Reviewers Over 50 Swear By These 22 Hair Care Products
A splurge-worthy Sol de Janeiro hair and body mist — seems like everyone wants to get their hands on it. It comes in the same vanilla and caramel scent as the beloved Bum Bum Cream and might just have people telling you, "Ooooh, you smell so good!"
An air-dry leave-in curl cream made to enhance your natural curls and tame frizz. No need to damage your hair with hot styling tools, this blend of coconut oil and shea butter nourishes your locks and makes them smell great too!
An anti-humidity spray to give you that salon "wow" feeling at home, and for way cheaper. This fights off frizz and leaves you with silky-looking hair. FYI, this spray is heat activated, so it's ideal to use this on damp hair and blow-dry for best results.
A dandruff shampoo so you can finally get rid of those itchy, dry flakes once and for all. This is made with 1% ketoconazole, which gets to the ~root~ of the dandruff and makes sure that your scalp will look nice and clear.
A dry shampoo powder if your hair has been looking like it's been a while since wash day. Tap this on to say goodbye to greasy roots and make it look like your hair got a nice lil' refresh. Plus, this is TSA friendly, which makes it great for traveling.
K18 — it does a stellar job at restoring moisture and softness to hair that has been through a lot, whether it's from bleaching or just frequent hot tool use. Many reviewers say this leave-in reparative treatment is like "magic in a bottle!"
Or a budget-friendly collagen-coating hair treatment with collagen and ceramide 3 to treat hair that's been through intense heat or sun damage. Use this in between your shampoo and conditioner and leave it in for five minutes — soon enough, you'll have silky soft hair!
And a splurge-worthy bottle of Olaplex No. 3 that's totally worthy of all the hype since it'll help repair and strengthen your dry, damaged hair. After using this, you'll be telling all your friends, "Feel how soft my hair is!"
A detangling brush to help make dealing with knots and tangles a less painful part of your hair care routine. The flexible bristles glide through your hair and make sure there's no yanking, pulling, or tears.
A bottle of Fanola purple shampoo if your "bleach and tone" is looking yellow and brassy. This will help neutralize your color and bring back your blonde or gray locks.
A Chi automatic curling iron for those who are tired of putting so much effort into curling their hair or those who always find a way to accidentally burn their fingers on the hot barrel. This will automatically curl your hair, and the outer casing protects your fingers from any potential ouches!
Or a set of flexible curling rods that prove you don't always need a hot tool to give you the results you've been wishing for. You just wrap your hair around these soft rods, go to bed (they're comfortable enough to sleep in), and wake up with stunning curls!
An argan oil hair mask to give your hair that hair commercial-worthy shine and moisture you've been wanting. Your dry hair and split ends will thank you for buying this since its paraben- and sulfate-free formula will make your locks look oh-so-luscious.
A Mielle rosemary mint scalp oil that contains biotin and jojoba oil, which can help nourish your scalp and make hair look fuller and thicker. It's got over 74,000 5-star reviews, and people love how it smells, too!
A curl-activating cream to help reduce breakage and frizz for all you curly-haired folks. Whether you use this at night before bed or to style your mane in the morning, you'll see bouncy, defined curls like never before, thanks to the blend of vitamins and shea butter that nourishes and detangles.
A Revlon hot air brush because the Dyson Airwrap costs an arm and a leg and this round brush gives you the same, if not better, bouncy blowout results. This dries *and* styles at the same time, saving you some extra time in the morning!
Or a 3-in-1 hot tool that's got interchangeable heads so you can choose how much va-va-va-voom you want when blow-drying and styling your hair.
A scalp massager you can use in the shower to help exfoliate your head and make sure all that shampoo really gets into those roots.
A Verb hair oil because the only ghost here is the ghost of the person you were when you had frizzy hair and constant flyaways. This moringa-infused oil tames frizz, and reviewers with hair textures from straight to 4c love this because it makes their hair look shinier and feel softer.
A hair repair serum with argan oil, aloe vera, and vitamin E to make your hair shine like the star you are while keeping the frizz at bay. Reviewers love how lightweight this feels and that it doesn't leave their hair feeling super oily or greasy.
A color-depositing conditioner — great if you find yourself wanting a little color refresh when you're in between salon appointments. With every wash, your hair color will become more vibrant, and it'll save you the hassle of messing with at-home box dyes.
