Keeps Hair Loss Review: Cost, Results, and How It Works

What Is Keeps Hair Loss Treatment?

Keeps is a direct-to-consumer hair loss treatment service that prescribes FDA-approved medications for male pattern baldness. It's not a single product — it's a subscription platform that connects you with a licensed healthcare provider who evaluates your hair loss and, if appropriate, prescribes generic finasteride, generic minoxidil, or a combination of both. The medications are shipped directly to your door, and you can manage everything through their website or app. Keeps has become one of the better-known telehealth options for hair loss in the United States.

• Telehealth consultation with a licensed provider (no in-person visit required)
• Prescriptions for generic finasteride (oral) and/or generic minoxidil (topical)
• Optional add-ons like ketoconazole shampoo or biotin gummies
• Monthly or quarterly subscription with automatic refills
• Ongoing messaging support with the medical team

How Keeps Works: Ingredients and Delivery

Keeps doesn't manufacture its own drugs. It prescribes generic versions of the same active ingredients you'd get from a dermatologist or a traditional hair loss clinic. The two core treatments are finasteride and minoxidil, both of which have decades of clinical evidence behind them. Finasteride is an oral prescription drug that blocks the conversion of testosterone into dihydrotestosterone (DHT), the hormone primarily responsible for male pattern baldness. Minoxidil is a topical vasodilator that prolongs the growth phase of hair follicles and increases blood flow to the scalp.

• Finasteride: oral tablet, taken daily. Generic version of Propecia.
• Minoxidil: topical solution or foam, applied to the scalp as directed. Generic version of Rogaine.
• Ketoconazole shampoo: used as an adjunct to medication.
• Biotin gummies: optional supplement, though evidence for hair growth is weak.

Evidence for Hair Growth: What the Research Says

The ingredients Keeps prescribes are not experimental. Finasteride and minoxidil are the only two hair loss treatments approved by the FDA for male pattern baldness, and both have extensive clinical trial data. Finasteride has been shown in multiple studies to slow hair loss and promote regrowth in a majority of men who take it consistently. Minoxidil is similarly well-studied, though it tends to be more effective for crown thinning than for receding hairlines. The combination of both is often more effective than either alone.

• Finasteride: Clinical trials show a majority of men experience slowed hair loss, and many see some regrowth after 1–2 years.
• Minoxidil: A significant portion of users experience moderate regrowth, with best results on the crown.
• Combination therapy: Studies suggest using both together outperforms either one alone.
• Ketoconazole: Some evidence for mild improvement in hair density, but not a primary treatment.

How to Use Keeps: Dosage and Frequency

Keeps provides clear instructions with each prescription, and the exact regimen depends on what your provider prescribes. Most users start with either finasteride alone, minoxidil alone, or both. Consistency is critical — skipping doses will reduce effectiveness. The table below outlines typical usage for each medication.

• Take finasteride at the same time every day, with or without food.
• Apply minoxidil to a dry scalp, not wet. Wash hands after use.
• Allow minoxidil to dry completely before styling or going to bed.
• Don't double up on missed doses — just resume your normal schedule.

Expected Results and Timeline

Hair loss treatment is not instant. It takes time to see meaningful changes, and results vary widely depending on how advanced your hair loss is, how consistently you use the medication, and your genetics. Most men who stick with finasteride and minoxidil see the best results between 6 and 12 months. It's also common to experience a shedding phase in the first few months — this is temporary and usually a sign that the medication is working.

• First few months: Possible temporary shedding. No visible regrowth yet.
• 3–6 months: Shedding stops. Some users notice fine new hairs.
• 6–12 months: Noticeable improvement in hair density and thickness for many users.
• 12–24 months: Maximum benefits typically seen. Hair loss should be stabilized.

Side Effects and Risks

Both finasteride and minoxidil are generally well-tolerated, but they're not risk-free. Finasteride can cause sexual side effects in a small percentage of men, including decreased libido, erectile dysfunction, and reduced semen volume. These usually resolve after stopping the medication, but a small number of men report persistent symptoms. Minoxidil can cause scalp irritation, dryness, or itching. Oral minoxidil (not typically prescribed by Keeps) carries more systemic risks. Always discuss your medical history with your provider.

• Finasteride: Sexual side effects in a small percentage of users; rare reports of persistent symptoms.
• Minoxidil: Scalp irritation, dryness, or flaking in some users.
• Ketoconazole: Mild irritation or dryness; rare allergic reactions.
• Biotin: Generally safe, but can interfere with certain lab tests.

Who Is Keeps Suitable For?

Keeps is designed for adult men experiencing early to moderate hair loss. It's most effective for men who still have active hair follicles — meaning the hair loss isn't too advanced. If you're completely bald in an area, medication won't bring hair back there. Keeps is not suitable for women, as finasteride is not approved for female use and can cause birth defects. It's also not a replacement for a hair transplant if you have significant baldness.

• Men with early to moderate male pattern baldness
• Those willing to commit to daily medication for at least 6–12 months
• Men who prefer telehealth over in-person clinic visits
• Not suitable for women, especially those who are pregnant or may become pregnant
• Not suitable for men with completely bald areas (medication can't regrow dead follicles)

Cost of Keeps

Keeps pricing is subscription-based and varies depending on which medications you're prescribed and how often you refill. The cost includes the online consultation, prescription, and delivery. It's generally cheaper than seeing a dermatologist in person, but you're locked into a subscription model. Below are average costs for hair transplant procedures by stage of hair loss, for comparison if you're considering surgery instead.

How Keeps Compares to Alternatives

Keeps is one of several options for treating hair loss. You can also see a dermatologist in person, use over-the-counter minoxidil, or go straight to a hair transplant clinic. Each has trade-offs. Keeps is convenient and relatively affordable, but it's limited to medications. A transplant is the only way to restore hair in completely bald areas, but it's expensive and surgical. Below is a comparison of Keeps versus a typical hair transplant clinic.

Frequently Asked Questions