to suppress
  • 00:36:27
    follicular keratinocyte growth and
  • 00:36:29
    changes in the hair cycle previous
  • 00:36:31
    studies reported the use of
  • 00:36:32
    intramuscular botox injections to treat
  • 00:36:35
    androgenic alopecia without elucidating
  • 00:36:37
    the exact underlying mechanism
  • 00:36:39
    considering the diffusion of the
  • 00:36:40
    injected liquid botox and the scalp
  • 00:36:42
    anatomy even the intramuscular injection
  • 00:36:45
    may indirectly inhibit the secretion of
  • 00:36:47
    tgf beta 1 from dermal papillary cells
  • 00:36:50
    in the hair bulb unquote so regardless
  • 00:36:53
    of whether botox is injected
  • 00:36:54
    intramuscularly or intradermally if it
  • 00:36:57
    is injected near the scalp there will be
  • 00:36:59
    enough diffusion of the botox to affect
  • 00:37:02
    tgf beta 1 levels and potentially
  • 00:37:04
    promote hair growth now
  • 00:37:06
    rob has argued with me that
  • 00:37:08
    intramuscular botox injected just a few
  • 00:37:10
    inches from the hairline wouldn't
  • 00:37:12
    effectively diffuse enough to affect the
  • 00:37:14
    scalp directly but remember botox is
  • 00:37:16
    actually the most potent poison on the
  • 00:37:19
    planet meaning even just a few molecules
  • 00:37:21
    of the stuff has lethal potency so it
  • 00:37:24
    doesn't take much of it to have an
  • 00:37:26
    effect and even with minimal diffusion
  • 00:37:28
    of it into the scalp it would likely
  • 00:37:30
    affect tgf beta 1 levels considering
  • 00:37:32
    just how powerful the substance is it is
  • 00:37:35
    ludicrous to think that its effects
  • 00:37:36
    would be limited just to the local
  • 00:37:38
    injection site we're talking about a
  • 00:37:40
    drug that can kill a grown man in doses
  • 00:37:42
    as low as one to three nanograms to give
  • 00:37:46
    you some context of just how small of a
  • 00:37:48
    dose that is a nanogram is one
  • 00:37:51
    trillionth of a kilogram and your
  • 00:37:53
    average human being weighs about 70
  • 00:37:55
    kilograms so if someone could somehow
  • 00:37:58
    create just one kilogram worth of the
  • 00:38:00
    botulinum toxin it would be more than
  • 00:38:02
    enough to kill every human being on the
  • 00:38:05
    planet 100 times over not exactly a
  • 00:38:09
    substance that is going to be very picky
  • 00:38:10
    about where it's injected rob is
  • 00:38:13
    basically trying to make the argument
  • 00:38:14
    that if botox works that must mean scalp
  • 00:38:17
    massages work too when the reality is
  • 00:38:19
    that botox's mechanism for hair growth
  • 00:38:21
    has nothing at all to do with its muscle
  • 00:38:24
    relaxation properties and that's based
  • 00:38:26
    on the assumption that botox works at
  • 00:38:28
    all for androgenic alopecia the fact is
  • 00:38:30
    is that these are small studies and in
  • 00:38:32
    fact there are reports of botox actually
  • 00:38:35
    causing hair loss for example this
  • 00:38:37
    report here includes five women who
  • 00:38:39
    developed hair loss after getting
  • 00:38:40
    frontal botox injections so rob's thesis
  • 00:38:43
    about botox isn't just mechanistically
  • 00:38:45
    incongruent with his scalp tension
  • 00:38:47
    hypothesis it is also based on the
  • 00:38:50
    assumption that botox even works at all
  • 00:38:52
    which hasn't been established and in
  • 00:38:54
    fact as i've just demonstrated there is
  • 00:38:56
    conflicting data so this is really weak
  • 00:38:59
    sauce as far as research goes and it's
  • 00:39:01
    nothing nobody who prides himself as a
  • 00:39:03
    medical editor should put so much
  • 00:39:05
    confidence into
  • 00:39:07
    but then people might be wondering like
  • 00:39:09
    what causes it to get so tight like do
  • 00:39:12
    some people have really tight scalps and
  • 00:39:13
    other people don't have tight scalps and
