Medically reviewed by: 
The American Hair Loss Association reports that 25% of men with hereditary male pattern baldness begin to lose their hair before turning 21, and by 35, 66% of men notice some level of hair loss. While the majority of hair loss cases are due to genetics, you can still use certain medications to slow or minimize thinning by being proactive.
Topical finasteride and dutasteride solutions are two of the most common treatments for men that have been shown to be effective, and Strut Hair Loss is a new telehealth company providing custom formulations of each. Many Strut hair loss reviews have made it clear that the company’s products are indeed effective, and it’s wonderful you can get prescription treatments from the comfort of home, but we wanted to investigate further. Are their hair loss products worth trying?
In this 2026 review, we take an in-depth look at Strut’s hair loss solutions, the science behind how they work, and how they compare to other leading treatments for male pattern baldness. We’ll break down effectiveness, ingredients, pricing, and overall value to help you decide whether Strut is the right choice for your hair regrowth goals. Let’s dive in, shall we?
What treatments does Strut prescribe for men’s hair loss?
Men of all ages may begin to lose their hair over time, most due to a genetic disorder known as androgenetic alopecia, also known as male pattern baldness. This is caused by a combination of hormones and genetics, and while there is no cure for this form of hair loss, specific treatments can help to halt or reverse the process. Dutasteride and finasteride are two of these medications.
Strut offers both dutasteride and finasteride in both topical and oral forms, allowing users to select the treatment that works best for them, as well as their preferred application method. Other active ingredients in these formulations may include minoxidil, biotin, and tretinoin.
We’ll get into the details of each of these medications, but let’s first look into Strut’s compound medications.
What are Strut’s compound medications?
Strut’s innovative platform enables licensed telemedicine physicians in the US to treat you remotely and safely via encrypted chat, phone, or video. Depending on your scalp’s condition, your doctors then create a treatment plan specifically for you, often involving a custom compound medication.
A compounded medication is one that is specially combined and manufactured for you based on a doctor’s prescription. Compound drugs are made by combining one or more active components, each in a specific dosage and strength. This ability to personalize drugs allows medications to be tailored to your specific requirements. This offers many advantages, such as making it easier to take or more convenient to use.
A compounded medication is one that is specially combined and manufactured for you based on a doctor’s prescription. Compound drugs are made by combining one or more active components, each in a specific dosage and strength. This ability to personalize drugs allows medications to be tailored to your specific requirements. This offers many advantages, such as making it easier to take or more convenient to use.
Now that you’re familiar with compounded medications in general, let’s see exactly how Strut crafts personalized hair loss prevention drugs, just for you.
How to get Strut Health’s hair loss treatments
Ordering your personalized hair loss treatment formula from Strut is straightforward and comprehensive. After completing their 15-minute online questionnaire, you’ll provide images of your scalp to help Strut’s doctors determine the best course of treatment for you. They will also inquire about your symptoms, any worries, and other details – just as any dermatologist or hair loss specialist would in-person – except you don’t have to get off the couch!
Strut will then connect you to a licensed US doctor, and within 24 hours, their team will analyze your information and assess if prescription hair loss meds are suitable for your condition. You can also chat with a board-certified doctor directly if you have any concerns or questions, and Strut provides free unlimited follow-ups for continued conversations.
Once the doctors have reviewed your questionnaire and photographs, they’ll concoct a custom prescription that they believe is best suited for you. Once approved, your product(s) will be shipped to you for free on a monthly basis (or based on a frequency of your choosing).
That’s it, simple as that!
Is Strut’s topical finasteride legit?
While you can get inexpensive finasteride online from a growing number of online hair loss providers, Strut offers a unique spin on the FDA-approved, clinically proven drug that we really appreciate. For one, we appreciate the 4-in-1 strength of Strut Finasteride Gel – making it one of the most concentrated topical formulas for hair loss on the market. We also love that, depending on your preferences, you can choose between topical solution or gel, as well as the more-traditional oral tablet form.
