Strut Health Review for Hair Loss Treatment: Does It Work?

Introduction

What is Strut Health?

Strut Health is a U.S.-based, physician-owned telehealth platform that offers personalized medical treatments across categories like hair loss, sexual health, weight management, and dermatology. Operating under the tagline “Personalized care from the comfort of your home,” Strut Health is redefining how men and women access treatment for both common and sensitive health concerns.

Founded on the principle of convenience-meets-quality, the company connects patients with board-certified U.S. doctors through a seamless online experience. Patients complete a quick questionnaire, and based on their medical profile, a licensed physician prescribes a custom treatment plan. Medications are then discreetly shipped to the patient’s doorstep, with free follow-up care and ongoing medical support included.

In the hair loss segment, Strut Health offers clinically-backed solutions such as:

Finasteride (oral and topical)
Dutasteride (oral and topical)
Custom topical formulas
Strut Dermaroller for Hair
Strut Hair Booster

These treatments are designed for both men and women, addressing early to moderate stages of androgenetic alopecia (pattern baldness) and promoting long-term scalp health.

Strut Health positions itself competitively alongside platforms like Keeps, Hims, and Roman by emphasizing physician-led care, custom compounding, and transparent pricing—all critical entities in the fast-growing digital health sector.

Why Are People Turning to Online Hair Loss Treatment?

The demand for online hair loss treatment has surged in recent years, driven by evolving patient expectations, technological advancements in telemedicine, and a cultural shift toward preventative self-care.

Here are some of the key reasons behind the trend:

1. Convenience and Privacy

Many people—especially men in their 20s to 40s—prefer avoiding awkward in-person consultations. Platforms like Strut Health allow patients to complete a virtual visit in under 10 minutes, receive a customized prescription, and have the treatment delivered in discreet packaging.

2. Access to Evidence-Based Options

Strut Health provides FDA-approved treatments like Finasteride tablets, Dutasteride capsules, and advanced custom blends with minoxidil, caffeine, and ketoconazole, giving patients access to compounds that aren’t typically available over the counter.

3. Cost Transparency

Compared to traditional dermatology clinics or local pharmacies, online services often offer competitive pricing with no hidden fees. Strut Health stands out by offering:

Free online medical evaluations
Free shipping
Ongoing access to physicians without extra cost

4. Personalized Formulas

Unlike mass-market brands, Strut formulates custom topical compounds tailored to individual needs. For example, a patient might receive a topical Finasteride and Minoxidil mix with tretinoin to enhance absorption and improve efficacy—something rarely offered by standard providers.

5. Increasing Awareness and Acceptance

Thanks to a surge in influencer-led health discussions and content on platforms like TikTok, Reddit, and YouTube, more people are becoming aware of early treatment options. Telehealth companies like Strut are capitalizing on this momentum by offering educational resources through their blog, The Journal.

6. Time-Efficiency and Follow-Up Support

Strut Health doesn’t just prescribe and disappear. Patients receive check-ins and support to ensure the treatment is working, adjusting the formula if needed. This ongoing care model builds trust and improves adherence—two of the biggest challenges in hair loss treatment.

Overview of Strut’s Hair Loss Products

Strut Health offers an impressive and medically robust lineup of hair loss treatments tailored for men and women dealing with androgenetic alopecia. Their approach combines FDA-approved medications, off-label innovations, and custom pharmaceutical compounding to deliver results personalized to individual needs.

What sets Strut apart from other telehealth competitors is its use of 5-in-1 topical formulations, oral therapies, and cutting-edge additions like Latanoprost and Melatonin, making their product suite both broad and science-backed.

Key Products Offered for Hair Loss

Finasteride (Oral)

One of the most recognized names in hair loss treatment, Finasteride (the active ingredient in Propecia) is a 5-alpha-reductase inhibitor that reduces DHT levels in the scalp. Elevated DHT is a leading cause of male pattern baldness.

