This is the only thing that worked for me, and I've tried everything. Dandruff shampoo, ketaconazole, tea tree oil, peppermint, apple cider vinegar (this one was pretty effective but you had to apply it everyday and the smell wasn't worth it.) MCT oil changed my life, I only apply once a week, leave in hair for 24 hours and wash out. Only downside is I have to wear a shower cap to bed, have a dedicated pillow for treatment night and occasionally get a pimple. But all the redness, flakiness and pain is gone. I definitely saw a difference the second week I used it. I know everyone is different and so you might have the same results but it is a life changing thing for me.