The Best Keeps Alternatives for Hair Loss

Hair loss, whether it’s subtle thinning around the temples or more noticeable shedding, is a deeply personal and emotional experience. For many people, hair is not just about aesthetics. It is tied closely to self-image, confidence, and even identity. Losing it can be upsetting, and that makes finding an effective, trustworthy solution all the more important.

Thankfully, today’s telehealth services have made addressing hair loss easier and more accessible than ever. These online platforms are discreet, convenient, and often more responsive than traditional in-office care. They allow users to consult with medical professionals, receive personalized treatments, and have prescriptions delivered directly to their door.

Another reason telehealth has grown in popularity is the increasing demand for more tailored, flexible solutions. Many people are no longer satisfied with one-size-fits-all treatments and want more say in what goes into their care. From adjusting active ingredients to addressing sensitivities and lifestyle factors, personalized plans have become a key part of what users expect from modern hair loss treatment.

This shift has also expanded the options available to people seeking effective hair loss solutions. While brands like Keeps have played a big role in popularizing telehealth for hair treatment, they aren’t the only choice, and they may not be the best fit for everyone. Whether Keeps hasn’t delivered the results you hoped for or you’re simply exploring your options, there are several other reputable and effective alternatives worth considering. Before we dive into those, it’s worth taking a closer look at what Keeps offers and why it might not be the perfect fit for everyone.

Why Look for an Alternative to Keeps?

Keeps is one of the most well-known telehealth brands focused exclusively on treating male pattern baldness. It offers FDA-approved treatments like finasteride and minoxidil, available in both topical and oral forms, along with a simple subscription model that includes virtual doctor visits and home delivery. For many, it’s a convenient and affordable way to get started with hair loss treatment.

However, Keeps follows a relatively standardized approach, which may not work for everyone. Some users may want more flexibility in their treatment, such as the ability to adjust ingredients, include additional medications like spironolactone or tretinoin, or address specific scalp sensitivities. Others may be looking for a more supportive or lifestyle-integrated experience, with options like supplemental hair care products or customizable formulas.

If you’ve found yourself wanting more from your hair loss treatment (or just wondering what else is out there) exploring alternatives to Keeps could open the door to a better fit for your individual needs.

The Best Keeps Alternatives at a Glance

If you’re short on time or just want the TL;DR, here’s how each of these Keeps alternatives stands out:

• Happy Head – Best Overall Customization: Ideal for those who want a prescription-strength, tailor-made formula with dermatologist oversight.
• Hims & Hers – Best for Lifestyle Support: Great if you’re looking to combine hair loss treatment with other wellness products or prefer a holistic, brand-driven experience.
• Roman – Most Affordable and Hassle-Free: Perfect for those who want simple, evidence-based treatment without all the extras or complexity.

These quick highlights give a sense of what each brand brings to the table – but let’s take a closer look at how they actually work, who they’re best suited for, and how they stack up against Keeps:

Happy Head

Happy Head is one of the most advanced and flexible hair loss solutions available online today. Unlike most telehealth platforms that offer a standard one-size-fits-all approach, Happy Head is built entirely around customized treatment plans. Everything starts with you: your age, gender, medical history, hair loss type, scalp sensitivity, and personal goals.

What Makes It Different?

Rather than sending you the typical finasteride or minoxidil combo like many competitors, Happy Head lets you customize your formula from the ground up. Their flagship product is a topical prescription solution, which can include some or all of the following ingredients depending on your needs:

• Finasteride – a DHT-blocking medication to stop hair loss at the root
• Minoxidil – the classic growth stimulator for stronger, longer hairs
• Tretinoin – increases absorption by stimulating the skin
• Hydrocortisone – reduces scalp irritation or inflammation
• Spironolactone – a hormone blocker sometimes used in female formulas

If you don’t tolerate certain ingredients (for example, if you’ve had side effects from finasteride), you can ask for a finasteride-free version. Prefer oral medication instead? They offer that too, although the topical solution is what sets them apart.

