Hims vs Keeps vs Roman: Subscription Hair Loss Face-off

Hims, Keeps, and Roman have made the hair loss treatment process much easier for men as they offer online medical consultation and ship treatment right to your door.

About half of all men will experience significant hair loss by the time they reach 50. The only way to prevent going bald is to start your treatment as soon as possible.

However, the whole process of medical consultation, diagnosis, and prescription often looks too complicated for most men, which eventually leads to delayed treatment and inevitable balding.

Therefore, brands such as Hims, Keeps, and Roman have decided to make the process as simple as possible for the 80 million Americans affected by hair loss.

They offer telehealth services including online medical consultation, prescription, and the option to purchase hair loss medications on their websites that will be shipped right to your door.

What is more, the consultation is usually free, while the medications are always much more affordable than the ones available at your local pharmacy.

Here’s an overview of what these three brands offer when it comes to hair loss treatment, and which one is the best for your personal needs and preferences.

For HimsKeepsRomanDS Laboratories
Order and Consultation ProcessFree Online Consultation with a licensed healthcare provider;

Get a personalized treatment recommendation from a licensed provider in your state.

Medications filled at a licensed pharmacy, and shipped to you directly.

Unlimited access to message your provider with any questions, any time.
Online consultation with a physician who will partner with you to come up with your desired hair goals.

Daily supply of treatment arrives at doorstep every three months, and at a half cost compared to pharmacies.

Take action. Track progress and supports you with a post-procedure treatment plan to make sure your results last.
Complete an online visit detailing your symptoms and medical history.

In less than 24 hours, a licensed healthcare will contact you about your treatment.

A US-licensed healthcare professional will review your information and make a personalized treatment recommendation.

Roman will ship your treatment in discreet packaging with free 2-day shipping, if prescribed.
Direct to consumer products, no prescription required.
Example Cost of Treatment for Minoxidilproducts price range – $16-$22starts at $10/month depending on treatmentStarts at $20/monthProduct price starts at $28
Hair Loss Products OfferedTopical Finasteride & Minoxidil, Oral Finasteride, Minoxidil Foam + Solution, Biotin Gummies, Thickening Shampoo + Conditioner,Finasteride, Minoxidil Solution, Ketoconazole Shampoo, Minoxidil Foam – MoreFinasteride and MinoxidilNanoxidil, Hair Growth Tablets, Microneedles, CBD + Nanoxidil, Beard Products, Hair Thickeners, 5% Minoxidil, Anti Dandruff Products – Many more
Other ServicesErectile dysfunction; Premature ejaculation; Acne; Anti-aging; Anxiety & Depression; Online Therapy; Performance Anxiety; Primary Care; Cold Sores; Genital Herpes; Infections; Allergies; Cold & FluHair Restoration and Hair Loss TreatmentErectile dysfunction; Premature ejaculation; Testosterone testing; Sperm testing and storage; Cold sores; Genital herpes; Weight Management; Hair loss treatment; Hair Support Supplement; Eczema; Dandruff; Excessive sweating; COVID-19 Testing; Men’s Multivitamin; Testosterone Support; Weight management; Focus Supplement; Cellular Health Supplement; Allergies; Heart Health; Stress Relief; Prostate Health; Quit smoking; Anxiety and Depression; Pharmacy; Skincare;Beauty products, health supplements, skin care products.
Available inUSUSUSWorldwide

TL; DR – What is Best Hims vs Keeps vs Roman?

  • Hims, Keeps, and Roman all offer FDA-approved treatment for hair loss, such as Finasteride and Minoxidil.
  • Hims and Keeps offer Minoxidil foam which may be easier to apply to large areas of your scalp.
  • Hims and Keeps offer shampoos and conditioners with natural ingredients which may support your main hair loss treatment.
  • A standout feature of Hims is that it offers Finasteride and Minoxidil in a single product for topical use which may reduce the risk of side effects.

Who Wins Hims vs Keeps vs Roman?