  • 00:39:15
    what's making it tight it's a great
  • 00:39:17
    question i mean i'm sure that some of
  • 00:39:20
    this is genetically predetermined to a
  • 00:39:21
    high degree in the womb and then in
  • 00:39:24
    early childhood development depending on
  • 00:39:26
    the amount that we chew the way that our
  • 00:39:29
    jaw develops
  • 00:39:31
    so rob here is attributing scalp tension
  • 00:39:33
    to the way our skull develops which he
  • 00:39:35
    says is due to a combination of genetic
  • 00:39:37
    and lifestyle factors like how we chew
  • 00:39:39
    but as we've already discussed all these
  • 00:39:42
    factors are completely irrelevant
  • 00:39:44
    circulation to the scalp is not impeded
  • 00:39:47
    by physical structures in the skull like
  • 00:39:49
    the muscles or the shape of the jaw i
  • 00:39:51
    don't want to keep re reiterating this
  • 00:39:52
    point over and over again but i have
  • 00:39:54
    done two whole videos one based on the
  • 00:39:56
    skull shape and the other based on the
  • 00:39:58
    jaw shape and i explain in detail why
  • 00:40:01
    both factors are inconsequential towards
  • 00:40:04
    the progression of hair loss and i'll
  • 00:40:05
    link those videos below but let's go on
  • 00:40:07
    to see what rob england and what i've
  • 00:40:09
    learned are going to talk about next who
  • 00:40:11
    knows maybe they'll bring up the
  • 00:40:12
    broccoli theory
  • 00:40:14
    overall i mean there's this condition
  • 00:40:15
    called polycystic ovarian syndrome in
  • 00:40:18
    women
  • 00:40:19
    that is uncharacterized by an
  • 00:40:21
    over-expression of androgens
  • 00:40:23
    and it happens specifically in the
  • 00:40:25
    ovaries and these women develop
  • 00:40:27
    male-like characteristics so they'll
  • 00:40:28
    develop piercing which is facial hair
  • 00:40:30
    growth they'll also develop pattern hair
  • 00:40:32
    loss it's again it's an androgenic
  • 00:40:34
    influenced condition but when you
  • 00:40:36
    measure bone mineral density in their
  • 00:40:39
    scalps itself their skull bones have a
  • 00:40:42
    higher bone mineral density
  • 00:40:44
    so rob england is trying to push the
  • 00:40:46
    classic skull expansion theory which is
  • 00:40:49
    this nonsensical theory that basically
  • 00:40:51
    just comes from this one guy named paul
  • 00:40:53
    taylor who one day decided to just look
  • 00:40:55
    out a window and then he came to the
  • 00:40:57
    realization that bald people have more
  • 00:40:59
    prominent looking skull shapes than
  • 00:41:01
    people who aren't bald which should be
  • 00:41:03
    obvious since bald people will show more
  • 00:41:05
    scalp than non-ball people and just like
  • 00:41:07
    rob england paul taylor also coughed up
  • 00:41:10
    the 1 850 to get his own asinine skull
  • 00:41:14
    expansion theory published way back in
  • 00:41:15
    2009 in the same medical hypotheses
  • 00:41:18
    journal paul taylor didn't take any
  • 00:41:20
    measures at all to test his school
  • 00:41:22
    expansion hypothesis all he did is he
  • 00:41:24
    literally just went outside and then
  • 00:41:26
    made an observation and he even says
  • 00:41:28
    this in his paper he published but
  • 00:41:29
    despite this people like rob england
  • 00:41:32
    have actually cited paul taylor's work
  • 00:41:34
    to support his brute flow theory the
  • 00:41:36
    bottom line though is that the skull
  • 00:41:38
    expansion theory is just a repackaging
  • 00:41:40
    of the bluetooth theory it's not only
  • 00:41:42
    false but even if it were true it still
  • 00:41:44
    wouldn't make any sense since there is
  • 00:41:46
    no way for the rate of skull expansion
  • 00:41:48
    to outpace the growth of vascular
  • 00:41:50
    networks it's actually so bad it's
  • 00:41:52
    hilarious and i made a video completely
  • 00:41:55
