But first, a primer on men's hair loss treatments.
While the idea of scrambling to secure every last fiber to one’s scalp may seem funny, I assure you hair loss is no laughing matter to most grown men. With two-thirds of American males experiencing “appreciable hair loss” by age 35, and 85% noticing full-blown “thinning” by age 50, it’s an extremely pervasive source of insecurity and stress. As a result, Hims, Keeps, and Roman are vying for their share of a massive market. Here’s an overview of what these three brands offer when it comes to hair loss treatment, and how exactly they work to keep your precious locks flowing. If you’re already familiar with what Roman, Hims, and Keeps have to offer, skip to the end for our take on if they actually work.
Hims vs. Roman vs. Keeps: Hair Loss Treatment Comparison
After a brief online consultation and sometimes a phone or video consultation with a licensed doctor, Hims, Roman, and Keeps will recommend a personal hair loss treatment plan. All three typically offer the same general remedy: a 1mg daily finasteride regiment or Minoxidil — the generic version of Rogaine — which is a topical treatment. Finally, Hims also recommends a daily biotin vitamin (in gummy bear form) for good measure, but this is more to guard against diet deficiencies, rather than inevitable hereditary balding. Here’s a quick price comparison and more details on how each treatment works to stem hair loss:
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How does finasteride work for hair loss prevention?
Finasteride works by blocking DHT (dihydrotestosterone), a hormone derived from testosterone that is known to shrink hair follicles and cause male pattern baldness (androgenetic alopecia).
While some patients have reported experiencing partial regrowth for a brief period immediately after starting treatment, finasteride is generally intended to maintain one’s current head of hair, not promote regrowth after it’s already fallen out.
Hair follicles begin shrinking again the minute you stop taking finasteride, which is why patients often report hair loss immediately after stopping. The key takeaway is that continued use of finasteride is required to maintain results.
Do studies show that Finasteride works for hair loss?
In one clinical study from 1998 involving ~1500 balding men over two years, 1 mg/d of finasteride slowed the progression of hair loss and increased hair growth in the balding vertex (i.e. the crown area most commonly associated with male pattern hair loss). Meanwhile, the control group experienced progressive hair loss. Efficacy was evaluated by scalp hair counts, patient and investigator assessments, and review of photographs by an expert panel.
A similar study from 1999 demonstrated an equally significant increase in the hair count in the frontal scalp of finasteride-treated patients (i.e. the hair line neat the forehead region, not just below the crown).
What are the *potential* side effects of finasteride?
Loss of Libido and Sexual Dysfunction
Other Side Effects
How exactly does Minoxidil work for hair loss prevention?
Do studies show that Minoxidil works for hair loss?
What are the *potential* side effects of Minoxidil?
Hims vs. Roman vs. Keeps: The Verdict
Quick caveats before you dive in
While there seems to be consensus that finasteride and minoxidil work as hair loss prevention supplements, they unfortunately don’t help regrow hair if you’re already bald. (Sorry bro.) They also both stop working the moment you pause treatment, so if you’re unable to follow a strict daily routine, you are unlikely to see results. In the case of minoxidil, you likely won’t notice results for the first 6 months of diligent application. There have been cases of adverse sexual effects linked to steady finasteride use, but they typically occur in 2-3% of users, and no causal relationship has been established.
These are some basic facts to help you adjust your expectations. I hope this post helps you compare roman vs. hims vs. keeps! To help you further decide if they offer solutions that could work for you, you might just have to give each a shot.
If you’re a seasoned finasteride user looking for convenience and low price, go with Roman. They take customer discretion seriously, always your sending meds in nondescript packaging. Plus you gotta love their discounts for buying in bulk. Click the image below to get your first month free:
If you love supporting an underdog, give Keeps a shot. They emerged onto the scene last, but that doesn’t mean they won’t end up on top one day! They are the only player focused exclusively on hair health, and that honed focus can may ultimately lead to better product offerings. Read our full Keeps Review and click below to get 50% off — an exclusive discount for Fin vs Fin readers that you won’t find elsewhere:
One final thought on hair loss treatments: if you’re hesitant to get started, there’s nothing wrong with embracing your baldness. You’ll be in good company 🙂
Head to Head comparisons
Not everyone is looking at all of the companies we mention in this review, so let’s compare each of these vendors one-on-one against each other.
What’s better, Hims or Keeps?
Hims offers an online doctor’s visit and prescription meds for a variety of conditions faced by men, including sexual health and alopecia. For hair loss, like Keeps, Hims offers Finasteride and Minoxidil, available for $34.95 a month (for a little more you can get the complete kit with shampoo and biotin gummies). 100% focused on alopecia, and they offer a Fin and Minoxidil bundle for $70 for 3 months ($23.33 per month). Keeps also has a foam Minoxidil, and their 1st online doctor’s visit is free. We’ve partnered with Keeps to offer an exclusive 50% off discount to get started.
What’s better, Keeps or Roman?
Keeps is focused on keeping men from going bald, with online doctor’s visits and FDA approved medicines. Their 1st doctor’s visit is free, and a Finasteride and Minoxidil bundle is pretty affordable. Keeps also have a foam Minoxidil, which is a big differentiator vs. Roman. Roman offers a variety of doctor consultations and treatment options for men with a variety of conditions, from problems in the bedroom to male pattern baldness. Roman’s first online doctor’s visit is free, as is the first month of treatment. Fin and Minoxidil together are $96, or just $36 a month ($24 a month for the 1st three months, with the introductory offer). Both companies offer 3 month subscriptions.
What’s better, Roman or Hims?
Both Roman and Hims provide online doctor visits for a variety of medical conditions impacting men. For men going bald, Roman has a zero cost (free!) doctor’s visit, and can prescribe FDA approved Finasteride, as well as FDA approved Minoxidil – together $96, or just $36 a month. Roman offers the first month free, which makes it $24 a month for the first three months. With Hims, for $44 a month, you can get a bundle that includes biotin gummies and DHT blocking shampoo, Fin and Minoxidil. Roman’s monthly subscription is slightly cheaper and comes in a three month block, while Hims cost a bit more but is month to month. We tend to recommend Roman if you are committed, due to the lower overall yearly cost.