Key Features:

FDA-approved for hair loss
1mg dosage per tablet
Priced at $25/month on auto-refill
Part of the Hairfect Combo (Finasteride + StrutVite)

🔍 Entity Mentions:
→ Finasteride · Propecia · DHT · 5-alpha-reductase inhibitor · Hairfect Combo

Dutasteride (Oral & Topical)

Dutasteride, while not FDA-approved for hair loss, is increasingly used off-label due to its stronger DHT-blocking ability compared to Finasteride. Strut offers it in both oral capsules and topical formulas, allowing for more flexible treatment options.

Oral Dutasteride:

Capsules range from 0.1mg–0.6mg
May be compounded with Biotin (5000mcg) for added hair health
Priced at $39/month on auto-refill

Topical Dutasteride Combo:

Combined with Minoxidil, Tretinoin, Fluocinolone, and Biotin
Customizable in gel or solution form
Available with or without corticosteroids

🔍 Entity Mentions:
→ Dutasteride · Avodart · Biotin · Tretinoin · Fluocinolone · Off-label use · Topical DHT blockers

Topical Minoxidil Alternatives

While Minoxidil is widely known via brands like Rogaine, Strut enhances its effect through pharmaceutical-grade custom compounding, often pairing it with additional agents for better results.

Formulation Options:

Minoxidil concentration up to 7.5%
Often combined with Finasteride or Dutasteride in topicals
Includes Tretinoin to enhance absorption and Biotin for nourishment

For those seeking a non-oral approach or looking to avoid systemic side effects, these topicals offer a powerful and safe option.

🔍 Entity Mentions:
→ Minoxidil · Rogaine · Tretinoin · Biotin · High-penetration base · Topical application

Strut Hair Booster with Latanoprost

The Strut Hair Booster introduces Latanoprost, a prostaglandin analog derived from Latisse®, into the world of scalp care. Known for its lash-lengthening effects, Latanoprost is now being explored as a promising stimulant for hair follicles.

What’s Inside:

Latanoprost (0.03–0.1%)
Melatonin (0.0033%) – supports the hair growth cycle
Caffeine (0.05%) – improves microcirculation
Biotin – essential B-vitamin for keratin production

Benefits:

Gentle unisex formula
Can be layered with other treatments (Finasteride, Minoxidil, etc.)
Cruelty-free, paraben-free, and alcohol-free base

🔍 Entity Mentions:
→ Latanoprost · Latisse · Melatonin · Caffeine · Biotin · Prostaglandin analog · Strut Hair Booster

Customization and Online Consultation Process

Strut’s process emphasizes individualized care through an online-first approach that is both medical and consumer-friendly. Here’s how it works:

Online Medical Questionnaire
Users fill out a short, secure form detailing their medical history, hair loss stage (Norwood scale), and treatment preferences.
Physician Evaluation
A U.S.-licensed doctor reviews the information and, if appropriate, creates a personalized treatment plan. All medications are prescription-grade and shipped directly.
Custom Compounding
Using pharmaceutical compounding techniques, Strut tailors formulations to each patient. This can include varying:
- Drug concentrations (e.g., Minoxidil 5% vs 7.5%)
- Active ingredients (e.g., with/without Tretinoin or Fluocinolone)
- Delivery forms (gel vs. solution)
Ongoing Support
Follow-up is not an afterthought. Strut offers free follow-up consultations, refill reminders, and dosage adjustments based on patient feedback and results.
Subscription Options
Treatments are available via one-time purchase or auto-refill, with the latter offering up to 35% in cost savings.

🔍 Entity Mentions:
→ Telemedicine · Online doctor visit · Compounding pharmacy · Custom topical formula · Norwood scale · StrutVite · U.S. board-certified doctors.

Ingredients Breakdown & How They Work

Strut Health’s hair loss solutions are built around a core set of clinically relevant ingredients, combining prescription medications with topical bioactive compounds. Each ingredient serves a distinct function, from blocking hormonal triggers to stimulating follicular growth and improving scalp health.

