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Keeps is an online, subscription-based telehealth service for people with male pattern hair loss.

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Product Review, Smoothie, meal delivery

Male pattern hair loss, also known as androgenetic alopecia, affects around 50 million men in the United States and half of all men older than 50 in the country.

This article describes Keeps’ products and reputation, plus some alternative treatments for male pattern hair loss.

Keeps is an online business based in the U.S. Its range of products aim to help prevent further male pattern hair loss. The company does not claim to provide a cure but says that its products can help combat the symptoms.

Keeps’ products contain minoxidil, otherwise known as Rogaine for men, and finasteride, also known as Propecia. The Food and Drug Administration (FDA) has approved both of these ingredients for preventing further hair loss in men.

The company says that the FDA and a wealth of scientific research support the use of the ingredients in its products.

Reviews on Keeps’ website are generally positive, with more than 80% of customer reviews giving the service 5 stars out of 5. The company offers a free initial consultation with a doctor. Customers highlight the convenience, as consultations take place online.

Positive reviews also say that the services are affordable and convey confidence in the company.

Negative reviews note that the services are only effective for male pattern hair loss, not for other types of hair loss. Others emphasize that the consultations are not live video calls and are not available in all states.

Some reviewers also express disappointment that insurance companies do not cover Keeps’ products.

Please note that the writer of this article has not tried any of these products. All the information in this article is research-based.

Keeps offers an initial consultation with a licensed doctor, who reviews a person’s online responses to questions to determine the best treatment plan, which will include Keeps’ products.

Using the Keeps smartphone app, a customer has regular access to the doctor, who can answer any questions, monitor progress, and offer tips.

Keeps offers:

  • Pills: It recommends a daily oral dose of finasteride for people with hair loss on the hairline, the crown, which is the highest point on the head, or the vertex transition point, which is the area between the middle scalp and the crown.
  • Topical solution: This contains minoxidil and may slow hair loss and promote regrowth at the crown of the head.
  • Foam: This contains minoxidil and may slow hair loss and promote regrowth at the crown and vertex transition point.
  • Shampoo: Keeps offers two shampoos: a prescription one to treat dandruff, itchiness, and flaking, and a thickening shampoo. The company recommends using both on alternate days.
  • Conditioner: Keeps’ thickening conditioner may promote regrowth. The company recommends using it in conjunction with the thickening shampoo.
Finasteride pill$25 per month
Minoxidil topical solution, 5%$10 per month
Minoxidil foam, 5%$15 per month
Ketoconazole shampoo, 2%$10 per month
Keeps thickening shampoo, 8oz$22
Keeps thicking conditioner, 8oz$22

Keeps also offer a 3-month supply of finasteride pills and minoxidil topical solution for $105. And it offers a 3-month supply of finasteride pills and minoxidil foam for $120. The packages come with first order offers of $68.25 and $78, respectively.

Shipping and returns

Keeps charges a fee for each shipment that it sends out to subscribers.

The company’s pharmacy does not allow for returns, which means that a person cannot receive a refund, even if they have not used the treatment.

However, Keeps does offer to replace any damaged or defective items free of charge.

The Keeps subscription service is not suitable for everyone with hair loss. Below are some other considerations.

subscription modeldoes not accept insurance as payment
low costpotential side effects
home deliveryonly treats male pattern baldness
FDA-approved medicationconsultations not available in all states
fully-licensed doctor consultations
flexible treatment plans

Hair loss is a normal part of life, and people typically lose 50–100 strands each day.

Usually, once a hair strand falls out, a new one grows from the same follicle. Over time, some follicles stop producing new hair.

This tends to happen when people get older. Male pattern hair loss is the name for the progressive loss of hair on the scalp after puberty. It affects up to 80% of males by the time they turn 80 and is typically genetic.

While hair loss can be a natural part of getting older, a person may find it distressing, and it can affect self-esteem and confidence.

Learn more about the types and stages of balding here.

Hair loss medication

Finasteride and minoxidil may be able to treat male pattern hair loss.

Finasteride works by inhibiting certain enzymes that change hormones called androgens into a male sex hormone called dihydrotestosterone. High levels of this hormone can result in male pattern hair loss.

The FDA has also approved topical minoxidil for treating male pattern hair loss. This drug works by promoting hair growth and making the hair follicles thicker. People should start noticing a difference within 8 weeks of using minoxidil, which is often most effective after 4 months.

Side effects of hair loss medications

These drugs, like all drugs, can cause side effects.

Possible side effects of finasteride include:

Often, people do not experience side effects of minoxidil, but possible ones include:

Learn about some of the best hair loss treatments here.

Male pattern hair loss is usually genetic, and continuous treatment is the primary method of prevention.

The American Academy of Dermatology Association suggests the following tips for managing hair loss, alongside traditional medication:

  • Only allow trained professionals to color, perm, or chemically straighten hair.
  • Avoid overusing curling irons, flat irons, and hot combs, which can damage hair.
  • Be gentle when brushing or combing.
  • Quit smoking, if applicable, as smoking can worsen hair loss.
  • Have a healthy diet that includes plenty of iron and protein.

Many other remedies are available to combat hair loss. These include:

  • Rosemary oil: A small study compared the effects of either rosemary oil or minoxidil on hair growth. It found no significant difference after 6 months. However, fully assessing the capacity of the oil to promote hair growth will require further research.
  • Caffeine lotions and shampoos: Some research shows that using caffeine lotions and shampoos alongside minoxidil is more effective at hair retention than minoxidil alone. However, scientists need to carry out more studies.
  • Capsaicin: This compound present in red chili peppers promoted hair growth in 64.5% of one study’s participants.
  • Garlic gel: In one study, 95% of participants reported a mild-to-moderate increase in hair growth after using this gel.

Learn about some other ways to prevent hair loss naturally here.

When looking into treatments for hair loss, it is important to consider several factors.

  • Cost: It is crucial to note all the costs involved. Keeps is a subscription service, so it involves repeated payments. A person might consider the cost of using each medication involved without a subscription.
  • Alternatives: Other telehealth subscription services, such as Hims, offer similar services.
  • Insurance coverage: Most insurance companies consider minoxidil and fenastaride to be cosmetic products and typically do not cover the cost.
  • Drug interactions and side effects: It is important to consult a medical professional before taking any new medications.
  • Treatment type: Some topical hair loss treatments can cause scalp irritation or allergic reactions. A person may wish to prioritize oral medications.
  • Cause of hair loss:Many health conditions cause hair loss, so it is important to identify the true underlying cause before trying a treatment.

Is Keeps safe? It is. The FDA has approved both minoxidil and finasteride for public use. The company also offers personal consultations with fully licensed, independent doctors.

Are there side effects? Side effects from the medications that Keeps sells are uncommon. However, finasteride can lead to erectile dysfunction, decreased libido, and breast tenderness. Taking the medication can increase the risk of prostate cancer, as well, and lead to allergic reactions. In addition, applying topical minoxidil can cause an allergic reaction and lead to scalp itchiness, dryness, and flaking, among other side effects.

Does Keeps protect my privacy? Keeps only shares private information with medical professionals and parties directly related to personal subscriptions. These data include contact details, medical information, and images a person submits to the service. Read the Keeps privacy policy here.

Does Keeps accept insurance? No, it is a self-paid service. Finasteride and minoxidil are both considered cosmetic medications, so many insurance companies do not cover the costs.

Hair loss often occurs with age, and many males experience male pattern hair loss. There are several ways to counteract it, and Keeps sells products for this purpose on a subscription basis.

A range of treatment options exists, and it is important to consult a medical professional and do additional research, taking factors such as cost into account, before making a selection.