Keeps Review: Does It Works, Side Effects, Cost

By Lydia Noyes
HighYa Staff
Updated on: Jan 3, 2020

Medically Reviewed by Anthony Dugarte, M.D., C.S.C.S

Hair loss is a touchy subject for many people, but it’s hardly a unique experience. More than half of men age 40-49 experience moderate to extensive hair loss.

Finding treatments to slow down or even reverse this process is a high priority for many, but knowing where to look isn’t easy.

Keeps is a health care company that specifies in treatments for male pattern hair loss. This brand offers generic versions of popular, FDA-approved treatments.

All Keeps products arrive as a 90-day supply through an automatic subscription to ensure you always have some on hand. The company claims that you can save between $70-$100 per year with a Keeps subscription instead of the shopping with the competition.

In this review, we’ll share our analysis on whether Keeps products work as described and are worth the subscription plan.

Pros: Cons:
  • Active ingredients show clinical evidence for effectiveness
  • Auto-ship program lets you skip the wait at the pharmacy
  • Possible to sign up for personalized advice from Keeps-affiliated physicians
  • Positive customer reviews
  • Prices may be higher than equivalents at local pharmacies
  • Not all Keeps products work for all types of hair loss
  • Some customer service complaints from HighYa reviewers

How Does Keeps Work?

Signing up for Keeps products requires you to fill out a brief survey about your history of hair loss. You’ll share how recently you started noticing it, where the loss is most prevalent, and whether you have already done anything to address it.

You can also specify whether any lifestyle choices, recent life events, or other health conditions may be affecting your hair.

At the end of the questionnaire, you need to submit three photos of your hair, including the top of your head, your crown, and your hairline.

After you complete registration, you have the option to request an online consultation with a Keeps-affiliated doctor. This consultation is free the first time and $5 after, and will be performed by a physician licensed in your state and will include a personalized treatment plan with a prescription for finasteride if needed.

It’s possible to opt-out of this consultation and order the company’s over-the-counter treatments without an expert recommendation. Alternatively, you can submit a prescription to the site from your doctor to request a finasteride treatment.

Keeps Treatment Options

The products available from Keeps include the following:

1mg Finasteride (Generic Propecia)

This prescription pill blocks DHT production, a hormone linked to male pattern baldness. It’s an FDA-approved treatment for slowing down receding hairlines and improving hair regrowth rates along the hairline, crown, and vertex.

  • Use: Take a pill by mouth once a day, preferably at the same time each day.
  • Price: $25/month

Note: Finasteride is only available for purchase once you submit a prescription to the Keeps pharmacy.

5% Minoxidil Solution (Generic Rogaine)

This topical treatment works to slow down hair loss and promote hair regrowth, especially at the crown of your head. Most users can expect results within 3-4 months.

  • Use: Use a dropper to apply directly to your scalp twice a day.
  • Price: $10/month

5% Minoxidil Foam (Generic Rogaine Foam)

As with regular Rogaine, this topical treatment slows down hair loss and promotes hair regrowth at the crown of your head. The foam application method might make it easier for some people to use than the standard solution with an eye drop.

  • Use: Apply a capful twice a day to your scalp, massaging into place with your fingers.
  • Price: $15/month

2% Ketoconazole Shampoo (Generic Ketoconazole Shampoo)

This prescription shampoo is used to treat dandruff and other forms of itchiness and flaking. Most users will experience results in 2-3 weeks.

  • Use: Apply to scalp and let sit for 10-15 minutes before washing it off.
  • Price: $10/month

According to Keeps, it’s possible to use any of their hair loss treatments alongside your normal hair products. If you are using minoxidil, you need to apply the product to dry hair and then let it dry on your scalp before applying other products as normal.

The company suggests that you use each product for the long-term, as stopping the treatment may reverse any hair loss you are experiencing.

Keeps' Active Ingredients: Do They Work?

Let’s look at the facts behind the active ingredients in Keeps hair loss treatments.

