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MANUAL Hair Loss Review – Is It Legit?

Last Update: September 7, 2026

by Alex Goldberg

About the Author

Alex Goldberg

Alex worked at three early-stage startups before starting Fin vs Fin. Covering the rise of direct-to-consumer health, his mission is to help patients access better treatments online. He's also a husband, father, and UC Berkeley grad who enjoys golf, podcasts, live music, cooking, and home improvement.

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Manual Hair Loss Review

Rating: 4.7 / 5

How we rate

Medically reviewed by: Alex Goldberg

Alex Goldberg

Alex worked at three early-stage startups before starting Fin vs Fin. Covering the rise of direct-to-consumer health, his mission is to help patients access better treatments online. He's also a husband, father, and UC Berkeley grad who enjoys golf, podcasts, live music, cooking, and home improvement.

Curious about MANUAL’s hair loss treatments? I was too, and decided to try them out for myself.

You’ve probably seen their brands on social media and wonder, do MANUAL’s hair loss treatments actually work? I’ve done the hard work for you and dug up all the intel you need to decide if MANUAL could be right for you.

MANUAL offers both a spray and an oral treatment containing MHRA-approved prescription medicines that, according to research, are effective in treating male pattern hair loss for most men. Although these drugs aren’t completely devoid of side effects, these treatments are generally well tolerated.

Long story short, based on the results I’ve seen over the last year – I would recommend them. Their prescription treatments helped boost my hair thickness significantly.

In this review, I explore the pros and cons of the treatments, their benefits, and share details about my personal experience. In addition, we compare MANUAL to alternative hair loss treatment providers in the UK – including Numan, Sons, and Hims – to help you choose the best option for your scalp.

Manual Pros + Cons

Pros

Contains MHRA-approved medicines that are scientifically proven treatments for baldness
Team of licensed clinicians manage your treatment plan, track your progress, and offer unlimited clinical support via phone or email as needed
Effective. MANUAL’S treatments combine scientifically-proven active ingredients for hair loss into a convenient daily plan that has worked well for me and thousands of others.
Individualised care with a bespoke prescription based on your health and lifestyle

Cons

Patience is required as it may take between 6 to 12 months of consistent usage to see results. That’s standard for hair loss meds in general, not a con specific to MANUAL, but worth mentioning regardless.

My Personal Experience

I started with MANUAL in 2022 and have found it to be a convenient way to manage my male pattern baldness. The experience of getting a prescription was easy, and I’ve seen significant results from combining their oral treatment with their topical spray. Both are simple to apply – just one pill orally and one topical spritz on my scalp per day.

At several points during the course of my treatment, I’ve been able to access clinicians via phone or email to ask questions. Luckily I haven’t experienced any side effects needing urgent attention, but it’s helpful to know I can access help quickly, just in case.

I initially chose MANUAL over Sons and Numan because of its lower price point. Alternative platforms offer similar hair loss treatments (oral + topical, Rx and over the counter), but MANUAL won me over with ever so slightly lower pricing.

What Does MANUAL Prescribe for Hair Loss?

MANUAL offers effective over-the-counter products, as well as prescription-based treatments for male pattern baldness that may work for many individuals. For most men who take them as instructed, potential benefits may include improved hair growth, decreased hair loss, as well as increased hair thickness.

The benefits of hair loss treatment may only be seen when the medications are used as prescribed by your clinician.

Oral Meds

Image by Manual

Male pattern baldness is associated with high levels of the hormone dihydrotestosterone (DHT) in the hair follicles. An increased level of DHT in the hair follicles may lead to:

Delayed growth of new hair
A shorter hair growth cycle
The growth of thinner and shorter new hair

MANUAL’S oral hair loss meds block an enzyme called 5-alpha-reductase (5AR), which changes testosterone, the primary sex hormone in individuals assigned in males at birth, into DHT. This prevents further hair loss and encourages new hair growth as long as you are taking the medication as prescribed.

Hair Spray

Image by Manual

MANUAL’S topical spray works by encouraging the hair to enter the growth phase of the hair cycle and improving blood flow to your hair follicles. This helps promote thicker hair growth, while slowing down further thinning.

I combined both oral and topical treatments from MANUAL, which is often recommended (depending on your situation) for maximum results.

Why I Recommend MANUAL for Hair Loss

I personally MANUAL hair loss products because they use powerful, MHRA-approved treatments that are associated with reduced hair loss, increased hair growth, and improved hair density for the following reasons.

All Natural Ingredients

You deserve the best guidance and support when it comes to your hair. The team at MANUAL are specialist clinicians who have decades of experience helping individuals improve follicle health. As licensed medical professionals, they’re well-versed in all the latest treatments, innovations, and advancements in hair restoration.

Unlimited Support

The knowledgeable clinicians at MANUAL are always available for you to talk to via phone or email. Your subscription includes unlimited support, so you can always turn to them with questions or seek their professional opinion regarding your progress.

Convenience to Help You Stay Consistent

Consistent use of MANUAL’S oral treatments and topical spray offers you the best chance of meeting your hair regrowth goals. Keep in mind that it can take anywhere from six to 12 months before you see results, making it critical that you follow your clinician’s instructions carefully. The company’s recurring subscription ensures you never miss a dose.