While all forms of finasteride pose the risk for unwanted (albeit rare) side effects, the topical solution and gel formats may reduce the risk because they don’t enter your blood through the digestive tract, but rather through the skin directly at the point of need (i.e. your scalp). If you’re worried at all about side effects, especially from taking a stronger compounded formula like Strut’s, we recommend their gel, which we haven’t found from any other providers yet.
The gel contains prescription-grade active ingredients that combat male pattern baldness while being free from any preservatives, propylene glycol, or parabens. That means in addition to driving results for thousands of men, it’s also cruelty-free.
It’s worth re-emphasizing that Strut’s finasteride gel is truly unique. As far as we know, they are one of the very few custom compounding pharmacies to offer finasteride in this convenient, easy to apply, and low-side-effect-risk format.
How does topical finasteride work to stem hair loss?
Regardless of whether you opt for the gel or solution, Strut’s topical finasteride hair loss formula has nonprescription and prescription ingredients that are proven to tackle hair loss, as well as potentially facilitate noticeable regrowth. In addition to finasteride’s 5-alpha reductase inhibitor properties which are clinically-proven to stop hair loss in most men when taken as prescribed, the solution also contains:
- Tretinoin
- Minoxidil
- Biotin
Together these ingredients ensure proper hair growth and thicken the hair follicles. The additional active ingredients are designed to complement the action of finasteride, making it penetrate deeper into the scalp, and improve scalp health from multiple angles to allow for the best chance of follicle growth. Below we’ll dive into the science behind each active ingredient.
What’s inside Strut topical finasteride?
Strut finasteride gel contains the following active ingredients:
- Finasteride: A prescription-strength (FDA-approved) active ingredient that acts by reducing the activity of 5-alpha-reductase, which is an enzyme that converts testosterone into DHT (dihydrotestosterone). Higher DHT levels can cause the hair follicles to shrink, leading to hair loss. Thus, the enzyme inhibition decreases DHT levels in the body, leading to reduced hair loss.
- Tretinoin: A vitamin A derivative that is most typically used as a medication to treat various levels of acne. When it comes to the efficacy of tretinoin for hair growth, however, research is just getting started. While there is limited proof that tretinoin alone can encourage hair regeneration, there is evidence that it can have promising results when combined with certain other drugs.
- Minoxidil: Another FDA-approved treatment, promotes hair growth by acting as a vasodilator, opening blood vessels and enhancing circulation to the treated area. This can activate and revitalize dormant hair follicles, resulting in their growth. While other hair loss treatment providers, sell minoxidil separately, Strut bundles it as an ingredient in its Finasteride gel/solution. This does not affect the efficacy, and the dosage can be altered.
- Biotin: A water-soluble vitamin that helps in the formation of keratin, a protein that makes up your skin, nails, and hair. A biotin deficiency can lead to hair loss, so taking supplements ensures you have sufficient reserves to promote growth.
Still unsure? We have rounded up the best topical finasteride options and compared them head-to-head to help you find your perfect fit. Spoiler: Strut’s gel is one of our favorites – but your final choice will ultimately depend on your hair condition, budget, preferred application method, and more.
Switching gears, let’s review Strut’s dutasteride solution as well.
Review of Strut’s dutasteride for hair loss
Strut also custom-compounds Dutasteride, available as both a topical (gel or solution) and oral tablet, just like their finasteride. Similarly, these custom formulas are made by physicians and pharmacists using pharmaceutical-grade ingredients that can potentially reduce hair loss and increase hair growth.
Like their finasteride gel, Strut’s topical Dutasteride is also free of preservatives, parabens and propylene glycol.
Since it’s a custom prescription formula, a physician on Strut’s team will prescribe a treatment plan as appropriate. But, first, you’ll have to appear for an online visit, during which the physician will collect your medical information and evaluate pictures of how your hair loss has progressed.
Then, if you qualify for the dutasteride treatment, Strut’s physicians will provide an online diagnosis and recommend a custom treatment plan. All via the same (and equally convenient) process as how they prescribe finasteride.
How does dutasteride work for hair loss?