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'We're in an era where we have shorter attention spans and people want things very quickly,' he said. 'Personally, I would always rather have the PHQ-9. The question we were trying to answer was: Can we ask fewer questions if we don't have the time or the space to ask about nine [items] and do almost as well?' Perlis reported. The research assessed data from four waves of an online survey conducted from November 2023 to July 2024. In the first wave, they identified the optimal questionnaire items to be included. The four waves had a total of 96,234 participants (57% women; mean age, 47.3 years). Of these, 68% were White individuals, 13% were Black individuals, 10% were Hispanic or Latino individuals, 5% were Asian, and 4% were classified as 'other.' In the full patient population, 26% had moderate or greater depressive symptoms, as measured by a PHQ-9 score ≥ 10. Follow-Up Is Key After examining shortened versions of the PHQ-9 that ranged from including just one item up to eight items, the PHQ-3 with items 1 (interest), 2 (depressed mood), and 6 (self-esteem or failure) was deemed to be the 'optimal' version. It had a sensitivity of 0.98 (95% CI, 0.97-0.98) and a specificity of 0.76 (95% CI, 0.75-0.76) for moderate or greater depressive symptoms. Across all subgroups except participants aged 65 or older, the sensitivity for the PHQ-3 was > 0.94. For that subgroup, it was 0.93. The PHQ-3 was also noninferior to previously reported sensitivity and specificity of the PHQ-Depression-4 in the whole study group and in all subgroups. The area under the receiver operating characteristic curve (AUROC) for predicting moderate or greater depressive symptoms was 0.83 for the PHQ-3. The AUROC for the PHQ-9 was 0.84. 'While a shortened scale cannot capture the full range of the PHQ-9, it may facilitate more widespread and efficient investigation of psychiatric symptoms in general population samples when participant burden and/or data collection expense must be minimized,' the investigators wrote. Overall, Perlis said the PHQ-3 could be a possible first-step screening tool, with more questions added as needed. 'What's most important is that people are screening for depression and, if someone screens positive, that they're following up with a more comprehensive evaluation and offering treatment if it's indicated,' he said. 'It's really about figuring out who needs follow-up.' Menu of Options? In an accompanying editorial, Kurt Kroenke, MD, Regenstrief Institute Indianapolis, noted that the study had 'numerous strengths,' including its large and diverse study population but also several limitations. 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The QWINT Program: Once-Weekly Insulin Efsitora
This transcript has been edited for clarity. Akshay Jain, MD: Greetings from Chicago. I'm Akshay Jain, endocrinologist from Vancouver, Canada. Joining us at the ADA 85th Scientific Sessions today, we've got a very special guest, Dr Athena Philis-Tsimikas, who is the corporate vice president at Scripps in San Diego. Welcome. Athena Philis-Tsimikas, MD: Thank you so much. Happy to be here. Jain: Dr Philis-Tsimikas is one of the lead investigators of the QWINT trial, looking at new basal insulin efsitora alfa. What do you think is the need to have another new insulin? Philis-Tsimikas: It's a good question, because we have so many amazing new drugs that have come out and that we're seeing here at the ADA this year. Despite that, we know that there are over 800 million people with diabetes across the world, just recently published, and that means that there's still going to be many people that require insulin. We know that about 50%-25% of people will still, at some point, require insulin. I do think that insulin remains relevant, and we need to have new ways to deliver and really make it easier for people to take insulin. Jain: That makes sense. Despite all the new medications, insulin's not going anywhere. It's still going to be the backbone for many people requiring optimal diabetes management. Tell us about the QWINT program. What are the studies talking about, and what are they evaluating? Philis-Tsimikas: The QWINT programs are interesting and exciting. You said it's a basal insulin, but it's actually a once-weekly basal insulin. As opposed to the once daily that we've had for a long time and newer once dailies that were longer, this now takes us even longer. Insulin efsitora was tested in the QWINT trials. It was tested in people naive to insulin, people already on insulin, and in type 1 diabetes— so both type 2 and type 1 diabetes — and looking to see if it was noninferior to daily basal insulin and even if it was superior. Jain: That's great. What did the study show? Philis-Tsimikas: I was the lead author on QWINT-3, which was a basal insulin switch trial. For people already coming in on basal insulin, we switched them to go to either efsitora or degludec. At the end of 26 weeks, we showed that it was noninferior. They had a lowering of their A1c from about 7.8% down to about 7%. It was noninferior. They did not show