    dismantling it and i highly recommend
  • 00:41:57
    you watch it so i'll link it below but i
  • 00:41:59
    really sincerely believe that paul
  • 00:42:01
    taylor school expansion theory should be
  • 00:42:03
    brought up in university courses on how
  • 00:42:05
    not to write a scientific paper because
  • 00:42:07
    it's just that bad that's probably why
  • 00:42:09
    it only got published in the bargain
  • 00:42:10
    basement journal medical hypotheses
  • 00:42:12
    which ranks amongst the lowest in
  • 00:42:14
    standards in scientific journals not
  • 00:42:16
    just on planet earth but probably in the
  • 00:42:18
    entire milky way galaxy anyways rob
  • 00:42:21
    england is confusing skull shape with
  • 00:42:23
    bone mineral density which is not the
  • 00:42:25
    same thing there are many things that
  • 00:42:27
    can improve bone mineral density without
  • 00:42:30
    altering the shape of the bone one
  • 00:42:32
    classic example of this is good
  • 00:42:33
    old-fashioned resistance training in
  • 00:42:35
    sports medicine there is a concept
  • 00:42:37
    called wolff's law which purports that
  • 00:42:39
    applying resistance to the human
  • 00:42:40
    movement system doesn't just build up
  • 00:42:42
    skeletal muscle strength but also
  • 00:42:44
    improves bone mineral density it doesn't
  • 00:42:46
    change the shape of the bones though
  • 00:42:48
    otherwise people would become taller or
  • 00:42:49
    shorter when doing training which isn't
  • 00:42:51
    possible because by adulthood the
  • 00:42:53
    epiphyseal plates of the bones have
  • 00:42:55
    fused which limit growth and this
  • 00:42:57
    applies to the bones of the skull as
  • 00:42:59
    well so when rob england brings up
  • 00:43:01
    polycystic ovarian syndrome also known
  • 00:43:04
    as pcos he's ignoring the more obvious
  • 00:43:06
    explanation as to why women who have it
  • 00:43:08
    develop hair loss it's the same reason
  • 00:43:10
    to develop other androgenic traits like
  • 00:43:13
    facial hair it is because of elevated
  • 00:43:15
    android levels that's it if you were to
  • 00:43:17
    give women exogenous testosterone the
  • 00:43:19
    exact same thing would happen it's not
  • 00:43:21
    because of skull changes it's just
  • 00:43:23
    higher dht levels that's it so this
  • 00:43:26
    doesn't support the skull tension theory
  • 00:43:27
    at all and rob is once again trying to
  • 00:43:30
    invoke mechanisms which aren't even
  • 00:43:32
    theoretically possible
  • 00:43:34
    there's a study by dr goldman who
  • 00:43:37
    measured transcutaneous oxygen levels in
  • 00:43:41
    balding regions and found that in the
  • 00:43:42
    frontal region of the scalp
  • 00:43:44
    where there was hair loss there was
  • 00:43:47
    about a 40 percent decrease to
  • 00:43:50
    transcutaneous oxygen levels
  • 00:43:52
    and
  • 00:43:53
    very likely blood flow and in that paper
  • 00:43:56
    he argued that
  • 00:43:58
    dihydrotestosterone dht
  • 00:44:00
    is this hormone that occurs even in the
  • 00:44:04
    absence of oxygen and so when free
  • 00:44:06
    testosterone can convert into something
  • 00:44:08
    else it can become an estrogen like
  • 00:44:10
    estradiol and that conversion is oxygen
  • 00:44:13
    dependent you need moles of oxygen to
  • 00:44:16
    create that conversion but then for dht
  • 00:44:19
    you don't need any oxygen and his
  • 00:44:21
    research group argued that
  • 00:44:23
    maybe some of the reductions to blood
  • 00:44:26
    flow and oxygen that we're seeing in
  • 00:44:28
    balding regions are creating an
  • 00:44:30
    environment whereby dht might be
  • 00:44:34
    favored and thereby expressing at higher
  • 00:44:37
    levels so here we see rob england circle
  • 00:44:40
    back to the same paper he said before on
  • 00:44:42
    low oxygen levels in the scalp so i
  • 00:44:44
    guess he's back to the bread and butter
