Keeps hair treatment

Keeps Review: Hair Loss Treatment Products

Keeps is a telemedicine startup company that was found by Demetri Karagas and Steven Gutentag. In fact, when Demetri noticed Steve’s hair is getting thin, they decided to find a convenient, easy to access, reasonably priced, and effective solution. That’s how Keeps was born.

Most men in their 30s and 40s start losing hair. Even though male pattern baldness is the primary cause of hair loss, however, several other factors can contribute to it as well. These factors include but not limited to stress, hormonal change, and medical condition.

This telemedicine startup works with licensed physicians, and you can access it from the comfort of your home, for an instance. When consulting with Keeps doctors, they explore all the factors that are affecting your hair loss before recommending a treatment. In short, their goal is to provide a customized hair loss treatment plan for you. Physicians provide FDA-approved hair loss medications and treatment plans. These medications are above all clinically proven to combat male pattern hair loss.

Keeps is a subscription-based service, which means you will receive your medicine by mail every 3 months. 

Let’s dive into Keeps review.

Keeps Hair treatment

Should You Use Keeps as an Online Telehealth Startup?

As we all know, talking about hair loss and seeking help is a touchy subject. Not a lot of people like to talk about it, let alone ask for treatment. With Keeps platform life gets easy. No need for a doctor’s appointment, no more uncomfortable conversation with the receptionist, or staying in line to pick up your prescription at the pharmacy every month.

Similarly, there are few advantages of choosing Keeps for your hair loss treatment products.

They work with state-licensed physicians

You don’t need to go to an actual office for your doctor’s visit because all you need is your computer (or cell phone) and the internet. It is effortless and convenient to make an appointment online and follow up on your treatment while you are watching your favorite movie. In your consultation, the physician will provide a treatment plan based on the information you provide. Meanwhile, make sure to be specific and detailed, this will help the doctor to pick the right treatment for you. As far as doctor visits, the first consultation is free, but you will pay for future consultations.

Moreover, Keeps will follow up with you 4 to 6 weeks after you receive the treatment to ensure everything is going as it was planned, and you are not experiencing any side effects.

Their products are FDA-approved

It is not easy to get the FDA approval on drugs. Most pharmaceutical and biotech companies go through several years of clinical trials to show that their product is efficient, and it is not toxic for human use.

In companies I have worked, we have submitted several products for FDA approval. It is a costly and lengthy process that can take 8 to 10 years. Just because a product is FDA approved doesn’t mean it is 100% effective. In some cases, it just means it works better than others. If the FDA approves a product, it means the drug benefits are more than its potential risk.

They mail your treatment supply every three months

You don’t need to visit the pharmacy every month to pick up your prescription; instead, you receive 90 days of supply all at once. With hair treatment drugs, you need to take them continuously to see their effect. If you stop taking the medication, you start losing hair.

The benefit of the subscription plan is that you never run out of prescription. Keeps automatically fills up your drugs and send them to your address. All you have to do is to take them every day.

Their products are affordable

Keeps hair treatment products include shampoo, topical solutions, and tablet. Since Keeps offers generic products they cost half of the price of branded products.

Fact: Generic drugs have the exact effect on your body. They are cheaper because their manufacturers did not have the expenses of developing and marketing a new drug and also doing clinical trials (which is very expensive).

Products Keeps Offer

Keeps offer several different treatments. Finasteride,  generic for Propecia®, Minoxidil (in forms of solution and foam) generic for Rogaine® and Ketoconazole shampoo, generic for Nizoral®.

Finasteride, 1mg, ($25/mo)


It is is effective at reducing hair loss in nearly 90% of men. Approximately 67% of these men also regrow some hair Works on hairline, crown, and vertex

Finasteride functions by decreasing the amount of a natural body hormone called Dihydrotestosterone  (DHT). Scientists believe that in aging men, DHT interacts with their follicle and makes the follicle to shrink. Decreasing the amount of DHT leads to an increase in hair regrowth and slower hair loss.