Finasteride

Finasteride blocks 5-α reductasem, preventing the conversion of testosterone to dihydrotestosterone (DHT). This hormone is considered essential for body hair growth, but too much can be detrimental to head hair growth because it triggers the hair follicles to miniaturize.

According to a 2005 double-blind study with 80 male patients, the participants who took 1mg of finasteride daily (the same amount offered by Keeps) experienced hair regrowth results that were superior to patients taking a placebo.

5% Minoxidil

Topical minoxidil is considered an effective hair growth treatment for most male and female hair loss. Though it’s not known how the compound works, it seems to work by enlarging your hair follicles and keeping them in the growing phase longer.

A 2005 study found that treatment with minoxidil led to statistically significant improvements in hair regrowth after 16 weeks, compared to a placebo. This treatment is considered best for hereditary hair loss at the back of the head, and it’s not recommended for a receding hairline.

In 2009, 5% minoxidil was demonstrated to be superior to 1% in Japanese men with male pattern baldness.

2% Ketoconazole

Traditionally used to treat fungal infections, ketoconazole is effective against specific types of dandruff.

Though this compound isn’t often associated with hair loss treatments, a pilot study from 2011 with 15 participants found that ketoconazole shampoo may be effective for improving hair regrowth.

Finasteride vs. 5% Minoxidil

When comparing Finasteride 1mg and minoxidil 5%, both had similar efficacies.

Key Takeaways: There is strong clinical evidence in trials with human subjects that the active ingredients in Keeps treatments will lead to statistically significant improvements for many types of male pattern hair loss.

Side Effects

There are some side effects associated with the active ingredients in Keeps hair loss products.

Finasteride, for instance, is known to have an impact on male sex drive. In the finasteride study mentioned previously, 25% of the participants experienced decreased libido or erectile dysfunction. Pain in the testicles and skin irritation are also possible side effects.

Most people find that the side effects of Finasteride disappear after several weeks of taking the treatment, but in rare cases, they persist, even after they stopped the treatment altogether.

In regards to minoxidil, some people might experience burning, stinging, or redness at the treatment site after using it. In rare cases, the medication can be absorbed through the skin and cause problems like dizziness, unwanted hair growth, an irregular heartbeat, and even difficulty breathing.

Likewise, some people experience stinging, swelling, and other irritation on their skin from using ketoconazole, though severe or unsafe reactions are rare.

Overall, these side effects tend to resolve once you stop the treatment.

How Much Does It Cost?

All Keeps products are available for purchase for the company website for US men over 18. Not all State permit product sales, so you can check here if your state is an option.

Note: Minoxidil is an over-the-counter medication, so Keeps can ship it to all 50 states.

Your Keeps order will be billed and shipped as a three-monthly supply with a $3 shipping cost. You can change your cancel your Keeps subscription by submitting a request through your online account, at help@keeps.com, or by calling the company directly at (833) 745-3377.

It’s best to cancel at least 24 hours before your next refill date to ensure the order isn’t shipped out anyways.

Comparing Keeps to Other Generic Hair Loss Product Prices

Keeps claims to save you time and money securing hair loss treatment products compared to picking them up at your local pharmacy. In this chart, we compared the price of each treatment to the equivalent generic options available at nationwide pharmacies.

Keeps Walgreens Rite Aid Walmart
Finasteride $25/month, $1 shipping Price depends on your insurance Price depends on your insurance Price depends on your insurance
5% Minoxidil $10/month ($1 shipping) $39.99/3-month supply ($13.33/month), free in-store pickup, free shipping $24.99/3-month supply ($8.33/month), free in-store pickup, $5.99 shipping $18.76/3-month supply ($2.92/month), free in-store pickup, $5.99 shipping
5% Minoxidil (Foam) $15/month ($1 shipping) $41.99/3-month supply ($13.99/month), free in-store pickup, free shipping $17.99/ month, free in-store pickup, $5.99 shipping $29.94/3-month supply ($9.98/month), free in-store pickup, $5.99 shipping
2% Ketoconazole $10/month (4-oz bottle) ($1 shipping) $12.99/ 4-oz bottle, free in-store pickup, $5.99 shipping NA $16.99/ 4-oz bottle, free in-store pickup, $5.99 shipping

As this chart shows, the cost of generic hair loss treatments varies based on your pharmacy. Keeps offered the lowest price for its 2% ketoconazole shampoo, but you pay more per month for both of the company’s options for generic Rogaine.

