Hims vs Nutrafol vs Keeps: Comparison Review in 2025

Hims, Nutrafol, and Keeps all offer clinically proven oral hair loss medications, in addition to some topical products. However, each brand may work best for different individuals.

• Hims offers an FDA-approved oral medication called finasteride, as well as OTC gummies that support healthy hair growth, making it a great choice for those who want a combination of OTC and prescription oral treatments.
• Keeps offers the best price for finasteride, making it the perfect choice for those looking for affordable hair loss treatment.
• Nutrafol is the only brand that offers drug-free solutions that claim to not only promote hair growth, but also completely avoid the sexual side effects that other treatments may be associated with.

In this Hims vs Nutrafol vs Keeps comparison review, we discuss their oral treatments for male pattern hair loss, how they work, who they may work best for, and potential side effects. In addition, we spoke with Dr. Jonathan Rick, a board certified dermatologist, about the efficacy of oral finasteride, the medication that Hims and Keeps offer, as well as Nutrafol, the OTC option.

Our Top Picks for Best Hair Loss Pills

• Best for Prescription and OTC Options: Hims |  Jump to Review
• Best for Drug-Free Solutions: Nutrafol, Amazon |  Jump to Review
• Best for Affordability: Keeps |  Jump to Review

Compare the Best Hair Loss Pills

Here’s an at-a-glance comparison that illustrates the key differences between the oral hair loss treatments offered by Hims, Nutrafol, and Keeps.

In addition, we’ve included an educational video that discusses finasteride, the medication offered through Hims and Keeps, so you can learn more about this prescription option.

Swipe or scroll to view all columns →

Comparison: Compare the Best Hair Loss Pills

Hims vs. Nutrafol vs. Keeps	Hims	Nutrafol	Keeps
Type of oral treatment	Oral Finasteride Biotin Gummies	Nutrafol Men	Oral Finasteride
Price	From $22/month	$79 for 1-month supply of nutraceutical	$17.78/month
Usage	Once-a-day pill	4 capsules daily	Once-a-day pill
Helps with	Hair loss in the middle of the scalp and at crown	Early signs of hair thinning and shedding	Hair loss in the middle of the scalp and at crown
Recurring subscription available?	✅	✅	✅
Effectiveness for androgenetic alopecia	High	Low to moderate	High
Effectiveness for hair loss due to nutrition/stress	Low to moderate if paired with treatment that addresses underlying condition	High	Low to moderate if paired with treatment that addresses underlying condition
DHT blocking effectiveness	High	Low	High
Possible side effects of ingredients	Moderate	Low	Moderate
Clinically tested?	✅	✅	✅
FDA-approved ingredients?	✅	❌	✅
Drug free?	❌	✅	❌
Additional products	Topical Finasteride & Minoxidil Spray Minoxidil Solution & Foam Shampoos and Conditioners	Hair Loss Serum	Topical Finasteride & Minoxidil Spray Minoxidil Solution & Foam Shampoos and Conditioners
Website	Hims	Nutrafol	Keeps

Hims vs Nutrafol

Both Hims and Nutrafol offer natural treatments for those who would rather avoid taking prescription medication. Hims supplies biotin gummies, while Nutrafol’s flagship nutraceutical combines a variety of supplements proven to help boost hair growth. One difference to note is that Hims can also prescribe and deliver FDA-approved medications like oral finasteride, which Nutrafol doesn’t offer.

Related reading:

• Hims Review- Is It Legit for Men’s Hair Loss and ED Treatment?
• Hims vs. Nutrafol? What Helped My Hair Loss Most

Hims vs Keeps

Hims and Keeps both have clinicians who can prescribe oral finasteride, the most clinically-backed medication for male pattern baldness (MPB), a.k.a. androgenetic alopecia. You can get it at a slightly lower price point from Keeps, while only Hims can provide a natural oral treatment, as well as finasteride.

Related reading: Keeps Review- Is It a Legit Hair Loss Subscription for Men?

Nutrafol vs Keeps

Even though Keeps stocks shampoo and conditioner boosted by natural ingredients, they don’t offer any non-pharmaceutical oral treatments. On the flip side, Nutrafol’s only oral treatment is a drug-free hair growth supplement. If you’ve got your heart set on either natural or FDA-approved oral treatment, choosing between these two shouldn’t be tough.

