All Treatments

Finasteride 1mg

The gold-standard oral DHT blocker for male pattern hair loss.

Description

Finasteride is an FDA-approved oral medication that works by inhibiting the enzyme 5-alpha reductase, which converts testosterone to dihydrotestosterone (DHT). DHT is the primary androgen responsible for shrinking hair follicles in men with androgenetic alopecia. By reducing DHT levels by approximately 70%, finasteride slows hair loss progression and promotes regrowth in many patients. Clinical trials show measurable improvement in 80-90% of men who take it consistently over 12 months.

Mechanism of Action

Selectively inhibits Type II 5-alpha reductase, reducing serum DHT levels by ~70%. This prevents further miniaturization of androgen-sensitive hair follicles on the scalp, allowing weakened follicles to recover and resume normal growth cycles.

Efficacy

83% of men maintained their hair count over 2 years in pivotal trials. 66% experienced visible regrowth. Most effective when started early in hair loss progression.

Minoxidil 5% Solution

Clinically proven topical treatment to stimulate hair regrowth.

Description

Minoxidil 5% topical solution is an FDA-approved over-the-counter treatment for androgenetic alopecia. Applied directly to the scalp twice daily, it works by widening blood vessels and opening potassium channels, which increases blood flow and nutrient delivery to hair follicles. This prolongs the anagen (growth) phase and enlarges miniaturized follicles. Results typically become visible after 3-6 months of consistent use.

Mechanism of Action

Acts as a potassium channel opener and vasodilator. Increases blood flow to hair follicles, prolongs the anagen growth phase, and stimulates follicular cells to shift from the resting (telogen) phase into active growth. Also upregulates vascular endothelial growth factor (VEGF) expression.

Efficacy

Clinical studies show 40-60% of men experience moderate to dense regrowth after 48 weeks. 5% solution is significantly more effective than 2% for vertex hair regrowth.

Minoxidil 5% Foam

Fast-drying foam formula — no propylene glycol irritation.

Description

Minoxidil 5% foam delivers the same active ingredient as the solution in a propylene-glycol-free vehicle. The foam formulation dries faster, causes less scalp irritation, and is generally preferred by patients for daily use. It is applied once or twice daily to affected areas of the scalp. The foam formula was developed specifically to address the skin irritation issues some patients experience with the liquid solution.

Mechanism of Action

Identical mechanism to minoxidil solution — potassium channel opener and vasodilator that increases follicular blood flow and prolongs the anagen phase. The foam vehicle eliminates propylene glycol, reducing irritation while maintaining bioavailability.

Efficacy

Equivalent efficacy to 5% solution in clinical trials. Patients report higher satisfaction due to improved cosmetic feel and reduced irritation. Once-daily application shown nearly as effective as twice-daily in some studies.

Dutasteride 0.5mg

Powerful dual-inhibitor DHT blocker for advanced hair loss.

Description

Dutasteride is a dual 5-alpha reductase inhibitor that blocks both Type I and Type II isoforms of the enzyme, reducing serum DHT by over 90%. While FDA-approved for benign prostatic hyperplasia (BPH), it is used off-label for androgenetic alopecia and has shown superior efficacy to finasteride in head-to-head trials. It is typically reserved for patients who do not respond adequately to finasteride or those with more advanced hair loss patterns.

Mechanism of Action

Inhibits both Type I and Type II 5-alpha reductase isoforms, reducing serum DHT by over 90% compared to ~70% with finasteride. This broader inhibition provides greater DHT suppression, particularly beneficial for patients with aggressive androgenetic alopecia.

Efficacy

Head-to-head studies show dutasteride produces significantly greater hair count improvements than finasteride at 24 weeks. One study found 12.2% increase in hair count versus 6.8% with finasteride over the same period.

Saw Palmetto 320mg

Natural DHT support without a prescription.

Description

Saw palmetto is a plant-derived supplement that has been used for decades to support prostate health and, more recently, as a natural approach to hair loss management. The berry extract contains fatty acids and phytosterols that may inhibit 5-alpha reductase activity, though to a much lesser degree than prescription medications. It is best suited as a complementary treatment alongside proven therapies or for those who prefer a natural starting point.

Mechanism of Action

Contains lipophilic fatty acids and phytosterols believed to weakly inhibit both Type I and Type II 5-alpha reductase. May also have anti-inflammatory and anti-androgenic properties at the follicular level. Mechanism is less well-characterized than pharmaceutical DHT inhibitors.

