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Suddenly losing copious amounts of hair? It’s common. According to the American Hair Loss Association, approximately 85 percent of men have significantly thinner hair by the age of 50.
However, there are many hair loss treatments out there, especially now with the rise of telehealth.
Keeps and Hims are two of the most popular telehealth hair loss brands on the market. While there are some differences between the companies, both offer products that may help prevent, slow, or even reverse hair loss.
If you’re trying to decide which provider to turn to, you’ve come to the right place. Here, we’ll break down the differences between Keeps and Hims, so you can make the best decision for your body.
Here’s a quick rundown:
|Basics||solely focused on hair loss treatment and prevention|
only sells two FDA approved medications
|addresses various problems, such as sexual health, hair loss, skin care, mental health, and general health and wellness|
|Product options||finasteride, minoxidil (foam or solution), ketoconazole 2 percent shampoo||finasteride, minoxidil (foam or solution), topical finasteride and minoxidil spray, thickening shampoo, thickening conditioner, biotin gummies|
|Consultations||yes, but only through phone (no live video)||yes|
|Locations available||medical consultations not available in all states, but the medication is. |
ability to get a prescription from someone else and fill it with Keeps
|available in all 50 states|
|Customer service||great customer service, according to reviewers||hard to reach customer service, according to reviewers|
Keeps is a subscription-based telehealth provider that focuses exclusively on treatments for hair loss in men. These treatments can help anyone experiencing hair loss, receding hairline, baldness, androgenetic alopecia (male or female pattern baldness), and more.
The company currently offers two FDA-approved medications: finasteride (generic Propecia, a medication that treats hair loss in men) and minoxidil (generic Rogaine, a topical solution that can treat certain types of baldness).
By purchasing generic medication directly from a domestic lab, Keeps can offer lower prices than those found at local pharmacies.
Everything is done online, from the consultation with a board-certified physician to the process of ordering and receiving your prescription directly to you.
Hims offers a variety of different telehealth services, including treatment for hair loss, erectile dysfunction, online therapy, primary care, and more.
Through the company website, you can order over-the-counter hair loss prevention items, like biotin gummies or hair-thickening shampoo and conditioner. Hims also offers finasteride and minoxidil foams and solutions.
After the required consultation with a licensed medical professional, you can order your prescription treatments.
- $ = under $35
- $$ = $35–$80
- $$$ = over $80
- Price: $$
Finasteride (generic Propecia) prevents hair loss by blocking the conversion of testosterone into dihydrotestosterone (DHT).
Finasteride has been found to be effective at stopping hair loss along the hairline, crown, and vertex. Reviewers say it takes around 4 months to see regrowth.
For $75, you’ll receive a 3-month supply of 1 mg tablets that you should take once per day. Finasteride requires a prescription, which can be attained through a Keeps medical consultation.
- Price: $
Those experiencing mild hair loss or thinning around the top of their heads may find minoxidil, generic Rogaine, to be the most effective. This topical formula should be applied to the scalp twice per day.
You can choose between a solution or a foam, both of which are equally effective. However, the solution needs to be applied using a dropper, which some customers may find difficult.
The solution is priced at $20 for a 3-month supply. You don’t need a prescription to purchase minoxidil and, according to Keeps, users see results within 3 to 4 months.
- Price: $
Minoxidil works by widening the blood vessels along the scalp and promoting an increase in blood flow. Users with sensitive skin or allergies may prefer the foam option. Many reviewers also find that the foam is easier to apply to the scalp.
The foam costs $35 for a 3-month supply. Keep in mind that minoxidil is most effective in people who are under 40 years old, and it isn’t meant for a receding hairline or baldness at the front of the scalp.
- Price: $$$
This bundle is best for reducing overall loss and helping with regrowth. With your subscription, you’ll receive a 3-month supply of finasteride and minoxidil foam for $120.
For any subscription bundles, a licensed doctor will check in with you prior to approving the purchase to make sure the products are fit for your hair goals.
- Price: $$$
This bundle includes a 3-month supply of finasteride and minoxidil solution. It’s priced at $105.
- Price: $
This shampoo is an add-on for those dealing with dandruff or itchiness. This prescription shampoo doesn’t treat hair loss, but it can be helpful in combination with finasteride and minoxidil.
You can purchase a 3-month supply for $30.
- Price: $–$$$
Finasteride, otherwise known as generic Propecia, is an FDA approved medication that treats hair loss in men by blocking DHT.
DHT is a hormone derived from testosterone, and experts believe that it’s one of the reasons many men experience hair loss and receding hairlines. You’ll need a prescription to purchase this product.
Unlike Keeps, you have a choice between a monthly or a tri-monthly subscription. For a 1 month supply, it’s priced at $28.50 per month, or $85.50 every 3 months.
- Price: $
If you’d rather opt for a topical spray, this product is just as effective.
It contains 0.1 percent topical finasteride to reduce DHT in the scalp and stops more hair from falling out. It also contains 6 percent minoxidil to promote hair growth by reactivating dormant follicles.
You’ll need a prescription to purchase the product, and you can purchase this bundle for $32 per month.
- Price: $
Minoxidil is an over-the-counter, topical product that’s FDA approved to treat hair loss and help regrow hair. Minoxidil is used to treat thinning hair and balding on the scalp, but not receding hairlines since it doesn’t target DHT.
You may prefer the solution if you have thick or curly hair.