Journal of the American Academy of Dermatology (JAAD) published a study that was done on 1553 men (age 18 to 41). The main key finding of the study was that in men with male pattern hair loss, Finasteride slowed hair loss and increased hair growth. To clarify, hair growth in other parts of the body is not affected by Finasteride.

You should take this medication by mouth once daily or as prescribed by your physician. Finasteride is FDA-approved and has been proven to prevent receding hairlines.

Minoxidil 5% (solution $10/mo, foam $15 mo)

Keeps Mixonidil

Minoxidil is effective at slowing down hair loss and sometimes promoting hair growth on crown and vertex.
It works on two-thirds of men.
Some initial shedding may occur
Results in 3-4 months

The active ingredient of Rogaine® is Minoxidil . Rogaine has been on the market for more than 20 years, and tons of people have used it. This topical solution will increase the size of follicles and extends the natural hair growth cycles. 5% Minoxidil mostly helps with hair growth at the crown and vertex of the head. This is a study that showed daily usage of 5% minoxidil topical solution increased hair regrowth and decreased hair shedding.

Keeps offer 5% Minoxidil in two different forms, solution and foam. For ease of use, the solution comes with a dropper. Foam needs to be applied directly with hands. You need to apply Minoxild to your scalp, preferably twice daily. After using Minoxidil, you need to keep your hair dry hair for at least 4 hours.

When you start using Minoxidil, initial shedding may happen as the new hair is trying to push out older strands. Hair growth will show as little as 3-4 months. As of now, Keeps is the only telemedicine provider that offers Minoxidil in foam and serum (others offer only serum). If you are interested in the foam option, Keeps is your best bet.

Speaking of Finasteride and Minoxidil, there are other online telemedicine companies like Hims and Roman that offer Minoxidil and Finasteride as well. You can also read this article for a complete comparison between Hims vs. Keeps vs. Roman.

Ketoconazole Shampoo 2% ($10/mo)

Ketoconazole shampoo, Keeps

Ketoconazole Helps to treat dandruff and scalp itchiness. Results in 2-3 weeks

Besides hair treatment products, Keeps also offers Ketoconazole shampoo for healthier hair. Ketoconazole shampoo is a prescription shampoo for men with dry scalps.

The primary use of Ketoconazole is to treat fungal or yeast infection. However, there has been some evidence showing that it may help promote hair growth or reduce hair loss. There is an interesting study with pictures showing the effect of Ketoconazole shampoo on hair loss.

You should allow the shampoo to sit on your hair and scalp for a minimum of 5 minutes before rinsing.

How Does Keeps Work?

1- Choose your treatment plan: Chose a plan yourself or let a physician pick it for you.

2- Set it and forget it: You will receive a package mailed to you every three months with half the price of pharmacy

3- Stay in Control: Change or adjust your plan at any time

How to Get Hair Loss Prescription from Keeps?

It is straightforward and straight forward to get a prescription from Keeps. There are a few steps that you need to follow:

  • Fill out the questionnaire
  • Meet with the physician online
  • Subscribe to the plan
  • Use your prescription daily
  • Say bye to hair loss!!!!

 There are three main plans that you can choose from:

  • Overall thinning hair (both Finasteride & Minoxidil)
  • Receding hairline (Finasteride pill)
  • Thinning at the crown (Minoxidil)

If you know what works best, go ahead and pick one of these three plans. Most importantly, if you are unsure what to pick, consult with Keeps physician.

Keeps Plans

How to Talk with a Doctor on Keeps?

If you are not sure what is right for you, you will be able to let the doctor decide. First, you need to fill out their online form. It would take approximately 10 minutes.