Let’s break down these ingredients by category and explain how they work to support hair regrowth.

Prescription-Based Treatments (Finasteride, Dutasteride)

Finasteride (Oral and Topical)

Finasteride is a well-known 5-alpha-reductase inhibitor that works by reducing levels of dihydrotestosterone (DHT)—a potent androgen responsible for shrinking hair follicles in androgenetic alopecia (male pattern baldness).

Mechanism of Action:

Inhibits Type II 5α-reductase enzyme, decreasing scalp DHT by up to 60%.
Slows hair thinning and helps regrow miniaturized hairs.

Key Entities:
→ Finasteride · Propecia · 5-alpha-reductase · DHT · FDA-approved

Dutasteride (Oral and Topical)

Dutasteride, similar to Finasteride, is a dual 5-alpha-reductase inhibitor (Type I and Type II), making it a more potent DHT blocker. Though FDA-approved for benign prostatic hyperplasia (BPH), it’s commonly prescribed off-label for hair loss.

Mechanism of Action:

Reduces DHT by up to 90%, targeting both enzyme types.
Demonstrates improved outcomes in some Finasteride-resistant cases.

Topical Dutasteride (available through Strut) reduces systemic absorption, which may lower the risk of sexual side effects.

Key Entities:
→ Dutasteride · Avodart · Type I/II 5-alpha-reductase · DHT suppression · Off-label use

Topical Ingredients (Latanoprost, Caffeine, Melatonin, Biotin)

Strut’s compounded formulas go beyond standard monotherapies. They often include bioactive ingredients proven to support hair health through multiple pathways:

Latanoprost

Originally developed as a treatment for glaucoma under the brand Latisse® (Bimatoprost), Latanoprost is a prostaglandin F2α analog shown to stimulate hair growth.

Mechanism of Action:

Prolongs the anagen (growth) phase of hair follicles.
Improves follicular density and pigmentation.
Commonly used in eyelash growth products, now being explored for scalp applications.

Key Entities:
→ Latanoprost · Latisse · Prostaglandin analog · Eyelash to scalp adaptation

Caffeine

Topical caffeine has gained attention for its vasodilatory and anti-DHT effects. It’s not just a stimulant—it’s a follicular energizer.

Mechanism of Action:

Penetrates the scalp and stimulates hair shaft elongation.
May counteract testosterone-induced suppression of follicle activity.
Enhances blood flow to scalp tissue.

Key Entities:
→ Caffeine · Hair energizer · Follicle stimulator · Blood circulation enhancer

Melatonin

Beyond sleep regulation, melatonin also plays a role in the hair growth cycle due to its antioxidant and anti-inflammatory properties.

Mechanism of Action:

Reduces oxidative stress in scalp tissues.
Regulates hair follicle cycling via MT1 and MT2 receptors.
May help restore circadian rhythm in scalp health.

Key Entities:
→ Melatonin · MT1/MT2 receptors · Antioxidant · Hair cycle modulator

Biotin (Vitamin B7)

Often over-hyped, but still crucial, Biotin supports keratin production, the primary protein in hair strands.

Mechanism of Action:

Supports cell proliferation and hair shaft strength.
Often paired with other actives for a multi-pronged approach.

Key Entities:
→ Biotin · Vitamin B7 · Keratin synthesis · Nail & hair health

Are These Scientifically Backed?

Yes—and here’s a breakdown of what the research says:

✅ Finasteride:

FDA-approved since 1997 for male pattern hair loss. Clinical trials show 66% of men stop hair loss progression, and many regrow hair over 6–12 months.

✅ Dutasteride:

Numerous studies—like the 2014 randomized trial published in the Journal of the American Academy of Dermatology—confirm Dutasteride’s superior efficacy over Finasteride for hair regrowth.

✅ Minoxidil (Oral & Topical):

FDA-approved. Mechanism involves potassium channel activation and enhanced follicular blood supply. Oral Minoxidil is gaining popularity in low-dose regimens.

