Stop Hair Loss.
Regrow What You've Lost.
FDA-approved treatments prescribed by licensed Utah providers. 90% of men who use our protocol stop hair loss—and 65% experience significant regrowth within 12 months.
Assess Your Hair Loss
Answer a few questions to determine your stage and get personalized treatment recommendations.
Where are you noticing hair loss?
How long have you noticed hair loss?
Do you have family members with hair loss?
What's your treatment preference?
The Science of Male Hair Loss
Understanding why hair loss happens is the first step to treating it effectively.
What Causes Male Pattern Baldness?
More than 95% of hair loss in men is caused by androgenetic alopecia (male pattern baldness). It's primarily driven by genetics and hormones—specifically dihydrotestosterone (DHT).
- DHT (Dihydrotestosterone): A byproduct of testosterone that binds to hair follicles
- 5-Alpha Reductase: The enzyme that converts testosterone to DHT
- Miniaturization: DHT causes follicles to shrink over time
- Genetic Sensitivity: Some follicles are more sensitive to DHT than others
Hair loss is progressive. The earlier you start treatment, the more hair you can save. Once a follicle dies, it cannot be revived—but dormant follicles can often be reactivated.
The Hair Growth Cycle
Hair grows in cycles. Understanding this explains why treatments take 3-12 months to show results.
2-7 years. This is when hair actively grows. Treatments extend this phase.
2-3 weeks. Hair follicle shrinks and detaches from blood supply.
3-4 months. Hair falls out and follicle rests before new growth begins.
The Norwood Scale: Stages of Hair Loss
Click a stage to learn more about treatment options for your level.
Select a stage above to see detailed information and treatment recommendations
📋 What You'll Notice
Little to no visible hairline recession. Hair may be mature but still full. This is often considered a "normal" adult hairline.
- Hairline may sit slightly higher than teenage years
- No visible thinning at temples or crown
- Hair density appears normal throughout scalp
💊 Recommended Treatment
- Finasteride 1mg if family history exists
- Ketoconazole shampoo for scalp health
- Consider biotin supplementation
- Monitor with annual photos
📋 What You'll Notice
Minor recession at the temples creating a slight "M" shape. Often called a "maturing hairline." Very treatable at this stage.
- Temples begin to recede 1-2cm
- Hairline takes slight triangular shape
- May notice more hair in the shower drain
- Crown still appears full
💊 Recommended Treatment
- Finasteride 1mg daily — highly effective at this stage
- Optional: Add topical minoxidil for temples
- Ketoconazole 2% shampoo 2-3x/week
- Biotin and DHT-blocking supplements
📋 What You'll Notice
Deeper temple recession creating a more prominent "M" pattern. May begin to notice thinning at the crown (Stage III Vertex). This is clinically significant hair loss.
- Temples recede 2-3cm or more
- Distinct M-shaped hairline visible
- Possible early crown thinning (Stage III Vertex)
- Scalp may be visible under bright light
💊 Recommended Treatment
- Finasteride 1mg daily — essential
- Minoxidil 5% topical — strongly recommended
- Consider combination topical (finasteride + minoxidil)
- Ketoconazole 2% shampoo
- Microneedling may enhance results
📋 What You'll Notice
More severe hairline recession with significant crown thinning. A band of hair still separates the frontal and crown areas. Aggressive treatment needed to preserve remaining hair.
- Deep temple recession
- Noticeable bald spot at crown
- Hair bridge remains between front and crown
- Scalp clearly visible in thinning areas
💊 Recommended Treatment
- Finasteride 1mg daily — critical
- Minoxidil 5% — twice daily or oral minoxidil
- Consider Dutasteride if finasteride insufficient
- Topical combination serum with tretinoin
- Aggressive protocol may include all three
📋 What You'll Notice
The hair bridge between front and crown is narrowing significantly. Crown bald spot is larger and connecting with frontal recession. Remaining hair is typically thinner.