  • 00:44:46
    of his of his business model which of
  • 00:44:48
    course is the blue blue theory but this
  • 00:44:50
    is rob pulling out the big guns here
  • 00:44:52
    he's showing us the blue flow theory on
  • 00:44:54
    steroids so specifically he's arguing
  • 00:44:57
    it's not the lack of blood flow
  • 00:44:59
    specifically that's killing your hair
  • 00:45:00
    follicles it's actually still dht that
  • 00:45:03
    is the culprit since low levels of blood
  • 00:45:05
    oxygen creates an environment where
  • 00:45:07
    testosterone is more likely to convert
  • 00:45:09
    into dht since the lack of oxygen
  • 00:45:11
    prevents the aromatization of
  • 00:45:13
    testosterone into estrogen which is a
  • 00:45:15
    benign or possibly even beneficial
  • 00:45:17
    hormone for hair growth so this
  • 00:45:19
    conveniently ties the blood flow theory
  • 00:45:21
    into the androgen hypothesis so the
  • 00:45:23
    blood flow theory has been effectively
  • 00:45:25
    modernized for the 21st century since it
  • 00:45:28
    no longer conflicts with existing
  • 00:45:29
    research brilliant isn't it there are a
  • 00:45:32
    couple of problems with this though and
  • 00:45:34
    the most obvious one is one rob even
  • 00:45:36
    admits himself which is that low blood
  • 00:45:39
    flow to the scalp is a consequence of
  • 00:45:41
    hair loss not a cause when hair
  • 00:45:43
    follicles miniaturize and die as a
  • 00:45:45
    consequence of dht the healthy hair
  • 00:45:47
    follicles get replaced by scar tissue
  • 00:45:49
    which is composed of collagen which is
  • 00:45:51
    largely avascular so it requires less
  • 00:45:54
    blood flow than hair follicles in order
  • 00:45:56
    to survive so bald scalps have less
  • 00:45:58
    blood flow as a consequence of hair loss
  • 00:46:00
    rather than low blood flow causing bald
  • 00:46:02
    scalps interestingly enough though that
  • 00:46:05
    isn't the only problem with this theory
  • 00:46:07
    it turns out that low oxygen levels in
  • 00:46:09
    the scalp can actually stimulate hair
  • 00:46:11
    growth and this chinese study by yi it
  • 00:46:14
    was found that conditions of low oxygen
  • 00:46:16
    actually stimulated the growth of the
  • 00:46:18
    dermal papillary cells in fact there is
  • 00:46:20
    even a hair growth stimulant called
  • 00:46:22
    stomoxidine which works for this
  • 00:46:24
    mechanism it isn't as strong as
  • 00:46:26
    minoxidil but at the very worst since it
  • 00:46:28
    promotes hypoxia then if rob's thesis
  • 00:46:31
    were correct then stomoxidane should
  • 00:46:33
    cause hair loss rather than promote hair
  • 00:46:35
    growth now all this isn't definitive but
  • 00:46:38
    it does suggest that the naive
  • 00:46:39
    assumption that reduced blood flow
  • 00:46:41
    causes hair loss is not necessarily true
  • 00:46:43
    even assuming that there is reduced
  • 00:46:45
    blood flow prior to balding which we've
  • 00:46:47
    already established isn't true but it
  • 00:46:49
    does show that even hypothetically this
  • 00:46:52
    theory has more holes in it than rob's
  • 00:46:54
    scalp after micro needling
  • 00:46:56
    the reason why i started perfect hair
  • 00:46:58
    health was because i had been doing
  • 00:47:01
    these specific standardized scalp
  • 00:47:03
    massages
  • 00:47:05
    so i have heard rob talk about his own
  • 00:47:07
    personal journey and using scout
  • 00:47:09
    massages to reverse his own hair loss
  • 00:47:11
    and he definitely wasn't happy with my
  • 00:47:13
    interpretation of his results i won't go
  • 00:47:15
    over that again because you know i'd
  • 00:47:16
    rather not get sued but to sum up rob's
  • 00:47:19
    journey he started balding when he was
  • 00:47:21
    17 years old which means that he has
  • 00:47:23
    very severe androgenic alopecia as
  • 00:47:25
    people who start balding as teenagers
