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Dandruff is the visible flaking of skin on the scalp, and it is extremely common — it affects up to half of all adults at some point. The primary cause is an overgrowth of Malassezia, a naturally occurring yeast on the scalp that feeds on sebum and triggers an inflammatory response. This leads to increased cell turnover, flaking, and itching. Other contributors include dry scalp, sensitivity to hair products, seborrheic dermatitis, and psoriasis. The most effective anti-dandruff routines use active ingredients that target the root cause: antifungal agents like zinc pyrithione, ketoconazole, and selenium sulfide fight the Malassezia yeast. Salicylic acid helps break up and remove flakes. Coal tar slows cell turnover. Tea tree oil has natural antifungal properties. Many dermatologists recommend rotating between different active ingredients to prevent the yeast from adapting. A good anti-dandruff routine also keeps the scalp moisturized and balanced because an overly dry scalp worsens flaking.
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