- Narrowing band of hair between regions
- Large crown bald area
- Frontal hairline significantly receded
- Remaining hair may be miniaturized (fine)
💊 Recommended Treatment
- Dutasteride 0.5mg — more powerful DHT blocking
- Oral minoxidil — systemic approach
- High-concentration topical minoxidil (8%+)
- Multi-agent "kitchen sink" protocol
- Hair transplant may be considered for restoration
📋 What You'll Notice
Stage VI: Only a horseshoe pattern of hair remains around the sides and back. Front and crown have merged into one large bald area. Stage VII: Most extensive pattern with only a narrow band remaining at the back.
- Horseshoe pattern of remaining hair
- Front and crown fully connected
- Stage VII: Minimal remaining hair band
- Remaining hair is stable (DHT-resistant)
💊 Recommended Treatment
- Protect remaining hair with dutasteride or finasteride
- Oral minoxidil for any miniaturized hairs
- Hair transplant for significant restoration
- Scalp micropigmentation as alternative
- Some men embrace baldness — also valid choice
Stages I-II: Finasteride alone often sufficient. Stages III-IV: Combination finasteride + minoxidil recommended. Stages V-VII: Aggressive combination therapy; may consider dutasteride. Medical treatment can maintain and improve existing hair but cannot restore completely bald areas.
Treatment Options
We offer the full spectrum of FDA-approved and clinically-proven hair loss treatments—all prescribed by licensed providers.
Finasteride (Oral)
The gold standard for hair loss treatment. Finasteride 1mg blocks the enzyme that converts testosterone to DHT, reducing scalp DHT levels by ~70%. The active ingredient in Propecia®.
- One small pill daily—easy to take
- Results visible in 3-6 months
- Peak results at 12-24 months
- Blocks Type II 5-alpha reductase
- Generic available at fraction of brand cost
Dutasteride (Oral)
More powerful than finasteride. Dutasteride blocks both Type I and Type II 5-alpha reductase, reducing DHT by ~90%. FDA-approved for BPH, prescribed off-label for hair loss.
- Blocks BOTH Type I and Type II 5AR
- 28-day half-life (forgiving if you miss a dose)
- Best for finasteride non-responders
- Recommended for advanced hair loss (Stage V+)
- Slightly higher side effect profile
Topical Finasteride
Applied directly to the scalp, topical finasteride delivers DHT-blocking benefits with significantly lower systemic absorption—ideal for those concerned about oral medication side effects.
- Lower systemic DHT reduction (~25% vs 70%)
- Reduced risk of sexual side effects
- Applied once daily to scalp
- Often combined with minoxidil for convenience
- Great option for side-effect sensitive men
Start with Oral Finasteride if you're new to treatment—it's proven, affordable, and well-tolerated by most men.
Consider Topical Finasteride if you're concerned about potential sexual side effects from oral medication.
Escalate to Dutasteride if finasteride alone isn't achieving desired results after 12+ months.
Minoxidil 5% (Topical)
The original hair growth treatment (active ingredient in Rogaine®). Minoxidil increases blood flow to follicles and extends the growth phase of hair. Available as liquid, foam, or spray.
- Stimulates hair follicles directly
- Works on crown better than hairline
- Apply twice daily for best results
- Available OTC but Rx strength available
- No hormonal mechanism—safe for most men
Oral Minoxidil (Low-Dose)
Low-dose oral minoxidil (1.25-5mg) provides systemic hair growth stimulation. More convenient than topical and often more effective—but requires careful monitoring.
- More convenient than topical—just one pill
- Systemic effect covers entire scalp
- Originally a blood pressure medication
- May cause increased body/facial hair
- Requires cardiovascular screening
Oral minoxidil was originally developed as a blood pressure medication. At low doses used for hair loss (1.25-5mg), it's generally well-tolerated, but it can cause fluid retention, increased heart rate, and unwanted body hair growth. We require baseline cardiovascular screening before prescribing. Not appropriate for everyone.
Multiple studies show that combining a DHT blocker (finasteride) with a growth stimulator (minoxidil) produces significantly better results than either treatment alone. The two medications work through different mechanisms that complement each other.