Currently, the most effective and FDA-approved medications for hair loss are Minoxidil and Finasteride. They are generic versions of popular brands such as Rogaine and Propecia.

However, the generic options are significantly lower priced while they have the same quality and ingredients.

Finasteride is usually used in the form of 1mg tablets pills. It works by blocking an enzyme that converts testosterone into its more potent form – dihydrotestosterone (DHT).

The DHT that forms in various parts of your body such as armpits, beard, groin, etc. stimulates hair growth.

However, it has a negative effect on the hair on your scalp, and especially the “crown”. It causes the hair follicles to shrink and eventually die.

The enzyme blocked by finasteride is called 5-alpha-reductase and by blocking it, there is less DHT forming in your tissues. This preserves the hair follicles and helps them regain their thickness.

However, if the follicle is already dead, finasteride won’t help. Therefore, the medication will work best if you have started treatment in the first 5 years of the first signs of hair loss.

Minoxidil is used as a topical medication – either a liquid or foam which must be rubbed in your scalp. The exact mechanism via which the medication prevents hair loss is not completely understood.

One of the possible mechanisms is local vasodilation which increases the blood flow, oxygen, and nutrient supply to the hair follicles. It may also stimulate various growth factors and cell proliferation, which may stimulate hair growth.

Initially, the medication can cause increased shedding. However, these are the old and thin hairs that will be eventually replaced by new, thicker hair.

The use of finasteride and minoxidil together is usually more effective than either of them used alone.

Both medications typically take at least 3-6 months of daily use to start seeing the effects. If you stop taking the medications, their benefits will disappear.

Best Hair Care Brands

The best brands for men which can help you keep your hair include Hims vs Keeps vs Roman They offer a free online consultation including video or phone calls with a licensed doctor who will prescribe you a personalized hair loss treatment plan.

What is more, you can purchase your medication via their websites and they will be shipped right to your front door for free. These brands often both one-time purchases and subscription treatment. If you have selected a subscription, you will no longer have to think about when you will run out of your medications.

Better yet, these companies will reach out to you and let you know if it’s time to refill your prescription for medications such as Finasteride. The refill is free and usually requires an online follow-up doctor’s appointment.

Finasteride is available only if you have received a medical prescription during your consultation. The medication has rare but unpleasant side effects such as sexual dysfunction which affects 2-3 % of patients.

Hair Loss Products for Men

For Hims Hair Loss

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Hims for men offers FDA-approved products for hair loss such as finasteride pills, minoxidil foam, and minoxidil drops. In addition, you can purchase shampoo, conditioner, and a dietary supplement that may aid your fight against hair loss.

In general, side effects of oral finasteride are rare, but if you are one of the few who have experienced them, Hims can offer you a brilliant solution. The brand also offers a combination of finasteride and minoxidil spray for topical use.

Furthermore, Hims may be your best choice if you are new to hair loss treatment since your first try will be risk-free. Hims offers a 90-day money-back guarantee, so if you do not have results within 3 months (which is usually the period when you should see your first improvements), you can get a full refund.

Roman Hair Loss

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Roman offers the basic but most effective treatment out there – finasteride pills and minoxidil drops. What is more, it offers finasteride pills at the best price available, especially if you subscribe for the long term.

All offers by Roman are for a 3-month supply. Yet, there is no option for a refund.

Keeps Hair Loss

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Keeps for men offers finasteride pills, minoxidil foam, and minoxidil solution. In addition, you may purchase ketoconazole shampoo, hair thickening shampoo, and conditions (with natural DHT blockers).

Your first telehealth consultation with a doctor is free and you can message him for free during the first year of your treatment. Then your annual consultation is $5.

All offers by Keeps for men are for a 3-month, 6-month, or 12-month supply. Yet, there is no option for a refund.

Finasteride and Minoxidil – Hims vs Roman vs Keeps for Men

All three brands offer the same FDA-approved combination of remedies: a 1mg daily finasteride and topical Minoxidil. Roman offers Minoxidil only as a solution, while For Hims and Keeps for men give you an option to choose between drops (solution) or foam (aerosol).