  • 00:47:27
    often become completely bald by their
  • 00:47:29
    20s he never started finasteride because
  • 00:47:32
    he was scared of the side effects and he
  • 00:47:34
    only used minoxidil for a few months
  • 00:47:35
    before throwing it out so in the past 14
  • 00:47:38
    or so years he's maintained a full head
  • 00:47:40
    of hair using only scalp massages no
  • 00:47:43
    five air inhibitors no growth stimulants
  • 00:47:46
    just scalp massages sorry rob but that
  • 00:47:49
    sounds like broccoli to me however since
  • 00:47:52
    the last time he's brought up scout
  • 00:47:53
    massages i do notice that he's changed
  • 00:47:55
    his rhetoric about scalp massages and
  • 00:47:57
    now attributes its effectiveness to an
  • 00:47:59
    entirely new mechanism convenient huh
  • 00:48:03
    apparently scout massage has worked not
  • 00:48:04
    just because of blood flow anymore now
  • 00:48:06
    it's because of scalp massages causing
  • 00:48:08
    inflammation so if one mechanism gets
  • 00:48:11
    debunked just imagine a different
  • 00:48:12
    mechanism so why did he just spend half
  • 00:48:15
    the video talking about the blood flow
  • 00:48:17
    theory you might wonder if scout
  • 00:48:18
    massages aren't supposed to relieve the
  • 00:48:20
    muscle tension and improve good food to
  • 00:48:22
    the scalp well one reason he may be
  • 00:48:24
    changing the goal post is the scientific
  • 00:48:26
    evidence that we've already presented
  • 00:48:28
    that massage in general does not in fact
  • 00:48:30
    improve blood flow or help with hair
  • 00:48:32
    loss at all in any possible way we
  • 00:48:34
    already showed that in the japanese
  • 00:48:36
    study that showed that the massage group
  • 00:48:38
    had worse outcomes and we already showed
  • 00:48:41
    that massage does not improve blue flow
  • 00:48:43
    so rob can come up with new theories
  • 00:48:45
    such as saying that massage causes
  • 00:48:47
    inflammation similar to hap what happens
  • 00:48:49
    with microneedling but the fact of the
  • 00:48:50
    matter is he needs more than just his
  • 00:48:53
    own personal hair loss journey
  • 00:48:54
    experience to show that scalp massages
  • 00:48:56
    has any efficacy as a hair loss
  • 00:48:58
    treatment so this is where he brings up
  • 00:49:00
    the article he published on the effects
  • 00:49:02
    of scout massage on hair loss then we
  • 00:49:05
    launched a study it's a survey-based
  • 00:49:07
    study to determine
  • 00:49:09
    how people responded to these things
  • 00:49:11
    over time now rob england's study is
  • 00:49:13
    based on a survey that he took from
  • 00:49:15
    members of his own website who used his
  • 00:49:17
    own scout massage techniques so we've
  • 00:49:19
    already got some pretty clear issues of
  • 00:49:21
    selection bias here anyone who thought
  • 00:49:23
    they weren't benefiting from the rob
  • 00:49:24
    massages would have quit the website and
  • 00:49:26
    then demanded their money back therefore
  • 00:49:28
    they certainly would not have been
  • 00:49:30
    included in this study so what we end up
  • 00:49:32
    with here are a bunch of rob england
  • 00:49:34
    fanboys who are absolutely convinced
  • 00:49:36
    that scout massages are saving their
  • 00:49:38
    hair and rob even brings up some before
  • 00:49:40
    and after pictures of his clients but
  • 00:49:42
    without any proper control group put in
  • 00:49:45
    place there is no way anyone can
  • 00:49:47
    attribute the results these people's got
  • 00:49:49
    to scout massages they could be getting
  • 00:49:51
    results from other factors they could be
  • 00:49:53
    experiencing a placebo effect or they
  • 00:49:55
    could just be downright shills for rob's
  • 00:49:57
    company also the results of the study
  • 00:50:00
    are just based on each subject's
  • 00:50:02
    self-assessment of their hair gains or