Happy Head also makes the entire process simple, discreet, and refreshingly personalized. It begins with a digital consultation, where you fill out a secure online form detailing your medical history, hair loss concerns, and goals. You’ll also upload a few clear photos of your scalp to help the doctor assess your condition. From there, a licensed, board-certified dermatologist reviews your information and creates a customized formula specifically for you—this isn’t an algorithm or automated system, but a real human reviewing your case. Once your prescription is finalized, your custom treatment is mixed and shipped directly to your door, typically within two to three days. The packaging is discreet, and the topical formula comes in a sleek, airless pump bottle for ease of use. Best of all, support doesn’t end with delivery. Plans start at $89 per month, which includes your initial consultation, your personalized prescription, shipping, and unlimited access to medical support throughout your treatment. You can message your doctor at any time through the platform to ask questions, report side effects, or request changes to your formula. The team is responsive and willing to adjust your plan as needed to ensure you get the best possible results.

My Take: What I love most about Happy Head is how truly customizable it is. If Keeps felt too generic for you, this brand has a different approach. I also appreciate that it puts you in touch with a real dermatologist, not just a nameless provider behind a platform. That said, the price point is higher than other options, and some people might find the fully personalized approach a little overwhelming if they’re new to hair loss treatment. Still, if you’re frustrated with the one-size-fits-all style of Keeps and want something that’s made for your exact needs, Happy Head is a great alternative.

Hims & Hers

Hims and Hers is a unified telehealth platform made up of two distinct brands: Hims for men and Hers for women. Each one is tailored to meet the specific needs of their audience. While hair loss treatment is a major focus, both brands also offer care for a broad range of health concerns, including sexual wellness, weight management, skincare, and mental health.

When it comes to hair loss treatment, both Hims and Her stand out in their simplicity and accessibility. Their hair loss treatments focus on proven, science-backed medications such as:

• Finasteride
• Minoxidil
• Spironolactone (offered through Hers for women)
• Biotin supplements and thickening shampoos – available on both platforms to complement prescription care

Whether you’re experiencing early thinning, postpartum shedding, or genetic pattern baldness, Hims & Hers offer flexible plans that can be tailored to your unique needs. Men can access hair growth solutions through Hims, while women can explore treatments through Hers.

Getting started with Hims or Hers is quick and entirely online. You begin with a brief digital consultation by filling out a confidential questionnaire that covers your medical history, current symptoms, and personal goals. You’ll also upload a few clear photos of your scalp to help the provider evaluate your hair loss pattern. A licensed medical professional then reviews your information and recommends a treatment plan tailored to your needs. Once approved, your personalized products are shipped directly to your door in discreet packaging. You can opt for core treatments like finasteride or minoxidil, or create a more complete regimen by adding shampoo, conditioner, supplements, or hair-supporting vitamins. 

The platform also offers ongoing care, with the ability to message your provider if you have questions, experience side effects, or want to tweak your plan. Pricing is straightforward, with basic treatments starting at $25 per month. Prescription options like finasteride or spironolactone may cost more depending on your selections, and you can choose from curated bundles or build your own plan. Shipping is free, and you can easily pause, modify, or cancel your subscription anytime through your online account. 

My Take: If you found Keeps too clinical or narrow in scope, Hims and Hers offer a more lifestyle-friendly alternative. I like that the platform feels more rounded, especially with the add-ons and the option to take a more holistic approach. It’s also one of the more affordable options. However, the downside is that customization is still limited because you’re picking from pre-set options rather than building a formula from scratch. If you’re looking for more support and flexibility without the premium price tag, this is a great middle ground between the straightforwardness of Keeps and the full customization of Happy Head.

Roman

Roman offers a clean, no-frills approach to hair loss treatment, making it a great fit for those who prefer simplicity and proven results without a lot of extras. The brand focuses on the essentials: oral finasteride and topical minoxidil, two FDA-approved treatments that have consistently been shown to slow hair loss and promote regrowth. While Roman doesn’t offer highly personalized formulas or combination serums, it delivers what many users are really looking for: simplicity.

What Makes It Different?

Roman stands out for keeping things focused and efficient. Instead of overwhelming you with a ton of product options or complicated bundles, it sticks to tried-and-true treatments. The process is designed for people who want medical-grade solutions without having to jump through hoops. There are no complex customization tools or fluff-filled product lines, just evidence-based medications and professional guidance.

