Keeps is a U.S.-based haircare brand that focuses on tackling common haircare concerns like thinning and hair fall in men. Its lineup features products like shampoos, conditioners, and oral formulations to target multiple hair concerns, such as male-pattern hair loss, thinning at the crown, or dandruff.
Beyond its offerings, the brand also provides access to online consultations with licensed medical providers, subscription-based plans, and home delivery of products to simplify your haircare routine.
In this review, we look at the brand’s telehealth model and its background, including its featured offerings, online consultation process, and core positioning. The review also explores the verified user experiences with the brand’s offerings and services.
About Keeps
Founded in the year 2018 by Steve Gutentag and Demetri Karagas, Keeps provides an online telehealth platform to tackle concerns around male-pattern hair loss and related haircare needs. The brand is built around a subscription-style care pathway.
Their process begins with you being required to complete a brief online questionnaire, which licensed healthcare providers review. Post-review, the providers help tailor a personalized program to support your specific haircare needs.
The licensed providers may provide access to prescription haircare offerings, such as topical/oral Finasteride, Minoxidil Foam 5%, Ketoconazole Shampoo 2%, and Minoxidil + Spray. Keeps may also provide access to non-prescription products like Daily Hair Defense Supplement, Thickening Shampoo, and Thickening Conditioner to help keep your hair follicles clean and hair cuticles strong.
Beyond haircare, the platform also targets male sexual wellness concerns, including erectile dysfunction and premature ejaculation. It may provide consultation access for prescriptions of Sildenafil citrate (generic form of Viagra), Tadalafil (generic form of Cialis), and a Climax Delay Spray, through its licensed providers. The brand also extends its care model to support weight management goals through its sister brand Nurx, which offers prescription access to compounded GLP-1 offerings.
The Keeps digital-first platform may allow you to track progress, adjust your plan, or pause and cancel subscriptions as needed. It may also provide you with continued access to licensed clinicians and care consultants for questions and follow-up.
Keeps Offerings
Hair Loss
The brand maintains a dedicated haircare ecosystem to tackle hair loss in men, including concerns like thinning at the crown, receding hairlines, and dandruff. As part of the Hair Loss lineup, the platform could provide access to virtual consultations with licensed clinicians, who review your haircare needs and concerns and tailor a customized program. You also receive a year of unlimited provider messaging so you may ask questions, monitor your progress, and adjust your plan through your dashboard as needed.
According to its official website, the haircare lineup features prescription-based offerings such as Topical Finasteride and Minoxidil Gel, Finasteride (oral), Minoxidil+ Spray, and Ketoconazole Shampoo 2%. Minoxidil works on the scalp by widening local blood vessels, which may increase nutrient flow to hair follicles and lengthen the anagen (growth phase) of the hair growth cycle. The Minoxidil+ Spray features hair-nourishing ingredients like caffeine, tretinoin, and melatonin. Caffeine may influence follicle signaling related to keratin activity, tretinoin may increase cell turnover and improve the absorption of minoxidil through the scalp surface, and melatonin may help decrease oxidative stress around follicles.
Beyond prescription offerings, the platform also provides access to non-prescription products like the Daily Hair Defense Supplement. The formulation pairs ingredients like zinc, biotin, B vitamins, and saw palmetto, which may support hair growth and minimize scalp-related issues. Keeps also offers Thickening Shampoo, Thickening Conditioner, and a Thickening Pomade as part of its non-prescription haircare offerings.
Sexual Health
The Sexual Health range from the brand may help address common sexual problems, such as erectile dysfunction and premature ejaculation. As part of the sexual health care, the platform could provide access to oral prescription ED medications like Sildenafil citrate (generic form of Viagra) and Tadalafil (generic for Cialis).
Research highlights that Sildenafil works by suppressing phosphodiesterase type 5, an enzyme present in smooth muscle cells of the corpus cavernosum. The PDE5 suppression could allow blood vessels in the penile tissues to relax more effectively during sexual arousal. Such relaxation effects may increase cavernosal blood filling, which could support firmer and longer-lasting erections. Tadalafil also works through the same biochemical pathway but may remain in your body for longer periods, enabling more flexibility in timing. Both oral options are FDA-approved for managing erectile dysfunction, implying that a prior prescription from a licensed clinician is needed to obtain these medications.
The Keeps platform also provides the Climax Delay Spray, which may help tackle concerns like premature ejaculation by reducing penile sensitivity. Lidocaine is the spray’s active compound, which may temporarily dampen sodium channel activity on peripheral sensory nerves located in the superficial layers of penile skin. Such a reduction in sensitivity may slow the neural feedback loop associated with rapid ejaculation, giving you more time before climax. The product is available without a prescription and is used shortly before sexual activity.