Topical Finasteride + Minoxidil
The ultimate convenience—one topical solution with both finasteride (0.25%) and minoxidil (5%). Apply once daily for dual-action hair loss treatment with minimal systemic absorption.
- Blocks DHT + stimulates follicles
- Lower systemic exposure than oral
- One application daily (vs. 2x for minoxidil alone)
- Best for men concerned about side effects
- Available as gel, spray, or serum
Oral Finasteride + Topical Minoxidil
The classic combination that dermatologists have recommended for 25+ years. Maximum DHT blocking from oral finasteride plus localized growth stimulation from topical minoxidil.
- Maximum DHT reduction (70%)
- Proven synergistic effects
- Decades of safety data
- Most studied combination
- Affordable with generic options
The "Kitchen Sink" Protocol
For advanced hair loss or aggressive progression. Combines oral finasteride (or dutasteride), oral minoxidil, and ketoconazole shampoo for maximum DHT blocking and follicle stimulation.
- Oral DHT blocker (finasteride or dutasteride)
- Low-dose oral minoxidil
- Ketoconazole 2% shampoo (adjunct)
- Optional: Topical tretinoin
- Reserved for aggressive cases
Hair Serum Rx
Compounded serum containing finasteride, minoxidil, and tretinoin. Tretinoin enhances absorption and may independently support hair growth. Premium formulation for optimal results.
- Finasteride 0.1-0.25%
- Minoxidil 5-8%
- Tretinoin 0.01-0.025%
- Enhanced penetration
- Once daily application
Ketoconazole 2% Shampoo
Antifungal shampoo that reduces scalp DHT by 12-16% and improves scalp health. Use 2-3x weekly as adjunct to other treatments.
- Reduces scalp DHT locally
- Anti-inflammatory benefits
- Treats dandruff/seborrheic dermatitis
- Use 2-3x per week
Biotin + DHT Support
Hair health supplement with biotin, saw palmetto, pumpkin seed oil, and zinc. Supports overall hair health alongside prescription treatments.
- Biotin 5000mcg
- Saw palmetto extract
- Pumpkin seed oil
- Zinc and other minerals
Thickening Shampoo
Daily shampoo formulated to add volume and thickness to existing hair while maintaining scalp health. Gentle enough for everyday use.
- Volumizing formula
- Caffeine and biotin
- Safe for daily use
- Works with treatments
Treatment Comparison
Compare the effectiveness, mechanism, and considerations for each treatment option.
| Treatment | Type | Mechanism | Effectiveness | Best For |
|---|---|---|---|---|
| Finasteride (Oral) | DHT Blocker | Blocks 70% DHT | 90% stop loss, 65% regrow | First-line treatment |
| Dutasteride (Oral) | DHT Blocker | Blocks 90% DHT | Superior to finasteride | Advanced loss, non-responders |
| Topical Finasteride | DHT Blocker | Local DHT blocking | Similar to oral | Side-effect concerns |
| Minoxidil (Topical) | Growth Stimulator | Increases blood flow | 50% see regrowth | Crown thinning |
| Minoxidil (Oral) | Growth Stimulator | Systemic effect | Better than topical | Topical non-responders |
| Finasteride + Minoxidil | Combination | Dual mechanism | Best results | Most patients |
| Ketoconazole Shampoo | Adjunct | Local DHT + scalp health | 12-16% DHT reduction | Supportive care |
What to Expect: Treatment Timeline
Hair restoration takes time. Here's a realistic timeline for what you'll experience.
Initial Phase: "The Shed"
Don't panic! Many men experience increased shedding in the first 2-4 weeks. This is actually a good sign—weak hairs are being pushed out to make room for stronger growth. Your medication is working at the follicle level, but visible changes take time.
Stabilization
Shedding stops and hair loss begins to slow noticeably. You may see early signs of vellus (baby) hairs appearing in previously thinning areas. The hair growth cycle is beginning to normalize. Stay consistent with your treatment.