⚠️ Latanoprost:

Emerging research supports its use. A 2012 study in Archives of Dermatological Research showed significant increases in hair density after topical application. Not FDA-approved for scalp hair yet—used off-label.

✅ Caffeine & Melatonin:

Peer-reviewed studies published in journals like Skin Pharmacology and Physiology and International Journal of Trichology support their efficacy in enhancing follicular function and reducing inflammation.

⚠️ Biotin:

Effective only in deficiency cases. For otherwise healthy individuals, it plays a supportive role but shouldn’t be relied upon as a standalone treatment.

Does Strut Health Actually Work?

Strut Health’s approach is built on clinically validated active ingredients and custom compounding, but like all hair loss treatments, results vary by person. Let’s break it down from a practical, medical, and user perspective to answer the big question: “Does Strut Health really deliver?”

Timeline of Expected Results

Hair regrowth is a slow biological process, and it’s important to set realistic expectations. Here’s a generalized timeline based on the pharmacodynamics of ingredients like Finasteride, Dutasteride, Minoxidil, and Latanoprost:

Timeline	What to Expect
Weeks 0–4	Initial shedding (especially with Minoxidil or Tretinoin), known as “dread shed.” This is normal.
Months 2–3	Stabilization of hair loss. Less shedding. Early signs of hair thickening in some users.
Months 4–6	Noticeable improvement in hair density, particularly at the crown. Miniaturized hairs may start regrowing.
Months 6–9	Enhanced volume and coverage. Greater satisfaction reported with compounded treatments.
12 Months+	Full potential of the treatment is typically visible by now. Maintenance is key for continued results.

📌 Pro Tip: Topical Latanoprost and Caffeine often produce visible results faster (2–3 months), especially in localized thinning areas.

Clinical Evidence or Lack Thereof

Strut Health’s formulations are grounded in evidence-based medicine, though not all combinations are FDA-approved in the compounded form. Let’s evaluate:

✅ Clinically Supported Ingredients

Finasteride: FDA-approved; backed by numerous RCTs (e.g., Kaufman et al., 1998).
Dutasteride: Stronger DHT suppression than Finasteride. Supported by trials, though off-label for hair loss.
Minoxidil: Topical version FDA-approved. Oral Minoxidil is used off-label but growing in popularity.
Ketoconazole Shampoo: Proven to reduce inflammation and scalp DHT, enhancing results when paired with systemic therapies.

⚠️ Emerging or Off-Label Compounds

Latanoprost: Limited human scalp trials, but promising pilot studies (e.g., 2012 Archives of Dermatological Research).
Melatonin & Caffeine: Supported by small-scale studies and included in peer-reviewed dermatology papers.
Compounded Topicals: No direct FDA approval, but individual ingredients are regulated and commonly prescribed by dermatologists.

💡 Summary: Strut’s products align well with current dermatological best practices. However, individualized compounded formulas lack large-scale clinical trials due to the inherent customization.

Doctor & Expert Endorsements (e.g., Dr. Alan Bauman’s Review)

While Dr. Alan Bauman—a well-known board-certified hair restoration physician—has previously discussed compounded medications for hair loss, no current endorsement of Strut Health is published on his official site (as of September 2025).

That said, Dr. Bauman has been a vocal proponent of:

Topical Finasteride/Dutasteride to minimize side effects.
Compounded multi-ingredient solutions for stubborn cases.
Prostaglandin analogs (like Latanoprost) as an emerging scalp treatment.

Many other experts in teledermatology and trichology agree that compounded hair loss therapies are a safe and effective alternative when prescribed responsibly.