superiority, but what an amazing finding to know that you could take insulin just once a week and still get your A1c down to just below 7%. Jain: Remarkable ability to drop the injection burden, going from 365 shots a year to just 52 shots a year. That's really uplifting. Where I work in Canada, we've got access to insulin icodec, which is a once-weekly insulin, and that is also helping improve patient outcomes. We are moving forward with our ability to give basal insulin with fewer shots. In your studies, were there any patient reported outcomes that were evaluated? Philis-Tsimikas: There were. We did look at satisfaction questionnaires. Satisfaction questionnaires came out better for those who were on once-weekly insulin efsitora. In addition, we also looked at patient safety, so we wanted to make sure that, while you're getting to those better A1cs, do you really have no difference in hypoglycemia? It did show that — for combined nocturnal, both level 2 and level 3 outcomes — there was no difference in terms of the hypoglycemia rates. Jain: That's a really important thing. One very interesting thing that I saw at the presentation yesterday on the QWINT-1 study is that they looked at level 1 hypoglycemia. Do you want to share some of the results with our audience about that? Philis-Tsimikas: Sure. QWINT-1 was a very interesting study because it gave a fixed dose of this basal once-weekly insulin at intervals of every 4 weeks. If you needed an incremental increase, it increased from 100 to 150, to 250, up to 400. Despite having this fixed-dose adjustment, there was no increase in the level 1 or the level 2/level 3 combined hypoglycemia episodes. It's interesting because in all the other trials of once-weekly insulin, level 1 with icodec and efsitora, both were slightly more elevated in those groups. It's very interesting that in the fixed-dose implementation we did not see that difference. Jain: I think that's remarkable. The safety is very important. It's paramount. Also, it gives more confidence to primary care, especially those who are a little shy of starting insulin. Now, one thing that I'd love to talk to you about is the loading dose concept. This is not something that one is aware of when you are using daily basil insulin. Can you tell us about the need for doing this loading and what exactly the loading entails? Philis-Tsimikas: Right, absolutely. This was found in both the icodec and the efsitora studies that we did. Because this has a very long half-life and it takes a while to get up to a steady state, we do need to give a one-time only starting dose. With efsitora, it was three times what the calculated weekly dose was. You take your daily dose, multiply it by seven to get your weekly dose, and then by three for that one-time starting dose. Icodec was similar in that you had to take it times seven, but then one and a half times, so you gave a 50% extra dose. That starting dose allows you to get up a little bit faster so that you don't run higher blood sugars during that first 2-3-week time period. Jain: That's excellent. The other very interesting thing that I saw about the QWINT-1 study was that 76% of individuals were able to get to a dose with this fixed-dose regimen without requiring more than 400 units a week. It doesn't require too much for that flexible dosing aspect. Do you want to share a little bit more about that? Philis-Tsimikas: I think that was absolutely an interesting part. The fact that you can manage the majority of patients with just this one insulin injection once a week without having to then further titrate in a very detailed way that can be difficult for the patient and the provider, right? So, 76% of the time is remarkable. Jain: I think one thing to also note is that, as clinicians, we are always aware that it's a marathon, not a sprint, right? Sooner or later, as long as you're up-titrating, you'll get to the target range. With the QWINT-1 protocol, for the first month, you're continuing to stay on 100 units. I think it's important to reassure the patients that we will be going up in a gradual manner, so that they're not too worried that the sugar's not coming down that quickly. Philis-Tsimikas: Absolutely. If you think about it, for someone who's insulin naive, that's where they've been running. It might not even make a difference for them. Jain: Exactly. Philis-Tsimikas: For someone who's been on insulin that we're switching over, that might make a little bit of a difference but certainly not for that insulin-naive population. Jain: Any final pearls of wisdom that you want to give to our audience? Philis-Tsimikas: Maybe just that for our patients who were on the study, they were all incredibly happy to be able to convert over to this once-weekly dose. Many did not want to stop, and they're all looking forward to seeing when once-weekly insulin will be available — in the United States, at least. I know you are lucky to have it in Canada and other places in Europe. We're looking forward to it in the United States as well. Jain: Thank you so much for joining us, Dr Philis-Tsimikas. Philis-Tsimikas: Thank you so much.
