I've had a real struggle with finding just the right shampoo for my hair when I came across this in some reviews. I've finally found something that worked so well for my scalp and hair! When I first washed my hair, a lot would fall out. But after some research I've read it was pretty normal for that to happen when the shampoo is trying to encourage hair growth. So yes, it did eventually stop and now my hair rarely falls out maybe after about a month of usage in comparison to before and I've even stopped a seemingly eternal suffering of scalp flaking with a combo of shampoo/blow drying! It does smell odd at first since it smells like 'spicy earth' with the ginseng scent, but after continual use and using conditioner afterwards seemingly gives it a pleasant, almost floral scent instead. Definitely worth a try!