However, this price difference will be negated if you’re paying the full shipping price for Walgreens, Walmart, or Rite Aid rather than picking up the product in-store. That’s something to consider if you value the convenience of Keeps’s subscription plan and hassle-free delivery.

If you are interested in using a product with finasteride, keep in mind that each pharmacy, including Keeps, requires you to submit a prescription first.

Some people may find that their health insurance covers the full cost of their appointment and prescription, while others will pay more out of pocket than if they went directly with keeps. Just remember that Keeps won’t accept any health insurance, so you are responsible for paying the full prescription cost regardless of your plan.

Key Takeaways: Buying hair loss treatment products from Keeps might save you time and money if you factor in the shipping costs and subscription convenience, but the cheapest option for most products is to pick up equivalent generic versions at your local pharmacy.

Keeps Customer Reviews

More than 25 HighYa reviews have rated Keeps, giving the product an average of 4.1 stars. Consumers Advocate has another 14 reviews, averaging 4.5 stars, and there are over 1,000 on the Keeps website, averaging 4.7. Here’s a summary of some of their main takeaways.

Effective Hair Loss Treatment

A number of Keeps reviewers raved that these hair loss treatments really worked. Some wrote that they had tried numerous other over the counter products with the same active ingredients with minimal success, but that they noticed improvements within weeks of switching to Keeps.

Many noted that they had more hair growing in places where they were previously balding and that friends and family noticed the difference enough to comment on it. The most successful users seemed to be using multiple Keeps products together each day.

Good Customer Service

Keeps earned points from reviewers for excellent customer service. Many noted that the website was easy to navigate and that the customer service was quick to answer any product questions or send out refunds for returns or subscription cancellations.

Several reviewers noted that they loved the auto-ship program because it kept them accountable for taking their treatment daily and removed the stress and hassle of going to the pharmacy regularly.

More Affordable Than the Competition

Several Keeps reviewers praised the brand for offering cheaper products than the competition, especially when factoring in the convenience of the auto-ship program.

Note: Our research showed that many pharmacies offer equivalent products to Keeps for a slightly lower cost per month, not factoring in shipping costs.

Occasional Order/Delivery Problems

Not all users were in love with this service. Some reported that their Keeps orders never arrived or that their deliveries continued even after they had canceled the subscription. Others received the wrong products and found it a hassle to get the company to send what they needed instead.

Not Worth the Cost

A minority of Keeps reviewers wrote that they didn’t experience results from the products that were worth the cost. Some thought they got better results from traditional Rogaine, while others didn’t notice any difference in their appearance after several months of use.

Key Takeaways: Keeps users seem to be happy overall with the company’s products and subscription program. Some ran into problems with billing or didn’t experience significant results, but most reported that Keeps treatments led to real hair regrowth at an affordable rate.

Bottom Line: Is Keeps Worth It?

Keeps claims to give subscribers easy access to effective hair loss treatments at a lower cost than the competition. There’s real evidence to back up the effectiveness of the product’s active ingredients for anyone experiencing male pattern hair loss.

While finasteride and minoxidil seem to have similar efficacy, considering the potential side effects can help guide your decision.

Our research found that many national pharmacies can beat Keep’s per-month prices for equivalent products, but that the prices become more equal when you factor in shipping costs. If the convenience of an auto-ship program appeals to you, then Keeps is a brand worth considering.

