In other cases, they adhere to the scalp and build up to form a thick covering. With simpler forms of dandruff the scalp is usually a normal colour, says Maleedy. However, with the more severe forms of the condition theres an underlying inflammation that renders scalp tissues more tender and sensitive than with simple dandruff. Other factors such as stress or diet may also trigger the condition. This is because stress increases sebum production, says Dr Emerson. The sebum feeds the yeast.

head n shoulder hair fall shampoo families, particularly if it is severe. Those with greasy skin types are most at risk because the yeast likes to grow  in sebum. There are variations in the severity and form of the condition. With some types of dandruff the flakes leave the scalp easily.

And what about theories that these shampoos are bad for the hair, and actually promote flakes? Here experts answer some key questions about problem scalps. Many of us will have looked down in horror at a fine sprinkling of white flakes on biolabs the shoulder of a dark top. But many forms of dandruff do not shed. Dandruff is characterised by the formation of fine, white or greyish loose skin scales. The epidermis (outer layer of skin) constantly changes and skin cells renew themselves all the time. The cells begin to grow from the base layer deeper in the skin and are gradually pushed to the surface, before coming away from the scalp. Dandruff occurs when skin cells form too fast, meaning more skin cells are shed and become clumps that can be seen by the naked eye. This increased epidermal turnover may be caused or exacerbated by abnormally high levels of a fungus called malassezia globosa, which is a type of yeast and is always found on the scalp, even in those without dandruff, says trichologist Tony maleedy. Des Tobin, Professor of Cell biology at the University of Bradford, agrees: This yeast is strongly implicated in dandruff, though the nature of this relationship between the two isnt completely clear. It may introduce an inflammatory immune response in some people because the yeast produces enzymes capable of causing the scalps surface cells to increase their shedding rate.

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Head shoulders: does world s best-selling shampoo actually

It's virus the world's best-selling shampoo. But does it actually work for dandruff? Published: 22:12 bst, updated: 11:33 bst, head and shoulders is the world's best-selling shampoo. Did you know the best-selling shampoo in the world is head shoulders? About 110 bottles of the anti- dandruff formula are sold every minute 29 million a year. Yet the medicated shampoo markets size is hardly surprising: at some point, half of us will suffer the unsightly, sometimes uncomfortable condition. But what causes dandruff? Which of the many products available should you use?

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Head n shoulder hair fall shampoo
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