Efficacy

Limited clinical evidence. One small study showed 38% improvement in hair growth scores over 24 months. Best considered as a supplement to proven treatments rather than a standalone therapy.

Biotin 10,000mcg

Essential B-vitamin for stronger, healthier hair growth.

Description

Biotin (vitamin B7) is a water-soluble vitamin that plays a critical role in keratin production — the protein that makes up hair, skin, and nails. While biotin deficiency is relatively rare, supplementation at high doses (10,000mcg) is widely used to support overall hair health and strength. Biotin does not directly address the hormonal causes of androgenetic alopecia, but it supports the structural integrity of hair fibers and may improve hair quality in those with suboptimal biotin levels.

Mechanism of Action

Acts as a cofactor for carboxylase enzymes involved in fatty acid synthesis, amino acid metabolism, and gluconeogenesis — all critical for keratin production. Supports the structural protein matrix of hair follicles. Does not address DHT-driven miniaturization.

Efficacy

Strong evidence for improving hair in biotin-deficient individuals. Limited evidence for those with normal biotin levels. Best used as part of a comprehensive hair health regimen rather than a standalone treatment for androgenetic alopecia.

Ketoconazole 2% Shampoo

Anti-fungal shampoo that doubles as an anti-androgen for the scalp.

Description

Ketoconazole 2% shampoo is primarily an antifungal medication used to treat dandruff and seborrheic dermatitis, but research has shown it also has anti-androgenic properties when applied topically. By reducing scalp inflammation and locally disrupting androgen receptor binding, it creates a healthier environment for hair growth. It is commonly used 2-3 times per week as part of a multi-modal hair loss treatment regimen.

Mechanism of Action

Inhibits fungal cytochrome P450 enzymes, reducing scalp Malassezia overgrowth and associated inflammation. Also disrupts local androgen receptor binding and may inhibit DHT production at the follicular level. Reduces scalp inflammation that contributes to follicular miniaturization.

Efficacy

Studies show ketoconazole 2% shampoo increases hair density and follicle size when used alongside minoxidil or finasteride. One study found it comparable to minoxidil 2% in improving hair density. Most effective as an adjunct therapy.

Combo: Finasteride + Minoxidil

The most effective dual-action treatment — attack hair loss from both sides.

Description

The combination of oral finasteride and topical minoxidil represents the most evidence-backed approach to treating male pattern hair loss. Finasteride addresses the root hormonal cause by blocking DHT production, while minoxidil independently stimulates hair follicles through vasodilation. Together, they produce synergistic results that exceed either treatment alone. This combination is recommended by dermatologists as the first-line treatment for men serious about halting and reversing hair loss.

Mechanism of Action

Dual mechanism: Finasteride inhibits Type II 5-alpha reductase to reduce systemic DHT by ~70%, preventing further follicular miniaturization. Minoxidil opens potassium channels and acts as a vasodilator to increase follicular blood flow and stimulate growth. The two mechanisms are complementary and non-overlapping.

Efficacy

Combination therapy produces superior results to either treatment alone. Studies show 94% of men maintain or improve hair count with the combination versus 80% with finasteride alone and 60% with minoxidil alone over 12 months.

Hair Transplant Consultation

Free consultation — surgical restoration for advanced hair loss.

Description

For patients with advanced hair loss or those who want to restore a natural hairline, hair transplant surgery offers a permanent solution. Modern techniques like Follicular Unit Extraction (FUE) and Follicular Unit Transplantation (FUT) move healthy, DHT-resistant follicles from the back and sides of the scalp to thinning areas. We offer free virtual consultations with board-certified surgeons to evaluate candidacy and discuss options. Surgery pricing starts at $4,000 depending on the number of grafts needed.

Mechanism of Action

Follicular Unit Extraction (FUE) individually extracts DHT-resistant follicles from the donor area and transplants them to recipient sites. These follicles retain their DHT-resistant properties permanently. The procedure stimulates natural growth cycles in transplanted follicles within 3-4 months, with full results visible at 12-18 months.

Efficacy

Hair transplant survival rates exceed 90-95% with experienced surgeons. Results are permanent as transplanted follicles retain their DHT resistance. Most patients see full density from transplanted grafts at 12-18 months post-procedure.