Target Hair Loss From All Angles

MANUAL offers both prescription meds and over-the-counter options to help you combat hair fall from multiple angles. The combination of their oral treatment, DHT-blocking properties and their topical formula’s follicle-stimulating effects worked together to best slow down my hair loss. The regrowth I noticed ~3 months after taking both products was a huge relief!

Manual Testosterone Alternatives: Manual vs OptiMale vs Numan

We compared their hair loss treatments to three other popular hair loss brands in the UK, including Numan, Sons, and Hims. Review this chart to help narrow down which will work best for your needs.

MANUAL vs Numan vs Sons vs Hims
Oral Finasteride price (monthly)	£15	£18	£31	£23
Topical Minoxidil price (monthly)	£19	£40	£18	£27
Finasteride + Minoxidil combo price	£20	£22	£22	£30
Free shipping?	✅ Ships within 2 business days	✅ Ships within 24 hours	❌	✅ Ships within 2-3 business days
Topical minoxidil + finasteride spray available?	✅	✅	❌	✅
Pause or cancel anytime?	✅	✅	✅	✅
Non-Rx hair loss products	Minoxidil oral capsules Power shampoo Hair growth vitamins	❌	Shampoo Biotin hair vitamins	❌
Money-back guarantee?	✅ 180-day money back guarantee	✅ 180-day money back guarantee	❌	✅ 90-day money back guarantee
Geographical Availability	UK Brazil	UK	UK	UK US
Website	Manual	Numan	Sons	Hims

Related reading: Numan vs MANUAL vs Hims vs Sons – Which is best for hair loss?

MANUAL Reviews: What do other customers think?

“MANUAL is the most straightforward, easy and reassuring company when it comes to Finasteride and minoxidil, I’ve had help every step of the way if I've required it and I couldn’t be happier with the results!” – Luke

“I prefer the use of tablets over using product on my hair which I have always found leaves my hair tough and greasy. They also have a good check in service for you to track your progress and a call with a professional who was very knowledgeable and pleasant to talk to.” - Joe Jones

The Verdict: Is MANUAL Legit for Men's Hair Loss?

MANUAL is ideal for [guys/women/shoppers] who want to…

MANUAL’s hair loss treatments are best for men who want to treat thinning on the scalp or hairline with the most powerful clinical medications. It’s ideal for guys in the early to moderate stages of hair loss who are open to taking prescription medications over cosmetic procedures.

The convenience they offer with unlimited support, doorstep delivery, as well as access to an expert clinician who manages your treatment plan, has offered me peace of mind. It feels good to know I’m doing everything I can to keep my hair, with the help of licensed clinicians, 100% on auto-pilot each month.

Overall, I recommend MANUAL because it can deliver clinically proven meds that have worked for hundreds of thousands of men – including me! – for slightly less than other online hair loss providers in the UK.

Frequently Asked Questions (FAQs)

How much does MANUAL hair loss treatment cost?

Cost will vary based on the subscription you select, but pricing typically ranges from about £15 to about £38 per month. Discounts are available, so be sure to ask about them when you connect with your Manual clinician.

How do I get started with MANUAL?

Take the free hair loss assessment, and get your results evaluated by their hair loss clinicians. From there, you’ll be told whether you qualify for treatment via MANUAL. If you do, you’ll be given a custom prescription based on your specific needs.

Where is MANUAL available?

Currently, Manual hair loss products are only available in the United Kingdom and in Brazil.

Can you cancel MANUAL subscription anytime?

Yes. Head over to Manual.co, log into your account, go to “Accounts,” and select “My Plan.” From there, you can pause or cancel your subscription.

Do hair loss products actually work?

Yes. In general, topical minoxidil and DHT-blocking treatments work for many individuals experiencing male pattern balding. Topical minoxidil and oral hair treatments are the only MHRA-approved treatments for alopecia and are considered the main treatments for this condition in the United Kingdom.

MANUAL offers both in all-in-one oral treatment, but also allows you to purchase them separately as well (if eligible).

If you are interested in using these medications, be sure to speak with your clinician to ensure it will work for you.

Methodology

We conduct extensive research to evaluate the pricing, effectiveness, accessibility, overall quality, and user experience of every telehealth service we review. This also includes examining and comparing each provider to comparable telemedicine alternatives. We also evaluate usability, treatments, prescription delivery time, and more to determine the best value for those seeking fast and reliable telehealth services.

Review Process	Key Metrics	Weighting
Sign up online	- ease to complete intake form - affordability - upfront commitment or subscription required? - money back guarantee or refund policy?	0.5
Vitual consult with provider / determine eligibility	- ease to get appointment to determine eligibility - need to leave house for labs or other in-person care?	1
Shipping + unboxing	- shipping cost - time from order to treatment delivery - discreet packaging to maintain privacy	0.5
Test + journal for 1-3 months	- ease of application - transition into habitual use - taste / smell / feel / pain	1.5
Results after 3 months of use	- efficacy / results - lack of side effects - ease of refill / reordering - quality of ongoing clinical support - responsive customer support - willingness to recommend to a friend	1.5