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My barber during a hair cut recommended I get a shampoo that works for dandruff, he said there was evidence of some and that my hair and scalp needed some drying out and that dandruff shampoo worked for that.I'm in my 40's and my hair is thinning so I thought I may as well get some hair loss shampoo at the same time to kill 2 birds with one stone. This is done through the caffeine complex with Alpecin and when you wash your hair, you leave it on for 2 minutes then wash it off.This works for me because my hair feels cleaner. As to whether it prevents further hair loss, who knows? You have to trust in the research. Would I have receded further had I not used this shampoo? I don't know but am happy to use it as you can't claim a product does something when it doesn't. Otherwise it makes your hair feel nice when it's washed and it isn't really that expensive so I've carried on using it and will keep doing so.