Manual hair loss products include oral finasteride (Propecia) pills that are taken by mouth once daily and minoxidil (Rogaine) hair loss spray that is applied twice a day. Both the spray and the oral treatment contain MHRA-approved prescription medicines that, according to research, are effective in treating male pattern hair loss in some individuals. Side effects of oral finasteride and topical minoxidil can range from mild to severe, however, these treatments are generally well tolerated.
We recommend Manual hair loss treatments treatments for individuals looking to prevent hair loss and promote thicker, healthier hair growth using research-backed, prescription-based solutions. Manual offers clinically proven treatments for hair loss, along with non-prescription options like specialized shampoos and hair growth vitamins to support overall scalp and hair health. With guidance from a licensed physician, you’ll receive a personalized hair loss treatment plan tailored to your needs, plus ongoing support throughout your hair regrowth journey.
In this updated for 2026 review, we explore the pros and cons of Manual hair loss treatments, their benefits, their potential side effects, and more. In addition, we spoke with Dr. Jonathan Rick, a board-certified dermatologist, about his thoughts on Manual’s hair loss treatment ingredients.
Manual.co Hair Loss Review Pros + Cons
Pros
- Contains MHRA-approved medicines that are clinically proven treatments for male pattern hair loss
- Team of licensed medical doctors manage your treatment, track your progress, and offer unlimited clinical support via phone or email
- Effective, personalized meds including an All in One Capsule which combines the most clinically-proven active ingredients for hair loss (finasteride and minoxidil) into a convenient daily pill
- Individualized, holistic treatment with a bespoke prescription based on your needs, health, and lifestyle factors
Cons
- Only treats male pattern hair loss and thus is not an appropriate treatment for men with hair loss that’s not related to aging.
- 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, but worth setting expectations regardless.
Related reading: Manual Testosterone Support Review
My Experience With Manual Hair Loss
I found Manual hair loss treatment to be a convenient way to manage pattern hair loss. After one virtual consult, I was prescribed oral finasteride and a minoxidil hair loss spray. I appreciated being able to work with the same GP who took into account my medical history, genetics, lifestyle, and other hair loss factors.
Overall, Manual’s physicians were easy to connect with via phone or email the two times I had follow up questions. Each time they responded quickly with thoughtful responses about my hair loss treatment plan. In addition, I liked being able to upload images for my GP to monitor my progress.
Arguably the best part is that Manual offers more affordable hair loss meds than most other men’s telehealth clinics in the UK. Since you have to continue to take hair loss medication indefinitely, affordability is an important factor to consider.
Do Manual’s Hair Loss Treatments Work?
Manual offers effective prescription-based treatments for male pattern hair loss that may work for many individuals. 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 healthcare provider.
Benefits of Oral Finasteride
Male pattern hair loss 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
Finasteride blocks an enzyme called 5-alpha-reductase (5AR), which changes testosterone, the primary sex hormone in individuals assigned male at birth, into DHT. This prevents further hair loss and encourages new hair growth as long as you are taking the medication.
The Benefits of Minoxidil Hair Loss Spray
Minoxidil encourages the hair to enter the growth phase of the hair cycle and improves blood flow to your hair follicles. This helps promote thicker hair growth, while slowing down further hair loss.
It works best for individuals under the age of 40 who have just started to experience hair loss. It may not be effective for treating receding hairlines.
A Word From Our Expert
— Dr. Jonathan Rick
Topical minoxidil is a cost-effective treatment for several types of hair loss. This was initially sold as Rogaine, but there are several generic alternatives on the market now. There is a wealth of data and experience showing that this is an effective product, especially for androgenic alopecia.”
Why We Recommend Manual for Men's Hair Loss
Male pattern hair loss impacts 30% to 50% of individuals by the time they reach the age of 50. In some individuals, it is associated with negative self-image, causing anxiety and depression, and making effective treatment incredibly important.
We recommend 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. In addition, their platform offers many other helpful benefits.
Access to Experts
You deserve the best guidance and support when it comes to your hair loss treatment. The team at Manual are physicians who have years of experience helping individuals address their hair loss concerns. As medical professionals, they’re well-versed in all the latest science and innovations available to stop thinning and even regrow hair on your scalp.
Unlimited Clinical Support
The knowledgeable physicians at Manual are always available for you to talk to via phone or email. Your subscription includes unlimited support from your licensed hair loss specialist, so you can always turn to them with questions or seek their guidance regarding your progress.
Convenient Subscription Helps You Stay Consistent
Consistent use of finasteride pills and minoxidil hair loss 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 physician’s medication instructions carefully. The convenient subscription package at Manual makes it easy to stay on top of your treatment and ensure you never miss a dose.
Target Hair Loss From Different Angles
When it comes to managing hair loss, the combined power of finasteride and minoxidil can be more effective than any singular treatment for certain individuals. These treatments offer great benefits alone, but used in tandem, they make the most comprehensive hair loss medication bundle available.
The combination of finasteride’s DHT-blocking properties and minoxidil’s follicle-stimulating effects work together to slow down hair loss and improve hair growth, leading to long lasting results as long as medications are used as prescribed. Manual’s All-in-One capsule combines both active ingredients into a single oral dose.
Side Effects: Are Manual Hair Loss Products Safe?
Finasteride and minoxidil are associated with certain side effects that range from mild to severe. In general, these side effects don’t typically impact the majority of individuals using these medications and if side effects are experienced, many tend to be temporary.
Be sure to let your healthcare provider know about any prescription or non-prescription medications or supplements you are taking prior to using these products. If you experience any side effects, let your healthcare provider know right away.
Finasteride side effects may include:
- Reduced sexual desire
- Difficulty having or maintaining an erection
- Testicle pain
- Symptoms of depression
- Ejaculation problems
Minoxidil side effects may include:
- A dry or flaking scalp
- An itching scalp
- Scalp burning and irritation
- Difficulty with swallowing or breathing
- Swelling of the face
- A rash or hives
- A fast heartbeat or chest pain
- A lightheaded feeling
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 |
| ❌ |
| ❌ |
| 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 |
The Verdict: Is Manual Legit for Men's Hair Loss?
Manual is best for men who want to treat thinning on the scalp with the most powerful clinical medications. It is an ideal choice for guys in the early to moderate stages of hair loss and want to use prescription medications over cosmetic procedures. The convenient subscription package offers unlimited support, doorstep delivery, personalized care, as well as ongoing access to an expert clinician who manages your entire treatment.
Overall, we recommend Manual because it can deliver clinically proven meds, that work for most men, to your door discreetly and for less than other online hair loss providers in the UK.
Related reading: Hims UK Hair Loss Review
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 £28 per month. Discounts are available, so be sure to ask about them when you connect with your Manual physician.
How do I get started with Manual?
Take the free hair loss quiz, then schedule an appointment to get evaluated by one of their hair loss experts. From there, you’ll be told whether you qualify for finasteride and/or minoxidil. If you do, you’ll be given a custom prescription based on your specific needs.
How do I use finasteride and minoxidil for hair loss?
Where is Manual available?
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 any hair loss products actually work?
Yes. In general, topical minoxidil and oral finasteride work for many individuals experiencing male pattern hair loss. Topical minoxidil and oral finasteride are the only FDA-approved
treatments for male pattern hair loss and are considered the main treatments for this condition in the United Kingdom.
If you are interested in using these medications, be sure to speak with your healthcare provider to ensure it will work for you.
Curious where to start?
We’ve personally tested hundreds of hair regrowth products for men. Find out which work best (and enjoy exclusive discounts!) in our hair loss newsletter.
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 |
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