Minoxidil drops are more useful when you have long hair and you want to treat a specific area of your scalp. On the other hand, if you have short hair and you want to treat a large area of your scalp, it may be better to choose foam instead.

Hims Finasteride

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Hims Finasteride is available only if your doctor prescribes it during your medical consultation. It comes in the standard oral form of 1mg tablets and it should be taken daily.

Its price is $22 per month. In addition, the medication can be purchased as a part of the Hims Hair Power Pack.

Hims Minoxidil Solution

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Hims Minoxidil comes as a standard 5% solution for topical use.

In order to use it properly, drop one milliliter directly on the affected area twice per day and let it dry. While wet, keep hair away from pillows, hats, etc.

Its price is $15 for a month, or $40 when purchased for 3 months. It’s also a part of the Hims Hair Power Pack.

Hims Minoxidil Foam

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The foam also contains 5% minoxidil. It can be applied easily with your fingers to gently massage it directly into your scalp.

Using the cap of your foam minoxidil, measure half a capful and apply it twice daily. Using more minoxidil or applying more often will not improve results but it may irritate your scalp.

The cost of the medication is $30 for one month or $20 per month for 3 months ($60 total).

Hims Hair Power Pack

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The Hims Hair Power Pack includes Finasteride, Minoxidil solution, a hair-thickening shampoo, and a dietary supplement – biotin gummies. The cost is $44 per month.

Hims Topical Finasteride & Minoxidil Spray

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In addition to Finasteride in oral forms, Hims is the only brand from this list that offers the medication in topical form. According to doctors and experts, Finasteride shows similar effectiveness when used topically.

However, the risk for side effects such as sexual dysfunction is much lower if any at all. Therefore, this option is best for those who may have experienced side effects due to oral finasteride use.

In addition, the spray also contains Minoxidil, which further increases the effectiveness of the spray. This way you can receive both medications via one product. The cost of the Finasteride and Minoxidil spray is $50 per month.

Roman Finasteride

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The Finasteride by Roman is also available in its standard 1 mg oral form. You can purchase it only as a 3 month supply. It is the most affordable one on this list, as it comes at a price of $60 for 3 months ($20 per month).

Roman Minoxidil

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Minoxidil by Roman is available only as drops (solution) which contains the standard 5% of the active substance. You can purchase it only as a 3 month supply for $48 ($16 per month for 3 months).

Roman Finasteride & Minoxidil

A combination of Finasteride & Minoxidil is well known to work better than either of them alone. Roman offers them in a bundle for a lower price – $105 for 3 months ($35 per month).

Keeps Finasteride

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This is a standard 1 mg oral Finasteride. Keeps Finasteride is available for as low as $50 for the first 3 months, followed by $75 every 3 months ($25 per month).

In addition, the medication can be added to a bundle with Minoxidil Solution or Foam.

Keeps Minoxidil Solution

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Keeps for men offer a standard minoxidil solution that contains 5% of the active ingredient. It’s available for $30 every 3 months ($20 for the first 3 months).

You can also purchase it in combination with Finasteride which will cost $105 every 3 months ($70 for the first 3 months). If you decide to subscribe for longer, there is an additional discount for up to 12 months.

Keeps Minoxidil Foam

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Keeps for men also offer Minoxidil as a 5% foam, which can be applied easily to large areas of your scalp. It will cost you $45 every 3 months ($30 for the first 3 months).

It is also available in combination with Finasteride which will cost $120 every 3 months ($80 for the first 3 months). If you decide to subscribe for longer, there is an additional discount for up to 12 months.

Hair Loss Shampoo For Men – Hims vs Keeps For Men

In addition to the standard FDA-approved treatment, two of the brands – Hims and Keeps offer shampoos and conditioners which may further help prevent weight loss. Roman does not offer this form of therapy.

Keeps Ketoconazole Shampoo

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Ketoconazole is an antifungal medication used for therapy against seborrhea and dandruff. It’s the generic form of Nizoral.

However, research has shown that Ketoconazole shampoo may also help slow down hair loss. It likely works by disrupting the effects of DHT on your hair.