You can make a one-time purchase for $15, or sign up for a monthly shipment, also for $15 per month.
- Price: $–$$
Minoxidil foam works to revive hair follicles and keep hair looking and feeling thicker over time. Unlike thickening shampoos, minoxidil goes deep into the scalp for long-lasting results.
You may prefer foam if you have straight and wavy hair.
A 1-month supply is priced at $30, while a 3-month supply is $60.
- Price: $
Also known as vitamin B7, biotin is a natural supplement that helps support skin, hair, and nails. Hims biotin gummies are a multivitamin containing biotin, niacin, and vitamins A, B6, B12, C, D, and E.
This gummy contains no artificial sweeteners, is gluten-free, and is made with natural flavors and colors. Biotin is an essential vitamin for hair growth, but it doesn’t treat hair loss. Instead, these supplements deliver the nutrients needed to support healthy hair.
You can purchase a one-time supply for $16 or sign up for monthly deliveries, also for $16 per month.
- Price: $
This shampoo from Hims contains saw palmetto, an ingredient known to help target DHT. Shampoos with ingredients, like saw palmetto or ketoconazole, may support your hair loss treatment plan — but only when supported by minoxidil or finasteride.
Hims recommends adding this shampoo to your normal hair washing routine.
For $19, you can either make a one-time purchase or sign up for monthly deliveries. You can also purchase a Hair Power Pack that includes finasteride and minoxidil, Thickening Shampoo, and Gummies Biotin Builder.
- Price: $
This conditioner uses niacinamide (a form of vitamin B3) to support healthy hair growth. It also makes locks appear thicker and more voluminous.
Like the accompanying shampoo, this conditioner doesn’t reduce hair loss, but it’s great when paired with a treatment consisting of minoxidil or finasteride.
You can opt for a one-time supply or sign up for monthly deliveries, both of which cost $22.
How effective are they?
Customer testimonies provide a better idea of how effective Keeps and Hims products are.
Keeps products are most effective for male pattern baldness, according to reviews. It takes around 4 months of consistent use to notice a difference.
Keeps has a 4.8-star rating from users who are happy with their results.
Hims products are designed to prevent, slow, or even reverse hair loss. The products differ from those offered by Keeps, since you can purchase accompanying shampoo, conditioner, and gummies to supplement your hair treatment.
With consistent use, the company says that you may see a difference in 3 to 4 months. According to the website, the site has a 4.5-star rating for the effectiveness of the products, discreet delivery, and professional medical guidance.
Do they take insurance?
Finasteride and minoxidil are considered cosmetic and are not covered by most insurance plans. Both companies do not accept insurance for medical consultations or products.
However, prices on both sites are typically less than half the cost of what you’d pay at your local pharmacy.
Do you need a prescription?
You need to have a valid prescription from your doctor to use finasteride, but not minoxidil.
Are there any side effects?
While finasteride and minoxidil are generally considered safe, all drugs have the risk of side effects.
According to Keeps, some possible side effects of taking finasteride 1 mg include:
- depression or anxiety
- dizziness or weakness
- inability to urinate
- pain in the testicles
- runny nose
- signs of an allergic reaction, like:
- skin rash
- difficulty breathing
- swelling of the face, lips, or tongue
- sexual side effects, like:
- loss of libido
- erectile dysfunction
- swelling in your hands or feet
- swelling, pain, or tenderness in the breasts, or fluids leaking from the nipple
Experts point out that finasteride shouldn’t be used by anyone with a family history of prostate cancer.
While it depends on the formulation, the most common side effect of minoxidil is skin irritation at or near the application site. Some minoxidil users may develop a skin rash or experience a mild burning feeling after using the spray or foam.
According to Hims, less common side effects of minoxidil can include:
- facial hair growth
- inflammation around the hair roots
- facial swelling
- increased hair loss
Keeps has an A+ rating from the Better Business Bureau (BBB), and customer ratings average about 2.9 out of 5 stars.
Most of the negative reviews note that customers were charged after trying to cancel a subscription. Other reviewers experienced difficulties with returns.
To cancel your Keeps subscription, you have to call customer service during business hours or fill out an online cancellation form.
Hims, Inc. has an A+ rating from the BBB. However, BBB customer reviews amount to 1.36 stars out of 5.
A majority of the negative reviews have to do with products related to sexual health, rather than hair loss.
A lot of reviewers complain they were still charged for their subscriptions after notifying Hims that they wanted to cancel.
According to reviewers, Hims customer service is pretty good about replying to complaints. Hims promises a full money-back guarantee within 90 days.
It should be noted that some reviewers found the policy to be unclear, though — in order to request a refund, you actually need to take the prescription for 90 days.
Although you can’t prevent baldness, medications, such as finasteride and minoxidil, can help slow down hair loss. Both Keeps and Hims are comparable since they offer the same prescriptions. Ultimately, the service you opt for depends on your hair goals and budget.
Hims is slightly more cost-effective and offers more versatility by providing one-time purchases, monthly supplies, and tri-monthly supplies. Hims also offers more products that support hair loss treatments.
Meanwhile, Keeps is better for those who want consistent deliveries straight to them.
Iman Balagam is a writer based in Houston, Texas. When she’s not laughing at her own jokes, or buying overpriced chia pudding, she can be found reading fiction novels, catching a spin class, doomscrolling through TikTok, or waiting for her delayed Spirit flight to board. You can see more of her work on her website.