When it comes to treating male pattern hair loss, it’s essential to keep in mind that most treatments have limitations. There’s little you can do to replace hair follicles that have already died, and most treatments are designed to target hair loss only on specific parts of the head.


Read 27 Keeps Customer Reviews and Complaints

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Average Customer Rating: 4.1
Rating Snapshot:
5 star: 21 4 star: 0 3 star: 0 2 star: 1 1 star:  5
Bottom Line: 78% would recommend it to a friend
Showing 1-11 of 27
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  • 1 out 2 people found this review helpful

    Best treatment for hair loss followed with great support line

    • By Devin S.,
    • Lakewood, CO,
    • Aug 29, 2019
    • Verified Reviewer

    I have always been skeptical about using hair products as they have never worked for me. I've used shampoos, foams, and many other over-the-counter products. Nothing seemed to help. I did give up for years and saw the crown of my head go completely bald. I saw an ad for Keeps and decided why not try one more time. Within two months I saw visible results and wow, my confidence has jumped significantly. I believe in this product, I love the support team, they answer any and all questions quickly. If you're reading this, you're probably in the same boat I was, give it a shot. I promise you won't regret it.

    Bottom Line: Yes, I would recommend this to a friend

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  • 3 out 3 people found this review helpful

    Excellent product, incredible results

    • By William M.,
    • New York,
    • Aug 19, 2019
    • Verified Reviewer

    I began noticing a receding hairline about a year and a half ago. When researching solutions, I started using minoxidil with limited results. When I stumbled upon Keeps, I immediately signed up because it's cheaper than the alternatives (trip to the doctor/pharmacy) and far cheaper.

    The website is well made and the customer service team is responsive and informed. My intake visit with the doctor was a brief video call followed by a couple of photos of my hairline. Within a week or so, I had a box shipped to my door with three months' worth of Propecia.

    A quick anecdote: when I moved, I forgot to update my address so the Rx was returned to sender. Keeps then reshipped the original prescription for a small shipping fee.

    I'd highly recommend the service for its ease of use and price point.

    Bottom Line: Yes, I would recommend this to a friend

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  • 2 out 2 people found this review helpful

    Made me a believer

    • By Charles W.,
    • Chicago, IL,
    • Aug 19, 2019
    • Verified Reviewer

    Tried Keeps after trying, and failing, using Rogaine foam for a few years. I hadn’t used Rogaine in a bit over a year and my bald spot continued to grow. Saw an ad for Keeps and the price was right so I decided to give it a try. There was no "shedding" like when I initially started Rogaine, it just started growing. I could see real results in as little as 3 months! They have a great website that allows you to upload your progress photos so you can track your hair growth, which is extremely helpful and keeps you positive throughout the process. Automatic home delivery makes the process so much easier and makes sure you never run out.

    The process couldn’t be easier they send you a measured dropper and it’s one application in the morning and one at night. Rub it in thoroughly, wash your hands and you’re done. I still wear hats and haven’t had any issues with growth or with the product ruining my hats coloring or anything like that. I couldn’t be happier with my experience and just love watching my hair grow back and my bald spot to continue to fill back in. EXTREME CONFIDENCE BOOSTER!

    Bottom Line: Yes, I would recommend this to a friend

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  • 3 out 4 people found this review helpful

    It really works!

    • By Ramy H.,
    • United States,
    • Aug 8, 2019
    • Verified Reviewer

    I have been using Keeps for about 15 months after one month of using For Hims, their closest competitor. Obviously, I chose to stick with Keeps and that was for mostly a financial reason as I am on a budget. Both services provided quality medication, great customer service, and present their product in a professional and appealing manner when it arrives in the mail, but their business models were a little different which gave Keeps the clear edge. Keeps sends me three months of medication every quarter for $105 plus a $3 shipping cost. My total quarterly cost with Keeps is $108. For Hims charged me $35 a month (so still ends up being $105 a quarter like Keeps) but also $5 shipping for each box. That made my price per quarter $120. That's a difference of $48 a year for the same medication.