Weight Management
According to the official website, Keeps maintains a separate sister-brand to support weight management goals, called Nurx. The Nurx platform may support fitness and metabolic health goals through a digital-first model. It works by providing access to consultations with licensed clinicians who help tailor a customized weight management program and offer prescriptions for GLP-1 medications (if needed).
Nurx could provide access to GLP-1–based injectables and oral medications that may influence appetite regulation, metabolic pathways, or satiety signaling. At the discretion of licensed clinicians, the platform could offer GLP-1 injectables like semaglutide (Wegovy®, Ozempic®), liraglutide (Saxenda®, Victoza®), and tirzepatide (Zepbound®, Mounjaro®).
GLP-1–based injectables work through gut-derived incretin hormones. These hormones bind to GLP-1 receptors in the pancreas, brain, and gastrointestinal tract. Such binding may slow gastric emptying, enhance insulin sensitivity, and suppress cravings through hypothalamic signaling. These benefits may help lower your calorie intake, which might support your weight management goals.
The oral options provided by Nurx work by pairing neurochemical and metabolic effects. For instance, the brand offers formulations like Naltrexone and Bupropion, which target central reward circuits and hunger pathways. Bupropion may increase levels of dopamine and norepinephrine neurotransmitters, which may reduce appetite and improve energy levels. As per its official website, the brand also provides Metformin, a medication that may enhance hepatic glucose production and insulin sensitivity, which might indirectly support metabolic goals. Other oral medications provided by the brand include Naltrexone and Topiramate.
Keeps Advantages
Men-Centered Care Identity
The brand reinforces its male-centered focus through its range of offerings and telehealthcare model. Keeps maintains a focus on clinically recognized formulations to tackle concerns like male pattern hair loss, including options such as Finasteride, Topical Finasteride, Minoxidil Solution, and Ketoconazole Shampoo.
Keeps’ offerings are specifically tailored for men and claim to address the hormonal and genetic factors that contribute to male pattern hair thinning. The brand’s care model also extends to other male wellness areas, including sexual health and weight management. Moreover, the brand’s identity is also reinforced through visual design, packaging, and communication style.
U.S. Licensed Clinician Network
As per its official site, the online consultations from Keeps are reviewed by a U.S. licensed physician or a practitioner who is authorized to diagnose concerns like male pattern hair loss or erectile dysfunction. They are also qualified to develop customized plans and offer prescriptions for finasteride, minoxidil, or Sildenafil (if needed).
Within this medical network, the brand highlights the involvement of leading experts in hair and scalp conditions. Jerry Shapiro, MD, is an experienced hair dermatologist who serves as a Professor of Dermatology at the NYU School of Medicine and has authored multiple peer-reviewed research papers. His background may support the brand’s commitment to medical accuracy and expert-driven hair loss guidance.
Another specialist connected to the brand’s medical foundation is Antonella Tosti, MD, Professor of Clinical Dermatology at the University of Miami. The brand uses its licensed provider network to support you throughout your journey. It provides the option to message your provider, ask questions, report side effects, or request adjustments to your plan. This creates an ongoing care relationship rather than a one-time prescription process.
Keeps Limitations
Insurance Coverage Not Accepted
Keeps does not accept medical or pharmacy insurance for any of its programs, so you are required to pay out of pocket for all prescriptions and services. It includes the cost of its core offerings, such as Finasteride, Topical Finasteride and Minoxidil Gel, Sildenafil Citrate, and Tadalafil.
The brand maintains a fixed pricing structure through its subscription model, where you cannot apply insurance benefits, copay assistance, or HSA and FSA pharmacy coverage to lower your monthly expenses. It is a particular drawback if you rely on insurance plans to cover your medical expenses. This might contribute to out-of-pocket costs for availing the brand’s telehealth services and products.
Pros
- Offers a streamlined online quiz and doctor-review process to tailor condition management plans to your specific goals and lifestyle.
- Maintains a diversified focus around male wellness needs, including hair loss, sexual health, and weight management.
- Allows flexible delivery intervals (3, 6, and 12 months) in its haircare lineup, providing more control over schedule and costs.
Cons
- A few users have noted difficulties with cancellation or unexpected charges on subscription plans.
- Does not offer insurance integration, which may contribute to added costs.
Keeps Alternatives
Nutrafol
When comparing Nutrafol and Keeps, both brands are engaged in the men’s hair wellness segment, focusing on tackling concerns related to hair thinning and hair loss.
However, the brands differ in terms of their service model, scope and format of offerings, quality/safety standards, core positioning, and accessibility.
Co-founded by Giorgos Tsetis, Roland Peralta, and Dr. Sophia Kogan, Nutrafol positions itself as a physician-guided hair care brand that frames hair thinning as a multifactorial biological issue that is influenced by factors like stress, hormone shifts, nutrition, scalp environment, and aging. Such whole body positioning guides the brand’s reliance on drug-free nutraceuticals and targeted hair growth boosters.