1. Hims Hair Loss Pills Review

Hims Overview

4.7/5 ★★★★★ 4.7/5

How we rate

Oral products: Finasteride, biotin gummies

Price: $22 per month or more

Type of hair loss targeted: Androgenetic alopecia

Other products offered: Topical finasteride and minoxidil spray; minoxidil-only solution and foam; shampoo and conditioner

Time it takes to see results: 3 to 6 months

Try Hims

Hims provides a variety of hair loss treatments you can get from the comfort of your own home. To get prescription medication, you’ll need to complete a quick consultation about your health history and current symptoms, which gets reviewed by a Hims clinician. If you qualify, your treatment gets delivered to your door. You can even sign up for recurring deliveries to make sure you never run out of medication.

A Word From Our Expert

— Dr. Jonathan Rick

For individuals wanting to approach hair loss from several directions, Hims allows quick access to prescription medication and full treatment plans. However, it should be noted that not all hair loss is androgenic and there are several important conditions that can cause hair loss and require attention from a medical professional to diagnose.”

Hims vs. Rogaine

Rogaine is a popular branded version of minoxidil, an over-the-counter male pattern hair loss treatment that’s clinically proven to stimulate hair growth. Hims doesn’t stock Rogaine, but they do offer their own minoxidil foam, which is likely to work just as well as the brand-name version.

Related reading: Hims vs. Rogaine: What’s the Best Topical Treatment for Hair Loss?

Hims Pros & Cons

Hims Hair Loss Oral Products

Hims hair loss oral products:

• Oral finasteride is a 1mg daily tablet that helps block production of dihydrotestosterone (DHT), the hormone that contributes to male pattern baldness.
• Biotin gummies are made to provide a daily dose of vitamin B7 (biotin), which may support hair health and thickness.

Does Hims Work for Hair Loss?

No treatment is effective for everyone, but Hims relies on active ingredients that’ve been proven to work in clinical trials. Finasteride, a DHT blocker, is the only FDA-approved oral treatment for male pattern hair loss. Biotin has less scientific backing, but some research suggests that it can contribute to hair health in certain individuals, especially those with a biotin deficiency.

Related reading: Hims vs. Roman vs. Keeps: Which Hair Loss Subscription Works Best?

Hims Hair Loss Treatment Side Effects

Even though the active ingredients included in Hims treatments are generally well-tolerated, they can cause side effects in some people. Finasteride in particular can have a negative impact on your sex life, even after you stop taking it. It’s something to keep in mind, although most individuals who take finasteride never experience those effects.

Side effects of finasteride can include:

• Decreased libido
• Depression
• Difficulty maintaining an erection or ejaculating

Biotin doesn’t cause many side effects, but it can interfere with blood tests in high doses.

When to Seek Emergency Medical Care

Reach out to your doctor or emergency medical services immediately if you experience:

• Difficulty breathing or swallowing
• Itchy rash or hives
• Swelling of the lips and face

Related reading: How to Reduce the Side Effects of Finasteride

Hims Hair Loss Reviews From Their Customers

Overall, Hims customers love their effective treatment and convenient online doctor's appointments. However, some folks ran into issues with delayed deliveries.

☆☆☆☆☆Bob “Always respond in a timely manner and once the prescription is approved ships quickly.” Hims is easy to use and met my needs very quickly.☆☆☆☆☆Jeff “I really appreciate how easy telehealth services are to use. Hims was easily accessible, quick to get connected to a doctor, and medications were prescribed and delivered promptly. I appreciate being able to avoid having to take time off from work to go to the doctor’s office. Telehealth is so convenient and Hims is very easy to use.” Simple but thorough process☆☆☆☆☆Matthew Vecera “Simple but thorough process. I felt confident in the process and the service every step of the way.”

2. Nutrafol Hair Loss Products Review

Nutrafol Overview

4.6/5 ★★★★★ 4.6/5

How we rate

Oral products: Nutrafol Men

Price: $79 per month

Type of hair loss targeted: Nutrition or stress-related

Other products offered: Hair loss serum

Time it takes to see results: 4-6 months

Try Nutrafol

Because Nutrafol only offers natural treatments, you won’t need to talk to a doctor (online or otherwise) to get it. Instead, you can simply place a one-time order or choose between monthly, quarterly, and biannual deliveries.