    About Keeps itself, the product is exactly as described, the customer service is very prompt with answering questions and it is very easy to get advice from one of the doctors. It is worth noting that every year, you must pay a small fee around $5 for an annual appointment with a physician (the actual price was higher, but it was discounted for me possibly because it was my first one). It is a very strange fee that really should just be included in the cost of the service since its purpose seems like it fulfills a legal requirement to renew the prescription.

    Every morning and night I apply a 1ml dose of Minoxidil, generic Rogaine, to my scalp. Every morning, I also take my pill which is 1mg of Finasteride (generic Propecia). I wasn't happy about taking medication every day for the rest of my life, but I cannot argue with the results. I got tired of seeing photos of myself in weddings, at parties, or at the zoo with my daughter looking like I was completely bald because of the way the light was hitting my scalp. When I looked in the mirror, I appeared to have hair, but the mounting evidence to the contrary could not be denied.

    After 16 months of treatment, 15 of which with Keeps, I have so much more hair and once again get haircuts regularly again. My wife, who I started dating nine years ago, says I have more hair now than I did even back then. I highly recommend Keeps and sing its praises to all who will listen because Keeps has saved me from my family curse of baldness. I am the only male in my family that is not bald and that includes my younger brother. The best time to use this treatment is when you notice your hair thinning BEFORE you are bald. Consistency is key as your progress will be slowly undone once you stop taking the medication.

    Bottom Line: Yes, I would recommend this to a friend

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  • It works and I have pics to prove it.

    • By Jason S.,
    • West Sacramento, CA,
    • Aug 8, 2019
    • Verified Reviewer

    I heard about Keeps from a podcast I regularly listen to. They had a great deal (a month free if I remember right), so I figured why not. My hairline sucks. I went to the website and it was a piece of cake. You answer a few questions, take 3 pictures of your head, pay $5 for a doctor review it and within a couple of days, they got back to me saying I was approved.

    I just take the daily pill (Finasteride) and the twice-daily scalp rub stuff (Minoxidil). I know they say results can take like 4-6 months but I noticed a difference after just 2. The front center of my hairline had begun filling in. I have a bit of a widow's peak and it had this terrible line that left an embarrassing hair island in the front. But after 2 months it had filled in. No more island! The rest of the widow's peak is making slow but certain progress. If I grow my hair longer you can barely tell my hairline isn't full. Is my hair 100% back? Nope. Has this product helped regrow hair and fill in my hairline? Absolutely.

    As for side effects, never had any man boobs. I did experience a drastic drop in my sex drive for about the first three months. My body was still functional. I just didn't have any drive. It resolved on its own and I haven't had any problems in the last 9 months.

    For a little over a dollar a day it's well worth giving it a shot.

    Bottom Line: Yes, I would recommend this to a friend

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  • 1 out 1 people found this review helpful

    Changed the game

    • By Brian K.,
    • Los Angeles, CA,
    • May 23, 2019
    • Verified Reviewer

    Keeps hasn’t just changed my hair, it‘s changed my confidence. I went to school acting, and the first three years out of college, I noticed my hair thinning, and falling out into my brush. As an actor, I really wanted to make sure I could hold to the hair I had for as long as possible, but how already, the stress of my hair loss made it worse. It wasn’t until I worked on a tv show where they had to fill in my balding spot on the crown of my head with colored spray, that I realized I had to start doing something. I wish I could say I started and immediately got results but it took a few months and eventually I forgot I was even using Keeps everyday. Maybe 6 or 7 months later, I started getting comments on how good my hair looked...which hasn’t happened in years. I now feel more confident and more myself, which is more than I could have ever imagined was possible when starting Keeps.

    Bottom Line: Yes, I would recommend this to a friend

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  • 2 out 3 people found this review helpful

    I got back what I've wanted for years!