Getting started with Roman is quick and hassle-free. You begin with an online health questionnaire that covers your medical history, any medications you’re taking, and your experience with hair loss. You’ll also upload photos of your scalp so a licensed healthcare provider can evaluate your condition.

If you’re approved for treatment, a doctor will prescribe either finasteride, minoxidil, or both, depending on your needs. Your medications are then shipped to your home in discreet packaging, typically on a monthly or quarterly schedule. Roman’s platform is easy to navigate, and you’ll have access to helpful educational content along the way, including clear explanations of how each treatment works and what kind of results to expect. If you have questions or want to make changes to your plan, you can message a healthcare provider through the platform at no additional cost.

Roman’s pricing is transparent and budget-friendly. Plans start at $20 per month for oral finasteride, and minoxidil is typically available at a similar price point. If you choose to combine the two, you’ll pay a bit more, but the cost remains highly competitive. All consultations, shipping, and follow-up messages with your provider are included in the price. There’s no pressure to commit long-term. You can cancel, pause, or adjust your plan at any time directly through your account.

My Take: Roman is my go-to recommendation for someone who felt like Keeps was fine but wants something even easier to use or slightly more affordable. It offers the same core medications as Keeps but in a slightly more minimalist way. The downside? There’s no customization, so if you’re looking to tweak ingredients or need specialized support for scalp issues, this probably isn’t the right platform. But for someone who wants to stick with the basics and save a little money, Roman is a dependable and low-maintenance option.

How They Compare 

There’s no one-size-fits-all solution when it comes to hair loss treatment, which is why comparing your options side by side can be so helpful. Whether you’re looking for a fully customized prescription formula, something simple and affordable, or a plan that blends convenience with over-the-counter support, the chart below breaks down how Keeps, Happy Head, Hims & Hers, and Roman stack up across the most important features. From price and medication options to customization level and ongoing support, here’s what you need to know before deciding which brand is the best fit for your hair growth journey.

Final Thoughts: Which Hair Loss Brand Is Right for You?

Keeps is a solid, clinically backed option for men seeking straightforward access to finasteride and minoxidil, and it’s often one of the first brands people consider. But if you’ve tried it and found it lacking in customization, support, or overall fit, there are several strong alternatives worth exploring.

For those who want a fully personalized, prescription-strength treatment that goes beyond the basics, Happy Head is your best bet. It’s ideal for people who need their formula tailored to their scalp sensitivity, medical history, and specific hair loss pattern. The ability to include or exclude ingredients like finasteride, minoxidil, tretinoin, or spironolactone makes it a top-tier option for anyone who wants more control over their treatment plan.

If you value simplicity and affordability without sacrificing effectiveness, Roman offers a streamlined approach. With straightforward pricing, proven medications, and an easy onboarding process, it is a great choice for people who want to begin treating hair loss with minimal hassle and no unnecessary extras.

For a more balanced experience that combines medical credibility with lifestyle-friendly support, Hims and Hers provide a versatile platform. Both brands offer prescription options and supportive products like biotin gummies, shampoo, and vitamins. They are well-suited to anyone looking to build a broader self-care routine around hair growth. These brands are also among the more budget-conscious options, especially for those starting with basic treatments.

No matter which brand you choose, the most important step is simply taking that first one. Hair loss is not just a cosmetic issue. It is a deeply personal experience that can affect your confidence, your identity, and how you feel when you show up in the world. Finding the right treatment is not only about cost or convenience. It is also about feeling supported and empowered as you navigate something that can feel overwhelming or even isolating.

Thanks to the growing number of discreet and effective telehealth options, you no longer have to face it alone or settle for treatments that do not reflect your unique needs. Whether you stick with a familiar brand or explore something new that aligns better with your goals, you now have a clear comparison to guide your next step. However you choose to move forward, let it be in a way that supports your confidence, honors your journey, and reminds you that your worth was never rooted in your hair to begin with.

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Aydrian Pollard

Aydrian Pollard is a contributor at Hair Kempt with a personal focus on hair health, hormonal wellness, and realistic product testing. Living with PCOS, she knows firsthand the challenges of hair thinning and hormonal shifts—and brings a thoughtful, real-world perspective to every review. When she’s not tracking hair regrowth progress or testing out scalp serums, Aydrian’s diving deep into the science behind supplements to help readers find what’s actually worth trying.

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