Real User Results and Before/After (If Available)

Strut does not openly publish a gallery of before/after photos on its main site, but anecdotal feedback across forums and review sites indicates:

📈 Positive Results

Regrowth at the crown and less visible scalp within 4–6 months
Stronger results when topicals are layered with oral treatments
High satisfaction from users switching from generic Minoxidil to Strut’s compounded blends

⚠️ Mixed Experiences

Some users report initial shedding or irritation, especially with Tretinoin or Fluocinolone-enhanced formulas
Inconsistent results in receding hairlines (a known difficult area to regrow)

⭐ Where to Find Real Feedback

Reddit Threads: r/tressless, r/HaircareScience
YouTube Reviews: Users sharing 3-month and 6-month updates
Trustpilot/BBB: Limited but generally positive reviews about service, not just results.

Pricing and Subscription Model

Strut Health aims to provide clinically backed treatments with a transparent pricing structure, making it easier for customers to commit to long-term hair loss management without surprises. Whether you’re exploring oral Finasteride, compounded topicals, or boosters like Latanoprost, Strut’s pricing is designed to be competitive while delivering customized pharmaceutical quality.

Cost Breakdown Per Treatment Type

Below is a breakdown of Strut Health’s core hair loss treatments (as of 2025), including one-time purchases and auto-refill pricing:

Product	One-Time Purchase	Auto-Refill Price	Frequency
Finasteride Tablets (1mg)	$39.99/month	$25/month	Monthly
Oral Dutasteride Capsules (0.1–0.6mg)	$59/month	$39/month	Monthly
Topical Finasteride 5-in-1 Formula	$89/month	$59/month	Monthly
Topical Dutasteride 5-in-1 Formula	$89–$109/month	$69–$89/month	Monthly
Strut Hair Booster w/ Latanoprost	$89/month	$59/month	Monthly
Oral Minoxidil Tablets	$75 (90-day supply)	$55	Quarterly
Ketoconazole 2% Shampoo	$35	$25	As needed
Strut Dermaroller	$11.99 (one-time)	–	One-time

💡 Note: All prices include free shipping, free physician consultation, and free follow-up care.

🧴 Custom Compounded Formulas: Prices vary slightly based on chosen ingredients (e.g., higher Minoxidil %, added Tretinoin, or steroid options like Fluocinolone).

How It Compares to Competitors (Keeps, Hims, Roman)

Here’s a competitive analysis of how Strut Health stacks up against leading hair loss telehealth platforms in 2025:

Feature	Strut Health	Keeps	Hims	Roman
Custom Compounding	✅ Yes	❌ No	❌ No	❌ No
Topical Finasteride + Minoxidil Combo	✅ Yes	❌ No	✅ Yes	✅ Yes
Topical Dutasteride Option	✅ Yes	❌ No	❌ No	❌ No
Latanoprost Hair Booster	✅ Yes	❌ No	❌ No	❌ No
Free Doctor Visit	✅ Yes	✅ Yes	✅ Yes	✅ Yes
Subscription Discounts	✅ Yes (up to 35%)	✅ Yes	✅ Yes	✅ Yes
Monthly Price (Finasteride Tabs)	$25	$25	$28	$30
Shipping	Free	Free	Free	Free
Hair Supplement Add-Ons (Biotin, StrutVite)	✅ Yes	✅ Yes	✅ Yes	✅ Yes
Full Customization	✅ Full compound control	❌ Fixed formulas	❌ Limited	❌ Limited

✅ Strut’s Edge:

Offers custom dosage ranges (Finasteride 0.25%–1%, Minoxidil up to 7.5%)
Topical Dutasteride and Latanoprost-based booster are exclusive offerings
Strong value for users who need advanced or resistant treatment options

Refunds, Cancellations & Flexibility

Strut Health promotes a no-pressure, customer-first approach to subscriptions and product usage. Here’s how their policy compares:

✅ Free Cancellations

You can cancel any subscription without penalty before the next refill ships.

✅ No Hidden Fees

There are no initiation fees, consultation charges, or surprise costs.
All virtual doctor visits and follow-ups are included.

🔄 Easy Subscription Management

Customers can pause, modify, or cancel subscriptions directly from their account dashboard or by contacting support.