Here is what required in each step of the questionnairer:

  1. Fundamentals: your name, date of birth, etc.
  2. Your hair loss pattern, medications and symptoms you may have
  3. Lifestyle (exercise, drinking, etc.)
  4. A government-Issued ID and three photos of your head ( top of your head, your hairline, your crown)
  5. Medical History
  6. Your address (this is where the medication will be mailed)

After you are done, this is the page you would see: As of now they are waving the Doctor consultation:

Keeps doctor visit

Keeps Pricing for Hair Loss Treatments

Treatment PlanFirst Order (3 months supply)Every 3 Months (after first order)
Finasteride, 1mg$48.75$75.00
Minoxidil Solution, 5%$19.50
Minoxidil Foam, 5%$29.25$45.00
Finasteride and Minoxidil solution bundle$68.25$105.00
Finasteride and Minoxidil foam bundle$78.00$120.00

If you are already taking any of the above medications, get 50% off by ordering through Keeps. All purchases are final, but you will be able to cancel your subscription. According to their policy, once the products are packaged, they cannot be used for another patient. If you receive defective or damaged products, Keeps will replace them for you. In addition, they also charge a flat rate of $3 for shipping. As of now, they don’t ship internationally.

Is Keeps Hair Loss Treatment Safe?

Most of the prescriptions you are taking have some sorts of side effects. A side effect is often described as an undesirable secondary effect that can happen in addition to the primary therapeutic effect of a drug. These are different for each individual depending on the person’s disease state, age, weight, gender, ethnicity, and general health.

For example, some side effects of Advil (which most of us take when we have pain) include stomach pain, heartburn, nausea, vomiting, gas, constipation, diarrhea. I just wanted to point this out so not everyone who takes Advil will experience the side effects.

As we mentioned before, all the products that Keeps offers are FDA-approved, which means that they are safe to use. However, in rare cases, they may have some side effects.

Finasteride Potential Side Effects

  • Allergic reactions like skin rash,
  • dizziness, difficulty breathing
  • Swelling or tenderness in the breasts
  • Pain in the testicles
  • Inability to urinate

Although it is rare, but 3.8% of patients in clinical trials noticed some form of sexual side effect compared to 2.1% of patients using the placebo. If you noticed sexual side effects, you can talk you Keeps doctors and stop the medication. The side effects should go away once you quit.

Minoxidil Potential Side Effects

  • Chest pain or palpitations
  • Dizziness or fainting
  • Skin rash, blisters, or itching
  • Sudden weight gain
  • Swelling of the hands or feet

Ketoconazole Potential Side Effects

  • Allergic reactions like skin rash, itching or hives
  • Pain, tingling, numbness

Does It work? Is Keeps Legit?

Yes! Keeps products are effective. That’s why they are all FDA-approved. Both Minoxidil and Finasteride have shown effects on the treatment of hair loss.

Keeps is the first brand from Thirsty Madison. Their headquarter is in New York City, and as of now, they have raised $22.8 M in series A funding. Several venture capitalists such as Maveron, Greycroft, and First Round backed up Keeps. The main advantage of Keeps is that they are solely focused on hair loss products for men vs. others, such as Roman and Hims, that have multiple product lines. You can also read the complete comparison between all three in Keeps vs. Hims vs. Roman. 

If you like supporting, a young, energetic, and new startup, give Keeps a try. They are relatively newer compared to their competitors but have a lot of potentials to grow.

Do We Recommend It?

Yes, we do, and here is why.

  • Keeps products are clinically proven to be effective. They are also FDA-approved. If something is FDA-approved, at least we know the positive effects are more than negative ones.
  • There is no need to go to an office for a doctor visit or go to the pharmacy for prescription pick up. This one by itself saves lots of time. You meet with the doctor online, and your orders get mailed to you. Also, the fact that you can have future consultation with the doctor for a minimal fee is very fantastic.
  • They only charge you for 90 days worth of products. So if you don’t like them or were not satisfied with the product, you can easily cancel your subscription.
  • The company offer cheaper products compared to your pharmacy. Keeps also provides you a half-priced product if you are already buying them from somewhere else.
  • This telemedicine company also offers personalized treatment for each person individually. So you can make sure you are receiving the best treatment which is most suitable for you.

In conclusion, consumer reviews on different websites indicate that most people are happy with their decision to use Keeps products.

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