Dutasteride is a common medication used for treating male pattern baldness. The active ingredient in Strut’s custom formula is 0.1% dutasteride, which is the only topical dutasteride currently available through a telemedicine platform.
Dutasteride has the same mechanism as finasteride, inhibiting the function of 5-alpha reductase, an enzyme that converts testosterone to dihydrotestosterone (DHT). Again, DHT is the primary hormone that’s responsible for male pattern hair loss.
By inhibiting the function of 5-alpha reductase, dutasteride can help to reduce hair loss and promote hair growth.
Strut dutasteride ingredients: what’s inside?
Like the finasteride gel, the topical dutasteride hair loss solution contains the following active ingredients:
- Dutasteride
- Tretinoin
- Minoxidil
While the oral dutasteride capsules contain dutasteride and biotin. How each of these ingredients works to combat hair loss has been explained in detail above if you need a refresher.
Finasteride vs dutasteride: which should you try for hair loss?
According to studies, finasteride and dutasteride are both efficient at promoting hair growth in males with male pattern baldness.
However, in several comparison trials, dutasteride boosted hair growth in men more than finasteride. In recent studies, the rise in total hair count signifying new growth was much larger in the dutasteride group. In other studies, dutasteride was demonstrated to block more than 90% of DHT, but finasteride only stopped 70% of DHT.
One reason could be that dutasteride’s increased effect on DHT blocking makes it more successful as a medication for male pattern baldness prevention. Dutasteride inhibits both type I and type II 5-alpha-reductase, whereas finasteride exclusively inhibits type II.
Another reason could be because dutasteride has a longer half-life, around 5 weeks, which means it stays in the body longer than finasteride (half life of 5 to 6 hours).
Dutasteride, on the other hand, is a less popular option because it has not been FDA approved particularly to treat hair loss, and hence may have a greater incidence of side effects. Despite the fact that studies demonstrate that both finasteride and dutasteride have a similar side effect profile. While rare, these include sexual dysfunction as the most prevalent (but reversible) side effect.
Thus, while there are many studies comparing dutasteride vs finasteride, the answer to “which is better” remains somewhat inconclusive. We recommend you read up more and seek guidance from a doctor, perhaps via Strut’s simple online interface.
Review of StrutVite vitamins for hair loss
StrutVite is a non-prescription supplement developed by pharmacists at Strut. StrutVite is intended to supplement a healthy diet and lifestyle by promoting the hair, skin, and nails’ appearance, growth, and overall health. Strut Health recommends using these vitamins into your routine with your prescription meds for a well-rounded approach to health and hair growth.
StrutVite contains a variety of healthy ingredients such as vitamin A, B, and C, biotin, zinc, and Ashwagandha (the active ingredient in Nutrafol’s hair loss supplement).
You can purchase the StrutVite supplements with either finasteride or dutasteride:
| Strut’s hair loss kit | Price |
| Dutasteride Capsules + StrutVite (30 day supply) | $59 for 30 capsules of dutasteride and 60 capsules of StrutVite ($1.96/day) Do price per day breakdown |
| Topical Dutasteride + StrutVite (30 day supply) | $89 for 30 ml of dutasteride and 60 capsules of StrutVite ($2.96/day) |
| Finasteride Tablets + StrutVite (30 day supply) | $45 for 30 tablets of finasteride and 60 capsules of StrutVite ($1.5/day) |
| Topical Finasteride + StrutVite (30 day supply) | $79 for 30 ml of finasteride and 60 capsules of StrutVite ($2.63/day) |
Strut Hair Loss Alternatives: How does it compare?
While Strut‘s hair loss offerings are unique and praised by users, it’s important to read other men’s hair loss products reviews before choosing the best one. For instance, Keeps, Hims, and Rogaine are other well-known hair loss brands you’ve probably heard of… how do they compare to Strut? Here’s a comparison table to help you see how Strut stacks up against those alternatives, as well as vs Happy Head and Nutrafol.