  • 00:50:03
    losses there were no hair counts done
  • 00:50:06
    and there was not even photographic
  • 00:50:07
    assessments done by independent
  • 00:50:09
    observers so this study barely even
  • 00:50:11
    qualifies as a study at all don't agree
  • 00:50:13
    with me well as it turns out even rob
  • 00:50:16
    england himself brings up how poor all
  • 00:50:18
    the data is in supporting his theory but
  • 00:50:20
    he only does it at the very end of the
  • 00:50:23
    video after most people probably lost
  • 00:50:25
    interest and gone back to watching tick
  • 00:50:27
    tock videos
  • 00:50:28
    the drug finasteride the drugs minoxidil
  • 00:50:31
    due tasteride these things are supported
  • 00:50:33
    by
  • 00:50:34
    tens of thousands of patients across 30
  • 00:50:36
    plus years of research
  • 00:50:38
    when we look at the data on these scalp
  • 00:50:40
    massages we have to contextualize the
  • 00:50:42
    improvements based on the quality of
  • 00:50:45
    research overall
  • 00:50:46
    we are talking about survey-based
  • 00:50:48
    studies from self-reported individuals
  • 00:50:51
    which is the beginning stage of research
  • 00:50:54
    but it is absolutely not the gold
  • 00:50:56
    standard for research it there were no
  • 00:50:58
    hair count studies that were done on you
  • 00:51:01
    know these standardized scalp massages
  • 00:51:03
    so we have to interpret this survey data
  • 00:51:06
    with a degree of caution and recognize
  • 00:51:07
    that it's very very low on the hierarchy
  • 00:51:09
    of evidence
  • 00:51:10
    so even though i do appreciate rob
  • 00:51:12
    england's honesty here at the very end
  • 00:51:14
    it's a bit of a case of too little too
  • 00:51:16
    late you should disclose all this at the
  • 00:51:19
    beginning of the video or at least ask
  • 00:51:21
    what i've learned to put a disclaimer in
  • 00:51:23
    the description saying that everything
  • 00:51:25
    you just said is complete [ __ ] he
  • 00:51:27
    also brings up repeatedly how everything
  • 00:51:29
    he mentions is free but he never says
  • 00:51:32
    that the bulk of the information he's
  • 00:51:33
    offering is locked behind a paywall and
  • 00:51:36
    he charges a king's ransom of 147
  • 00:51:39
    every six months to get access to his
  • 00:51:42
    full content but wait there's more for a
  • 00:51:45
    measly 150 extra dollars every six
  • 00:51:47
    months you get all that plus you also
  • 00:51:49
    get a phone call with rob english once
  • 00:51:51
    per week how can a phone call be that
  • 00:51:53
    pricey what is rob england offering here
  • 00:51:56
    phone sex also he says you get a copy of
  • 00:51:59
    his book every six months so i guess
  • 00:52:01
    every six months he sends you the same
  • 00:52:03
    book which i guess is cool if you have a
  • 00:52:05
    spare bookshelf in your house that needs
  • 00:52:07
    to be filled up or something and hey rob
  • 00:52:10
    look i don't blame you for wanting to
  • 00:52:11
    make money hell i'm a salesman too but
  • 00:52:14
    you don't exactly come across as
  • 00:52:16
    forthright about this subscription
  • 00:52:17
    service in your interview with what i've
  • 00:52:19
    learned which really makes you seem like
  • 00:52:21
    you're lacking confidence in what you're
  • 00:52:22
    offering almost like you don't want to
  • 00:52:24
    come forth and admit you're a salesman
  • 00:52:26
    as opposed to a medical editor you
  • 00:52:28
    probably wanted to disguise the fact
  • 00:52:30
    that this whole video you did with what
  • 00:52:32
    i've learned is nothing but a sales
  • 00:52:33
    pitch for your business and you've
  • 00:52:35
    managed to convince a channel with 2
  • 00:52:37
    million subscribers to host what is
  • 00:52:39
    essentially just a commercial for you
  • 00:52:40
    and who can blame you it's free
  • 00:52:42