Meanwhile, Keeps is an online telehealth platform that provides access to online consultations with licensed clinicians, prescriptions for hair loss medications like Finasteride and Minoxidil, home delivery of medications, and follow-up support via its providers.
In terms of product range and focus, Nutrafol centers its lineup around haircare offerings like hair serums, supplements, and boosters. For instance, the brand’s signature offerings include the Nutrafol Men supplement, which claims to support visibly thicker scalp coverage and hair volume via oral consumption.
The brand also pairs Nutrafol Men formulation with other formulations such as DHT inhibitor, Hair Serum, and Collagen Builder for more comprehensive haircare support. Beyond these offerings, the brand also provides the 2-in-1 Shampoo & Conditioner, which is formulated to boost visible hair volume, unclog hair follicles to stimulate growth, and minimize scalp-related concerns such as dry or flaky scalp.
On the other hand, Keeps structures its portfolio around providing access to prescription medications, over-the-counter topicals, and complementary offerings through its licensed providers. As part of its prescription haircare range, the platform may offer Minoxidil + Spray, Finasteride tablets, Topical Finasteride and Minoxidil Gel, and Ketoconazole Shampoo. Its non-prescription haircare range comprises offerings like Thickening Shampoo/Conditioner, Minoxidil Foam, Daily Hair Defense Supplement, and Thickening Pomade.
Beyond haircare, the brand may also provide access to Tadalafil, Sildenafil Citrate, and Climax Delay Spray, all of which may target sexual wellness concerns like premature ejaculation and weak erections.
Under the name of Nurx, the brand maintains a dedicated lineup of GLP-1 injectables and oral formulations to support weight management goals. Some featured offerings in the lineup include options like Semaglutide, Tirzepatide, and Liraglutide injectables, alongside oral medications such as Metformin, Topiramate, and Bupropion.
With respect to quality and safety standards, there are further differences between the brands. For instance, Nutrafol claims that its haircare formulations are NSF Contents Certified, describing that the certification covers toxicology reviews, ingredient verification, and facility audits. It also reinforces a physician-guided formulation approach, highlighting reputed names like Dr. Sharon Stokes, Dr. Patricia K. Farris, and Dr. Roy Stoller behind the scientific advisory team.
Meanwhile, Keeps prioritizes medical oversight by licensed medical providers who review each case and confirm prescriptions before shipment. The brand also highlights a free one-time provider consultation on new purchases. It may imply that the brand positions its safety/quality pitch around clinician review and regulatory status of its telehealth model rather than third-party nutraceutical certifications.
Rogaine
Rogaine presents itself as supporting hair regrowth through its range of topical minoxidil and haircare products. The brand highlights that its Minoxidil-based topical offerings are FDA-approved to manage androgenetic alopecia, or pattern hair loss.
As per its official website, the brand’s lineup includes products like the Men’s ROGAINE 5% Minoxidil Unscented Foam, Men’s ROGAINE 5% Minoxidil Solutions, and Hair Thickening 2 in 1 Shampoo and Conditioner.
The brand details the differences between foam and solution formats and provides guidance on usage instructions to maintain results. The brand relies on clinical testing and dermatology-aligned guidance rather than on provider consultations or personalized haircare programs.
In terms of accessibility, Rogaine’s offerings are available online through its official site and e-commerce platforms like Amazon. You may also purchase the brand’s products offline in physical retail outlets across the USA, including marketplaces like Target, CVS, Walmart, and Walgreens.
According to its official website, the brand also offers free U.S. shipping on purchases worth $20 or more. It maintains a straightforward model where you may purchase products directly, follow usage instructions, and receive educational content around ingredients and product use.
Meanwhile, Keeps positions itself as a broader men’s telehealth platform that covers multiple wellness areas, including hair loss, weight management, and sexual wellness. To begin, you are required to fill out an online medical intake form with questions around your wellness goals and health history, which is reviewed by a licensed medical provider. Post-review, the provider may offer prescriptions for formulations like Finasteride, GLP-1 Injectables, and Sildenafil.
As part of its haircare range, the platform may provide access to Minoxidil Foam, Topical Finasteride and Minoxidil Gel, Finasteride tablets, Ketoconazole Shampoo 2%, Daily Hair Defense Supplement, and Thickening Conditioner.
For tackling sexual wellness concerns like weak erections or premature ejaculation, the platform may provide access to formulations like Sildenafil Citrate (generic for Viagra), Climax Delay Spray, and Tadalafil (generic for Cialis).