Strut vs Happy Head vs Hims vs Keeps vs Nutrafol | |||||
|---|---|---|---|---|---|
| Active ingredients | Finasteride Dutasteride Minoxidil Tretinoin Biotin | Finasteride Minoxidil | Finasteride Minoxidil | Saw Palmetto Tocotrienol Complex Sensoril® Ashwagandha | Finasteride Minoxidil Retinoic acid Hydrocortisone |
| Hair loss products | Finasteride Oral Tablets Finasteride Topical Spray/Gel Dutasteride Capsules Dutasteride Topical Spray/Gel StruVite supplement | Finasteride Oral Tablets Topical Finasteride & Minoxidil Spray Minoxidil Foam & Solution Biotin Gummies Shampoos & Conditioners | Finasteride Oral Tablets Minoxidil Foam & Solution 2% Ketoconazole Shampoo Thickening Shampoo & Conditioner Keeps Pomade | Proactive Thinning Hairline Defender Growth Activator Hair Serum | Topical Hair Growth Formula |
| Price of hair loss meds | Depends on the product and quantity: $25 to $69/month | Depends on the product and quantity: $16 to $37/month | Depends on the product and quantity: $10 to $25/month | Depends on
the product and quantity: $88 to $157/month | $79/month |
| Compounded medications? | ✅ | ❌ | ❌ | ❌ | ✅ |
| Free shipping? | ✅ | ✅ | ✅ | ✅ | ✅ |
| Free doctor consultation? | ✅ | ✅ | ✅ | ✅ | ✅ |
| Non-hair loss treatments: | Sexual health Nail care Skincare | ED Skincare | ❌ | ❌ | ❌ |
| Website |
Strut hair loss reviews: what do customers think?
Before you choose to buy products from any company, it’s important to read customer reviews about its products. However, the reviews on the company’s websites can be biased, so it’s always best to find an independent site with customer reviews.
We have rounded up customer reviews that give you the gist of what the customers have to say about Strut Health for hair loss online. Many people praise the sign-up process, consultation, and product quality.
The Verdict: Is Strut legit for hair loss?
Strut is ideal for [guys/women/shoppers] who want to…
Summing up, we can say that Strut hair loss solutions – finasteride and dutasteride – are indeed effective and can help men with hair loss. Furthermore, the same underlying active ingredients in both products are clinically proven, having helped millions of men stem hair loss over the last 50+ years.
With so many hair loss treatment options on the market, how does Strut stand out? Strut’s biggest selling point for us is their custom compounded treatments like dutasteride or finasteride topical treatment. Since a physician specifically curates the plan based on your condition and individual requirements, you can expect high efficacy with lower risk of side effects than traditional oral options. Moreover, with free follow-up care and online MD visit, you can always let your health care provider know if Strut’s treatment isn’t working, and they will work with you to adjust the dosage.
Another thing that we love about Strut’s hair loss solutions, other than the fact that they are custom formulated for your head? Gel. As far as we know, Strut is perhaps the only online hair loss provider that offers a topical gel format. This offers a unique application method that many men prefer over a dropper bottle. We also appreciate that they combine multiple proven active ingredients into this gel, helping you attack hair loss from multiple angles without needing to juggle multiple prescriptions.
You may also consider combining prescription hair loss treatments with StruVite, Strut’s daily hair supplement for your best shot at maintaining a thicker head of hair.
Ultimately, having researching the company’s hair loss offerings in-depth, we recommend Strut as our #1 pick for custom compounded hair loss treatments. Happy Head is its closest rival. The two companies stand alone as the top two online providers of custom-compounded topical pharmaceuticals for hair loss, but Happy Head’s options are more limited than Strut’s – no gel option, for instance – AND Strut is considerably more affordable. Strut is also unique in that it offers dutasteride, while all other hair loss only prescribe finasteride. Both work well for most men, ultimately it’s just a personal preference.
Thus if you’re looking to combine multiple proven hair loss products into a personalized solution that’s easy to rub onto your scalp without unnecessary risk of side effects, look no further than Strut. It offers the most convenient way for men to get a custom-compounded topical for hair loss at an affordable price, with ongoing access to doctors, and the ability to update your formulation as needed.