    • By Nathan N.,
    • San Diego, CA,
    • May 20, 2019
    • Verified Reviewer

    I found Keeps 2-3 years after I noticed that I was thinning at the top of my head, and have been looking for a way to grow my hair back until I stumbled upon Keeps through an online ad. It was relatively cheap and 3 months into using it, I've noticed a immense difference in the scalp! I got back what I've wanted back and Keeps helped me get there!

    Bottom Line: Yes, I would recommend this to a friend

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  • 2 out 2 people found this review helpful

    Keeps changed everything

    • By Russell S.,
    • New York,
    • May 16, 2019
    • Verified Reviewer

    I started noticing my hair thinning up top and for a while, I thought nothing of it. Then, when I was getting my hair cut, I looked at the results in the mirror and couldn't believe it. I was 28 and the bald spot on top of my head made me look twice that. I was not ready to lose my hair. Coincidentally, I heard about Keeps shortly after that and decided to give it a try. It was affordable, so there was little risk, and people seemed to speak highly of it. It shipped right to my apartment and all I had to do is remember to apply twice a day. A few months later, I was able to see the hair start to return. After about four months of treatment, I asked my hairdresser how the bald spot looked and she smiled and said "there is none." Mission accomplished.

    Bottom Line: Yes, I would recommend this to a friend

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  • Effective and affordable

    • By Marc M.,
    • New York,
    • May 14, 2019
    • Verified Reviewer

    Male baldness runs in my family and the first I saw my hairline receding, I had to do something. At the time, the only option was a $1,000/year prescription, which was not financially possible. I had accepted my fate until Keeps came along. I’ve been using Keeps for over a year now and my hair is better than its ever been!

    Bottom Line: Yes, I would recommend this to a friend

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  • This stuff works

    • By Antonio S.,
    • Dallas, TX,
    • May 14, 2019
    • Verified Reviewer

    I did a 3-month trial with Keeps - I figured I got nothing to lose. The 3 months were up and my spouse took progress pictures. I was impressed by the results. I've been on Keeps treatment plan for almost a year and I love having hair now.

    Bottom Line: Yes, I would recommend this to a friend

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  • 21 out 22 people found this review helpful

    Unethical

    • By Robert S.,
    • Saugus, CA,
    • May 10, 2019
    • Verified Reviewer

    This company is poorly run and has horrible customer service! You'll notice the good reviews are from people who have been with them long enough to experience results from the treatment they purchased. These results would be the same no matter who you purchased them from. My complaint is that after three months in they sent me a letter explaining that for reasons beyond their control their supply has run out. However, they were in the process of getting a new supplier and they would still provide a one month supply to tide me over until they could ship the three month supply I already paid for.

    My one month supply never came and I contacted them to complain that for a treatment that requires consistency, this is not acceptable. To make it right, they allowed me to purchase Minoxidil on my own and they would apply the cost as a credit to my account. However, they accidentally canceled my Finasteride and one month later they again sent me an email explaining they still won't have Minoxidil and that now I'd have to wait till June!

    Enough was enough so I canceled my subscription. To my surprise, they not only would not send me my reimbursement but almost three weeks later they sent me a three month supply of Minoxidil. I had already canceled my account, due to the fact that they said they would not have enough supply until June, and they sent me a three month supply of minoxidil anyway. When I contacted them about this they told me it was because I already paid for it! I explained that not only did I cancel my account before it shipped but they expressly told me they would not have enough supply anyway. My purchase should have been refunded since they did not deliver on our agreement. They refused to refund my purchase and my reimbursement. They only offered to add the credit to my account.

    So, in summary, they expected me to have a two-month break in treatment and the only thing they offered in return was a credit. Why in the world would I want credit with a company that can't deliver on their promises and in spite of their miss calculations expect me to continue to support them? Stay away from this company. I believe the circumstances beyond their control are an inability to run a business. They sure as heck don't know what customer service is. I gave them two chances to make things right and they decided to stick it to me. Now, I'm happily paying $5 more a month to a competitor who so far has made good on their promises.

    Bottom Line: No, I would not recommend this to a friend

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