Under its weight management lineup, the brand may offer access to prescriptions for GLP-1 injectables such as Liraglutide, Tirzepatide, and Semaglutide. These GLP-1 offerings may help delay gastric emptying, improve satiety while suppressing cravings, and improve insulin response. Such effects may help lower your daily calorie intake and contribute to a healthy metabolism and fitness goals.
When it comes to accessibility, Keeps maintains a direct-to-consumer distribution system exclusively through its official website. For instance, subscription to the brand’s Minoxidil programs offers flexible delivery intervals of three, six, and twelve-month supply cycles alongside added savings and convenience.
The brand’s subscription model also enables you to track progress with its program offerings, discuss any side effects experienced, and make dosage adjustments after consultation with your assigned healthcare provider. It is important to note that the brand’s offerings are not available for purchase on e-commerce platforms like Amazon or via offline retail outlets.
How Did We Evaluate?
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Brand Credibility
To evaluate brand credibility, we examined Keeps’ ratings and presence on the Better Business Bureau platform, where the company is BBB Accredited and holds an “A+” rating, showing nine years of business operations. However, BBB reviews indicate that some users noted issues related to unauthorized charges, prescription renewals, and unexpected shipments. Complaints on the BBB further reinforce these patterns, particularly around billing disputes, unwanted shipments, and difficulties in modifying or canceling subscription plans. For more perspective, we looked at the brand’s ratings across TenereTeam, where it holds a 4.0 out of 5 rating based on more than 1,700 reviews. Feedback shared highlighted the strengths of the brand’s service, including access to telehealth consultations, discreet shipping, and a competitive pricing structure. However, a few users noted concerns around slower shipping times, difficulty scheduling prescription renewals, and customer service delays. Such findings may highlight the brand’s digital care model and positive response to its offerings. However, unfavorable feedback around billing, renewals, and communication may indicate areas of improvement in service consistency for the brand. -
Real User Reviews
For evaluation, we reviewed the verified customer feedback for Keeps shared across Trustpilot, where the brand maintains a 3.3 out of 5 rating based on over 70 reviews shared between 2024 and 2025. Feedback trends are mixed, with many users appreciating program effectiveness and convenience, while unfavorable reviews focus on billing concerns, customer service issues, and subscription management problems. Many users cited improvements such as reduced shedding, fuller hair, and regrowth along the hairline and crown with the brand’s haircare programs. Consumers also emphasized convenience, noting that auto deliveries arrived reliably and helped them stay on schedule. Across these reviews, the brand’s topical finasteride, minoxidil formulas, and oral medications were commonly mentioned as effective. However, a few users shared unfavorable feedback stating that hair regrowth progress was slow or only partially visible after two to three months. Some users reported being charged after canceling, having subscriptions reopened without consent, or receiving products they did not order. A few users also expressed frustration with customer service, citing slow response times, conflicting answers between medical providers and support agents, and unresolved issues that persisted after multiple attempts to contact the company. Our evaluation shows a clear divide between customers who see meaningful benefits from the brand’s condition management plans and those who face challenges with billing, communication, or account control.
Frequently Asked Questions
It depends on the type of concerns. The brand’s licensed clinicians may help screen for common forms of hair loss, particularly androgenetic alopecia, through remote assessments and photo-based reviews. However, severe conditions such as scarring, autoimmune-driven hair loss, and fungal infections typically require in-person evaluation by dermatologists.
Yes. The brand claims to work with licensed clinicians contracted through KMG Medical Group, stating that each provider holds an active medical license in the specific U.S. state where you receive care. The brand also conducts background-checking of its affiliated providers as part of State-based licensing compliance requirements.
No. The platform focuses on providing access to virtual consultations with clinicians, prescription management, and follow-up communication. However, it does not provide customized nutrition, behavioral, or lifestyle coaching, nor does it provide structured programs addressing sleep, stress, micronutrients, or metabolic health.
Conclusion
Keeps positions itself as a male-centered telehealth platform built around customized programs targeting common hair concerns related to pattern hair loss, including thinning, receding hairline, flaking, and itchy scalp.
The brand also expands into the sexual health and weight management space, maintaining a clear identity through design, communication, and product structure. Its clinical network is guided by U.S.-licensed physicians or nurse practitioners who help review and approve prescriptions, tailor condition management plans, and assist with follow-up.
However, the brand’s offerings are not eligible for insurance reimbursement, copay programs, or HSA/FSA pharmacy benefits. As noticeable outcomes from the programs typically take months and require daily use, it might contribute to added financial strain, especially if you rely on insurance plans to cover medical expenses.
- About the Author
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Alisha Matthew has been a practicing nutritionist since 2016. She holds a master’s degree in nutrition from the University of IOWA. She is a staunch believer in improving the human health index by educating people about nutrition and the importance of nutrition in leading a healthy and happy life. Her long-term goal is to keep educating people on general health and keep herself updated with the latest trends in the field of health.