Keep in mind, though, even non-drug treatments can come with risks and side effects, so don’t forget to exercise caution and speak with your healthcare provider to ensure it is appropriate for you to use.

Is Nutrafol a DHT blocker?

Nutrafol doesn’t contain any pharmacological ingredients, but some of its components are considered natural DHT blockers, such as saw palmetto.

Nutrafol Pros & Cons

Nutrafol Hair Loss Products

Nutrafol only offers one oral treatment for assigned males with hair loss, called Nutrafol Men. It’s a daily compound of natural ingredients that address nutritional deficiencies, lifestyle factors, and more that can cause or contribute to hair loss.

Nutrafol vs. Finasteride

Nutrafol is a natural, OTC treatment for hair loss caused by nutritional deficiencies, stress, aging, hormones, and more, while finasteride is an FDA-approved medication for androgenetic alopecia, or male pattern hair loss.

Does Nutrafol Work for Hair Loss?

Whether Nutrafol works for you will depend on what kind of hair loss you’re dealing with. If you have reason to believe that stress or nutritional deficiencies might be the source of your hair loss, Nutrafol is likely to work for you. Its combination of saw palmetto, ashwagandha, curcumin, and more, which address the most common causes of telogen effluvium, the scientific name for stress or diet-related hair loss.

Do Dermatologists Recommend Nutrafol?

We spoke with Dr. Jonathan Rick, a board-certified dermatologist to find out a bit more about Nutrafol and its effectiveness.

A Word From Our Expert

— Dr. Jonathan Rick

Of note, nutrafol does actually have some good data behind it -- I think it works but it is quite pricey, and more affordable options should probably be used first, like minoxidil.”

Nutrafol Side Effects

The ingredients in Nutrafol’s treatment don’t tend to cause many side effects, but that doesn’t mean they don’t come with any risks. Even natural ingredients can interact with medications, so be sure to talk to a doctor before adding anything new to your regimen.

Side effects of ashwagandha can include:

• Diarrhea
• Liver problems (in large doses)
• Upset stomach
• Vomiting

Side effects of saw palmetto can include:

• Headache
• Upset stomach

When to Seek Emergency Medical Care

Get in touch with a doctor or seek emergency care immediately if you experience any of these potentially serious symptoms:

• Difficulty breathing or swallowing
• Hives or itchy rash
• Jaundice (yellowing of the skin or eyes)
• Pain in the upper right abdomen

Nutrafol Hair Loss Reviews From Their Customers

Nutrafol customers love how simple and effective their treatment is, but some complained that they faced difficulties canceling their subscriptions when they no longer needed them.

Really Works!☆☆☆☆☆Edward “I have been taking these regularly. What a difference! Stops the shedding and really encourages hair growth. Highly recommend! You need to be patient. These aren't magic beans, they don't work overnight!” It works to some degree☆☆☆☆☆Michael O'Donnell “I’ve been using Nutrafol for a few months. While it hasn’t done anything noticeable for the hair on my head, it has made my patchy facial hair a lot fuller. I recently reduced my daily dosage to 2 pills and haven’t noticed any loss of the gains I made. I recommend you give it a try.”

3. Keeps Oral Hair Loss Products Review

Keeps Overview

4.6/5 ★★★★★ 4.6/5

How we rate

Oral products: Finasteride

Price: $17 per month

Type of hair loss targeted: Male pattern hair loss

Other products offered: Minoxidil foam and solution, shampoo and conditioner

Time it takes to see results: 3-6 months

Try Keeps

Keeps is a telemedicine brand that specializes in male pattern hair loss. You can get over-the-counter topical treatment like minoxidil through them, or complete a quick consultation to get a doctor’s approval to start finasteride, if appropriate. They ship your treatment to your door on a monthly or quarterly basis.

Related reading: Keeps vs. Propecia- What’s the Difference?

Keeps Pros & Cons

Keeps Oral Hair Loss Products

Keeps only offers one oral treatment for hair loss: finasteride, a 1mg FDA-approved prescription pill that works by blocking DHT production.

A Word From Our Expert

— Dr. Jonathan Rick

Oral finasteride has a proven track record of efficacy. When used exclusively for hair loss, low doses appear to be effective (1 mg daily). However, this is still a systemic medication and the topical approach appears to have less impact on your body's hormones.”