If you’ve tried Strut Health or Happy Head for hair loss in the past, or any of Strut Health’s treatments (women’s treatments, too!) let us know about your experience in the comments below.
Frequently Asked Questions (FAQs)
What is Strut Health?
Strut Health is a telehealth company that provides custom solutions to both men and women for everything from sexual health to nail and skin care to hair loss prevention. They’ve created personalized formulations with clinically tested ingredients to offer solutions that their customers claim actually work.
Strut works with doctors and specialists in the United States to provide treatment plans, compound prescriptions, or customized medications made unique to your individual needs. Board-certified physicians review your data and health information and, if necessary, issue prescriptions that are filled through Strut’s online pharmacy and shipped to you within two working days.
Does Strut work to grow back hair?
Strut’s topical finasteride and dutasteride hair loss gel solutions contain active ingredients that have been widely tested on millions of men over the last several decades and clinically proven to regrow hair when used as instructed. If you’re looking for a reliable treatment for male pattern baldness, Struts topical can work for you, too.
That aid, if you come across a Strut hair loss review that claims overnight results, that’s an exaggeration. While it definitely helps, you’ll only start to see regrowth after continued use for at least 3 months. It is also important to highlight that finasteride is meant to be used by men only – women and children should steer clear!
There are decades of research backing the use of finasteride and minoxidil. This study, for example, shows that compared with minoxidil or finasteride alone, the combination group (receiving both treatments) experienced significantly more hair. In another study, topical tretinoin with 0.5% minoxidil combined resulted in terminal hair regrowth in 66% of the subjects studied.
While there are numerous studies supporting the efficacy of Strut’s active ingredients, like with any treatment for hair loss, it’s vital to do your own due diligence. Be sure to assess the pros and cons, and consult with your healthcare provider to determine whether or not this is the correct solution for you.
How much does Strut's topical finasteride cost?
Below is a pricing breakdown for Strut’s finasteride products.
| Strut Finasteride Treatments | Price | Customizable? | What’s included? |
| Oral tablets (1mg) | $25 for 30-day supply ($0.83/day) $49 for 90-day supply ($0.54/day) |
❌ | Free online MD-visit, shipping, and follow-up care. |
| Topical Finasteride 4-in-1 gel or solution (30ml) |
$59 for 30-day supply ($1.97/day) | Doses are adjusted according to doctor’s prescription. Finasteride: 0.1 – 0.25% Minoxidil: 0.0 – 7.5% Tretinoin: 0.0 – 0.0125% |
Free online MD-visit, shipping, and follow-up care. |
How do you apply Strut topical finasteride?
Strut’s topical finasteride gel needs to be applied to your scalp every night. First, make sure your head is clean and dry, then simply rub it to your scalp at the spot where you’re experiencing thinning. Make sure to wash your hands after applying the topical gel to your skin. Here are a couple more tips for proper usage:
- Should the gel come in contact with any non-treatment area of your skin, wash it immediately, as it can result in unwanted hair growth in that region.
- Wash the Strut topical finasteride gel off your scalp the next morning or after four hours.
- Since pregnant women shouldn’t be exposed to minoxidil or finasteride, make sure the solution doesn’t accidentally wipe off on your pillow and then transfer to your partner’s head in the middle of the night. To avoid this, don’t apply your solution before bed.
- For the oral tablets, take your dose of finasteride at the same time each day, with or without food.
How do you use Strut's topical dutasteride?
Apply Strut’s topical dutasteride to your clean, dry scalp every night. Let the gel sit on your scalp for four hours before washing it off. You can also keep it overnight and wash your scalp the next morning, although if your partner is pregnant (or trying to get pregnant), be careful to wash it off completely so that it’s doesn’t inadvertently transfer to her skin via your pillow.
Remember that you’ll have to use the gel for at least three months to notice significant results. While applying, make sure you wash off the gel from any non-treatment area, such as your face or forehead, to prevent unwanted hair growth.
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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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