Visible Progress
This is when most men start seeing real results. Hair appears thicker and fuller. Thinning areas begin to fill in. Take comparison photos—sometimes gradual improvement is hard to notice day-to-day. Keep going!
Peak Results
Maximum results are typically achieved between 12-24 months. Hair density peaks, and regrowth is at its fullest. 90% of men maintain their results long-term with continued treatment. This is your new baseline.
Maintenance
Continue treatment to maintain results indefinitely. Hair loss is progressive—stopping treatment will allow hair loss to resume. Many men reduce frequency or dosage after achieving goals, with provider guidance.
Missing doses significantly reduces effectiveness. Both finasteride and minoxidil require consistent daily use to work. If you stop treatment, any hair you've maintained or regrown will gradually be lost over 6-12 months as the underlying process resumes.
Safety & Side Effects
Transparency about side effects helps you make an informed decision. Here's what the research shows.
Finasteride Side Effects
In clinical trials, side effects were rare and similar to placebo:
- Sexual side effects: 1-2% (vs 1% on placebo)
- Decreased libido: 1.8% (vs 1.3% on placebo)
- Erectile changes: 1.3% (vs 0.7% on placebo)
- Ejaculation changes: 0.8% (vs 0.4% on placebo)
Most side effects resolve upon discontinuation. The difference between finasteride and placebo is small in controlled studies. Topical finasteride may offer similar benefits with even lower systemic exposure.
Minoxidil Side Effects
Minoxidil is generally well-tolerated with primarily local effects:
- Scalp irritation: Most common, usually mild
- Initial shedding: Temporary, indicates treatment is working
- Unwanted facial hair: Possible with topical if it drips
- Dizziness/heart rate: Rare with topical, more common with oral
Oral minoxidil can cause fluid retention, increased body hair, and cardiovascular effects. We require screening before prescribing and start at low doses. Not appropriate for men with heart conditions.
Who Should Avoid These Treatments?
Finasteride/Dutasteride
- ✕ Women (especially pregnant or may become pregnant)
- ✕ Children under 18
- ✕ Known allergy to finasteride
- ✕ Liver disease (use with caution)
Oral Minoxidil
- ✕ Heart disease or pericardial effusion
- ✕ Uncontrolled hypertension
- ✕ Taking certain blood pressure medications
- ✕ History of fluid retention
Clinically Proven Results
These aren't marketing claims—they're results from peer-reviewed clinical studies.
Simple, Transparent Pricing
No hidden fees. No insurance hassles. HSA/FSA accepted. Treatment shipped to your door.
Stop hair loss early
- Oral Finasteride 1mg
- Initial provider consultation
- Ongoing prescription management
- Free shipping every 3 months
- Provider messaging access
Stop loss + regrow hair
- Oral Finasteride 1mg
- Topical Minoxidil 5%
- Initial provider consultation
- Quarterly check-ins
- Priority provider messaging
- Free shipping every 3 months
- Progress photo tracking
Maximum regrowth protocol
- Topical Finasteride + Minoxidil serum
- Ketoconazole 2% shampoo
- Biotin supplement
- Monthly provider check-ins
- 24/7 provider messaging
- Free expedited shipping
- Treatment adjustments included
HSA/FSA eligible • Military/veteran discount available • Cancel anytime • 90-day money-back guarantee
Real Results from Utah Men
"I was skeptical at first—I'd tried OTC stuff for years with no results. Within 6 months on finasteride and minoxidil, my barber asked what I was doing differently. My hairline has actually filled back in. Wish I'd started sooner."
"My crown was getting really thin—you could see my scalp in photos. Now it's filled in completely. No side effects whatsoever. The telehealth process was so easy compared to trying to get a dermatology appointment."
"Started at the first sign of recession in my temples. Six months in and my hairline has completely stabilized—no more loss. At $19/month for finasteride, it's a no-brainer. I tell all my friends to start early."
Frequently Asked Questions
Answers to the most common questions about hair loss treatment.