Does Keeps Work for Hair Loss?

When it comes to their offerings, Keeps sticks to the science. Finasteride is the only FDA-approved oral treatment for male pattern hair loss, an effective, clinically-proven choice for individuals who qualify for this prescription.

Related reading: Keeps Before and After- See Results From Real Keeps Customers

Does Hims or Keeps offer the most affordable finasteride pills?

Keeps wins this one at a slightly more affordable price point of just $17 per month.

Keeps Hair Loss Treatments Side Effects

Side effects of finasteride can include:

• Decreased libido
• Depression
• Difficulty maintaining an erection or ejaculating

When to Seek Emergency Medical Care

Head to the emergency room if you experience any of these symptoms of an allergic reaction while taking finasteride:

• Difficulty breathing or swallowing
• Itchy rash or hives
• Swelling of the lips and face

Related reading: Best Oral Finasteride Alternatives for Male Hair Loss

Keeps Hair Loss Reviews From Their Customers

Keeps customers are satisfied with their effective treatments, low prices, and fast shipping. However, some people had trouble canceling subscriptions or finding deliveries.

Great prices, fast shipping, great support☆☆☆☆☆Lucas De Souza “Great prices, excellent service. I've been using Keeps for years and they’ve never let me down. Doctors are fast to review the files and once my package never arrived the support was able to find a solution. Super recommend.” I have been using keeps for about 7 months and it works!☆☆☆☆☆Matthew G. LeBrasseur “I have been using keeps for about 5 months now and the results are clear, I have more hair, I have thicker hair, it really worked for me. I know people who have used it to the same success but others who have used it and not seen much change, I think it's dependent on the person. I do my best to stick to the schedule- I use the pill and the foam, I've never missed a pill but I've fallen sleep a couple of times and missed the second dose of foam. Overall its been a great experience, its easy if you stick to the routine. I have had good experiences with the website and the customer service staff. If you have the money and the patience to try Keeps it's totally worth it!” Pretty easy to get hair loss treatments…☆☆☆☆☆Jamie “Pretty easy to get hair loss treatments and good customer service. Was a little worried when my card was automatically charged as part of the subscription even though I intended to discontinue treatment, but they made cancelling the order simple (by phone call within 24h).”

The Verdict: Which Hair Loss Pill Works Best?

Keeps is the most affordable option.

If you’re only interested in FDA-approved oral medication for male pattern hair loss, Keeps is your most affordable option.

Try Keeps →

Nutrafol is the best drug-free solution.

For natural, drug-free treatment for nutrition, hormone, or stress-related hair loss, Nutrafol may be the best option for you.

Try Nutrafol →

Hims is ideal for those who want prescription and OTC hair loss treatment options.

If you’re looking for prescription and OTC options for hair loss, Hims might be the right match for you, as they offer oral finasteride and OTC gummies, as well as several topical hair loss solutions.

Try Hims →

Frequently Asked Questions (FAQs)

Can I take Nutrafol with finasteride?

According to the FDA label, finasteride doesn’t have any known interactions with other treatments. Still, make sure you check in with your doctor before trying anything new

Why is Nutrafol not FDA-approved?

Since Nutrafol doesn’t contain any pharmacological ingredients, it’s not subject to FDA review.

How can I regrow my thinning hair?

That depends on what’s causing your hair to thin. If you’ve experienced intense physical or mental stress lately, or made a big change in your diet, your hair could be thinning due to nutritional deficiencies, in which case the right vitamin or supplement could be all you need. If your hair has been slowly but steadily thinning at the crown and hairline, you’re probably dealing with male pattern baldness. The best way to manage that is with oral finasteride and topical minoxidil.

What is the best prescription pill for hair loss?

The only FDA-approved pill for male pattern hair loss is finasteride (a.k.a. Propecia).

Which vitamin deficiency can cause hair loss?

Plenty of deficiencies can contribute to hair loss, including iron, biotin, and collagen.

Methodology

To find the best oral treatment for hair loss, we started by searching online for any providers that specifically focused on treating hair loss in assigned males. Next, we narrowed our list down to only the highest-rated and most popular, effective, and useful options. We then evaluated each service based on its features, ease of use, reputation, customer service, and reviews. We also considered additional costs and subscription options. We ultimately made our decision based on the comparative convenience, affordability, and efficacy of each treatment.

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