Therefore Keeps offers shampoo with 2% ketoconazole as an addition to the standard Finasteride + Minoxidil therapy. The price of the product is $10 per month.

Keeps Thickening Shampoo

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Keeps Thickening Shampoo is available without a prescription. It contains several natural contents including biotin (vitamin B7), caffeine, green tea extract, and saw palmetto.

Saw palmetto and caffeine may block the effects of DHT while green tea and biotin are supposed to help speed up hair growth.
The price of the shampoo is $22 for a 236 ml (8 fl. oz) bottle.

Keeps Thickening Conditioner

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Keeps Thickening Conditioner has the same contents as the shampoo, and it aims to further boost its benefits against hair loss.
The price of the conditioner is also $22 for a 236 ml (8 fl. oz) bottle.

In addition, you may purchase both the shampoo and the conditioner in a bundle for $30.

Hims Thickening Shampoo

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The thickening shampoo by Hims contains saw palmetto which is supposed to aid finasteride therapy in blocking the effects of DHT on the hair follicles.

Once you rub it in, you should leave it on your scalp for a minute before rinsing. The product costs $19 per bottle.

Hims Thick Fix Conditioner

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Hims Thick Fix conditioner contains niacinamide (vitamin B3). The vitamin is supposed to increase hair fullness when applied topically.

After shampooing simply apply conditioner to your scalp, roots, and ends of hair. Then leave on for 1-3 minutes and rinse thoroughly. The product costs $22 per bottle.

Customer Reviews – Hims vs Roman vs Keeps for Men

For Hims Hair Loss Reviews

Hims has an overall rating of 4.1 out of 5.0 stars on Trust Pilot.

Here’s what two men had to say about their experience with Hims:

“Getting setup is really easy and their shipping and responses are reasonably fast. The pricing is great, especially if you consider what it would cost on top of a prescription to have a doctor’s office visit.

My only gripe is they don’t have a user-accessible cancellation for a subscription, you have to contact them – this is dumb. If I can subscribe on my own I should be able to unsubscribe the same.”


“Hims is the best thing that could have ever happened to me, I went from almost losing my hair on the crown and center area of my head to now having to cut my hair weekly.

I am able to do fades like I used to when I was younger, my barber was convinced I had done some kind of Hair implant. After several cuts, he realized it was my natural hair. This product has brought me confidence and happiness.

Thank you Hims!”


Roman Hair Loss Reviews

Unfortunately, Trust Pilot did not have any applicable reviews for Roman in respect to hair loss products.

Keeps For Men Hair Loss Reviews

Trust Pilot also had very few reviews for Keeps hair loss products, however, we did come across this one review:

“I have been using keeps for about 5 months now and the results are clear, I have more hair, I have thicker hair, it really worked for me. I know people who have used it to the same success but others who have used it and not seen much change, I think it’s dependent on the person.

I do my best to stick to the schedule- I use the pill and the foam, I’ve never missed a pill but I’ve fallen asleep a couple of times and missed the second dose of foam. Overall it’s been a great experience, it’s easy if you stick to the routine.”


Final Verdict – What’s the Best Subscription Hair Loss Treatment for Men?

It’s a tough call – Hims, Roman and Keeps all offer FDA-approved medications for hair loss treatment at an affordable price. Furthermore, they all make your treatment as simple as possible via free online consultations, prescription refills, and shipping.

Yet, Hims is the only company offering a 90-day money-back guarantee, so if this will be your first time taking Finasteride and Minoxidil, Hims is your safest bet. If you are one of the few men that don’t respond to this treatment, then at least you will get a full refund.

On the other hand, Roman and Keeps both offer the medications at the most affordable price. Consider Roman if you want to stick to the basics or Keeps if you’d like to experiment with hair-thickening shampoo and conditioner.

Dr. Dimitar Marinov

Dr. D. Marinov is our medical expert. He has written, fact-checked and medically reviewed tons of articles on topics about medicine, health, infections, and nutrition.

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