Episode 23: Scalp Check — Dandruff, Psoriasis & What's Actually Going On

Episode 23: Scalp Check — Dandruff, Psoriasis & What's Actually Going On

Your scalp is skin too, and it can face just as many problems as the rest of your body. In this episode, Dr. Dustin Portela and PA Austin Lee break down the most common scalp conditions, including dandruff, seborrheic dermatitis, and psoriasis—explaining what causes them, how they're different, and the treatments that actually work.

They also share surprising connections between scalp health and other conditions, from Parkinson's disease to psoriatic arthritis, and explain why product buildup isn't the same as dandruff. You'll learn about the best over-the-counter shampoos, when prescriptions are needed, and why rotating products can make a big difference. Plus, this week's "Did You Know?" covers the unexpected link between scalp oil glands and the greasiness you feel by the end of the day.

Whether you're battling flakes, itch, or irritation, this episode offers clarity, practical advice, and a few laughs along the way.

Follow Us:
Dr. Portela
TikTok: @drdustinportela
Instagram: @drdustinportela
YouTube (Reactions): @208SkinDoc
YouTube (Educational): @drdustinportela
Pinterest: @DrDustinPortela

Austin Lee
TikTok: @austinleepac
Instagram: @austinleepac

Product of the Week — CeraVe Hydrating Anti-Dandruff Shampoo & Conditioner
Formulated with 1% pyrithione zinc and ceramides, this dermatologist-tested duo helps fight flakes while restoring your skin barrier. For stubborn cases, the team also recommends Ducray shampoos, selenium sulfide options, or prescription-strength ketoconazole.

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