    publicity and that is why if i should be
  • 00:52:44
    mad at anyone it's what i've learned for
  • 00:52:47
    being so damn irresponsible as to host
  • 00:52:50
    such pseudo-scientific drivel on his
  • 00:52:52
    tremendously huge platform that has no
  • 00:52:54
    doubt at this point brainwashed
  • 00:52:56
    thousands of his followers into
  • 00:52:58
    believing your [ __ ] scout massage
  • 00:53:00
    has any benefit at all what makes it
  • 00:53:02
    especially bad is i myself run a very
  • 00:53:05
    small youtube channel so i have no
  • 00:53:07
    chance of reaching the same audience as
  • 00:53:09
    someone like what i've learned but
  • 00:53:10
    hopefully now at least some of the
  • 00:53:12
    people who have been exposed to the
  • 00:53:14
    dangerous misinformation what i've
  • 00:53:15
    learned has put on his youtube channel
  • 00:53:17
    will now come across this video and
  • 00:53:19
    realize that despite the slick
  • 00:53:21
    presentation of big production values
  • 00:53:23
    what rob is selling here is a fringe
  • 00:53:25
    obsolete theory that he is desperately
  • 00:53:27
    trying to revive for the sake of
  • 00:53:29
    distinguishing himself in the hair loss
  • 00:53:30
    industry so he can make a profit the
  • 00:53:32
    fact is rob absolutely nobody benefits
  • 00:53:35
    from what you're promoting except for
  • 00:53:37
    you and the few things you say that are
  • 00:53:39
    true are not something anyone needs to
  • 00:53:40
    buy subscription service to your website
  • 00:53:42
    in order to learn your attempts to
  • 00:53:44
    present the scientific consensus on hair
  • 00:53:46
    loss are tarnished by your constant
  • 00:53:48
    agenda to push your own nonsensical
  • 00:53:50
    theories alongside them and you will
  • 00:53:52
    continue to deface yourself so long as
  • 00:53:54
    your work has an agenda to push fringe
  • 00:53:56
    theories you may be surprised to hear
  • 00:53:58
    this rob but i don't want to hurt your
  • 00:54:00
    livelihood or your business at all you
  • 00:54:02
    know i know you're a family man so it
  • 00:54:04
    doesn't make me feel good attacking you
  • 00:54:06
    but you have to understand something
  • 00:54:07
    here a lot of people who are new to the
  • 00:54:09
    good fight against hair loss will come
  • 00:54:11
    to my channel after being exposed to
  • 00:54:13
    your misinformation therefore they will
  • 00:54:15
    ask my opinion about it and therefore i
  • 00:54:17
    am the one who has to clear things up it
  • 00:54:19
    was already bad before but now it's
  • 00:54:21
    going to get much much worse since you
  • 00:54:23
    are promoting these theories on a
  • 00:54:24
    channel with 2 million subscribers so
  • 00:54:27
    admittedly i am a little pissed off with
  • 00:54:29
    what i've learned for giving you such a
  • 00:54:31
    huge platform because now i have to
  • 00:54:33
    clean up this huge mess that's been
  • 00:54:35
    created between you two personally rob
  • 00:54:37
    i'd actually prefer to just let you be
  • 00:54:39
    and let you do your own thing after all
  • 00:54:41
    i am not the hair loss police who has to
  • 00:54:43
    debunk every piece of [ __ ] that has
  • 00:54:45
    ever been posted about hair loss online
  • 00:54:46
    but you are a public figure in this
  • 00:54:48
    community and therefore there are
  • 00:54:50
    consequences to the [ __ ] you spew online
  • 00:54:53
    and there are consequences i and i
  • 00:54:55
    imagine other hair loss youtubers have
  • 00:54:57
    to deal with too so you if you think i
  • 00:54:59
    am being unfair to you rob it is only
  • 00:55:01
    because you are making my life worse so
  • 00:55:04
    please please stop it thank you and god
  • 00:55:07
    bless
タグ
  • hair loss
  • rob england
  • pseudoscience
  • evidence-based
  • finasteride
  • minoxidil
  • blood flow theory
  • scalp massages
  • YouTube
  • hair regrowth