Science — Xhealth
Xhealth
SCIENCE / VOLUME 03FORMULATION · DELIVERY · CLINICAL

The physics of
a 15 µm layer.

The stratum corneum is roughly the thickness of a red blood cell — a 15-micron mosaic of dead corneocytes stacked in a lipid matrix. It is the reason topical medicine is difficult. Everything Xhealth develops is a negotiation with this layer: how to cross it, how to stay in it, how to leave it undamaged.

§ 01  —  PLATFORMS

Six vehicles
for one problem.

VH · 001 · FOAM
ACTIVE
FIG. 01
DENSITY
0.04g/mL
COLLAPSE
45s

Fast-breaking foams

Low-density hydro-alcoholic vehicles that spread thinly across scalp, collapse in under a minute, and leave a uniform residue without occlusion or greasiness.

↳ Xcare 5% 01/06
VH · 002 · GEL-P
ACTIVE
FIG. 02
FILM t
168h
RELEASE
0-order

Polymer film gels

Single-application gels that cure into a transparent film, releasing an active in near-zero-order kinetics over a full week. One dose, seven days of work.

↳ Dr Giles ONCE 02/06
VH · 003 · SPRAY
ACTIVE
FIG. 03
ONSET
5-15min
IELT Δ
+3.4×

Eutectic sprays

Two-active spray systems using melting-point depression to reach mucosal nerve endings within minutes — precise dosing without excessive numbness or alcohol sting.

↳ LibiDUO 03/06
VH · 004 · CREAM-D
ACTIVE
t=0 t=12wk
FIG. 04
MELANIN Δ
-42%
DURATION
8-12wk

Depigmenting creams

Hydrolytically-stable emulsions carrying tyrosinase inhibitors, retinoids and corticosteroids — the pigment ladder from monotherapy to FHT triple combination.

↳ Skinoro · FHT 04/06
VH · 005 · LACQUER
ACTIVE
NAIL PLATE · SUSTAINED RELEASE
FIG. 05
ADHESION
7days
PENETR.
92%

Medicated lacquers

Water-resistant film-forming lacquers that adhere to the nail plate for a full week, releasing amorolfine into the nail bed while resisting daily washing.

↳ Versani lacquer 05/06
VH · 006 · GEL-H
ACTIVE
CHONDROITIN — SULFATE — WATER
FIG. 06
MW
>500Da
HYDR. Δ
+38%

Heparinoid gels

MPS-anchored polysaccharide gels. Densely-sulphated backbones hydrogen-bond water into the outer dermis and stimulate endogenous hyaluronate synthesis.

↳ Hirudiox · DeScars 06/06
§ 02  —  POLYSACCHARIDES

The molecule that taught skin
how to hold water.

Mucopolysaccharide polysulfate is a semi-synthetic glycosaminoglycan built from polysulfated chondroitin. It has been used clinically for over five decades — for bruises, superficial thrombophlebitis, xerosis, atopic dermatitis and post-inflammatory dryness — and it is the pharmacological backbone of Hirudiox®.

MPS hydration study
CORE MECHANISMS & BIOLOGICAL ACTIVITY

Four pathways, one molecule.

Mucopolysaccharide polysulfate is not a single-action molecule. Its densely-sulphated glycosaminoglycan backbone interacts with multiple dermal systems at once — coagulation, inflammation, hydration and vascular function.

01 · ANTITHROMBOTIC & FIBRINOLYTIC
Exhibits heparin-like activity, interacting with blood coagulation factors and releasing Tissue Factor Pathway Inhibitor (TFPI) to prevent and dissolve superficial blood clots.
02 · ANTI-INFLAMMATORY
Helps rapidly resolve subcutaneous hematomas, infiltrates, and inflammation in superficial tissues.
03 · DERMAL HYDRATION
Stimulates endogenous hyaluronate synthesis, increasing the water-binding capacity and elasticity of the skin.
04 · VASCULAR ACTION
Promotes microvascular blood flow and strengthens the epidermal barrier by modulating tight junction proteins.
STUDY 002 · CUTANEOUS BLOOD FLOW

Why the dermis notices

Cutaneous blood flow (CBF) is regulated through dermal papillary loops — arterial capillaries that supply nutrients and clear metabolites. When CBF is impaired, so is thermoregulation, wound healing, and the skin's response to injury.

Laser-Doppler studies show that topically-applied MPS increases local skin blood volume and basal sweating — evidence that a molecule >500 Da can, in fact, reach the dermis and act on its cells.

This is why MPS-containing topicals are clinically effective for conditions rooted in vessel-function failure: bruising, superficial thrombophlebitis, asteatosis, chronic venous discomfort, and the ageing skin's slow retreat from its own microcirculation.

Cutaneous blood flow study
50+ yr
Cumulative clinical use
+38%
Hydration Δ vs. baseline · 4 wk
1.9×
Local cutaneous blood volume
>500 Da
Molecular weight, dermal-reaching
§ 03  —  FOAMS

Why foam wins
on the scalp.

Foam formulation

A solution poured onto scalp will run off. A cream will smear the hair and refuse to reach the follicle. A fast-breaking foam — a low-viscosity liquid that expands into a bubble matrix on contact with warmth, then collapses in 30–60 seconds — solves both problems at once.

Foam permeation depends on three physical parameters: surface tension, evaporation kinetics, and the diffusion coefficient of the active in the residue phase. In our proprietary Xcare vehicle, these three are tuned so that minoxidil precipitates as a supersaturated film on the scalp — a driving force that pushes molecules through the corneum without the propylene glycol that irritates so many patients.

The clinical consequence is unglamorous but important: patients actually apply it. In the pharmacology of hair loss, adherence is half the battle, and vehicle design is where that battle is won.

↳ See Xcare foam · Products
§ 04  —  LITERATURE

What the journals say.

NAT REV DIS PRIMERS
Androgenetic alopecia — a comprehensive review
York K, et al. · Vol. 11, 2025 · Genetics, DHT signalling, therapeutic landscape and evolving guidelines.
2025 →
J AM ACAD DERMATOL
Consensus on melasma diagnosis & treatment
Reframing melasma as a chronic dermatosis; hydroquinone monotherapy, triple combination therapy, and long-term maintenance protocols.
2025 →
BR J DERMATOL
Topical finasteride vs. oral — a systematic review
Comparable efficacy in scalp DHT reduction with markedly lower serum exposure — the pharmacological case for XGaine.
2024 →
SKIN PHARM PHYSIOL
Mucopolysaccharide polysulfate — five decades of clinical evidence
Meta-review of MPS in bruising, phlebitis, xerosis and eczematous conditions.
2023 →
J DRUGS DERMATOL
Single-application terbinafine — pharmacokinetics of a film-forming vehicle
Sustained fungicidal concentrations for 13 days after a single dose — the foundation of Dr Giles ONCE.
2022 →
DERMATOL THER
Onion extract + heparin + allantoin gel — scar remodelling evidence
RCT-level data on hypertrophic scar prevention and keloid softening across surgical and post-burn populations.
2023 →