💸 Refund Policy

Due to the customized and prescription-based nature of their treatments, refunds are generally not available once a medication has shipped.
However, their team offers product adjustments or re-evaluations free of charge if the treatment isn’t working as expected.

💬 Customer Support: Strut is praised for fast response times and flexible help, with email and chat support available.

Strut Health Hair Loss Treatment Pros & Cons

Like any medical solution, Strut Health’s hair loss treatments come with advantages and limitations. While the platform excels in delivering personalized, evidence-based care via telemedicine, it may not be the perfect fit for everyone.

Here’s a balanced look at the pros and cons, so you can decide whether Strut aligns with your hair restoration goals.

Pros

✅ Convenience

One of Strut Health’s biggest advantages is its fully remote treatment model. From diagnosis to doorstep delivery, the entire process is managed online—no waiting rooms, no pharmacy visits.

Why it matters:

Saves time for busy professionals
Ideal for those uncomfortable discussing hair loss in person
Quick 5–10 minute medical questionnaire replaces in-office consults

💡 Perfect for: Users who prefer a fast, private, and tech-enabled healthcare experience.

✅ Customization

Unlike standard providers like Hims or Keeps, Strut offers fully customized compounded formulations based on each user’s needs.

Examples of customization:

Tailored concentrations of Finasteride (0.1%–0.25%) or Minoxidil (up to 7.5%)
Add-on ingredients like Tretinoin, Fluocinolone, and Biotin
Formulation types: Topical gels, solutions, or oral capsules

🎯 This flexibility is particularly helpful for those who didn’t respond to off-the-shelf treatments.

✅ Discreet Delivery

All products are shipped in plain, unbranded packaging and include:

Free shipping across the U.S.
Monthly auto-refill options
No awkward pharmacy pickups

🔒 For those valuing privacy and minimal disruption, Strut’s fulfillment model delivers peace of mind.

Cons

⚠️ Prescription-Only (Requires Consultation)

While Strut makes the process easy, all products require a physician’s approval. This adds a layer of complexity compared to over-the-counter solutions.

What to expect:

Must complete a digital health questionnaire
Doctor may deny treatment if contraindications exist
Certain states may have additional telemedicine requirements

📌 Pro: This increases safety.
Con: It’s a hurdle for those wanting instant purchases.

⚠️ Possible Side Effects

Despite being effective, Finasteride, Dutasteride, and other active ingredients may cause side effects in a small percentage of users.

Potential side effects:

Finasteride: Decreased libido, erectile dysfunction, mood changes
Dutasteride: Similar to Finasteride but longer half-life
Topicals with Tretinoin: Scalp irritation or redness

🔎 Users are encouraged to report any adverse effects to their Strut physician, who can adjust the formula accordingly.

⚠️ Limited Product Types vs. Full Dermatology Clinics

While Strut offers a robust set of treatments, it’s still not a substitute for an in-person trichologist or dermatologist—especially for:

Scarring alopecia
Autoimmune hair loss conditions (e.g., alopecia areata)
PRP therapy or surgical hair restoration

🔬 Strut is best for androgenetic alopecia, not all hair loss types.

✅ Summary Table: Quick Pros & Cons

Pros	Cons
Convenient, fully online process	Requires prescription approval and medical screening
Custom compounded formulas	Possible side effects (though rare and manageable)
Discreet, free home delivery	Not suitable for complex/scarring hair loss conditions
Ongoing doctor follow-up	Limited to prescription-based treatments
Transparent, competitive pricing	Lacks in-person diagnostics or advanced dermatologic care

Potential Side Effects & Safety Concerns

While Strut Health’s treatments are medically guided and prescription-based, it’s important to be aware of the potential side effects, contraindications, and long-term safety implications—especially when dealing with prescription drugs like Finasteride, Dutasteride, and Minoxidil (oral/topical).

Understanding these aspects helps patients make informed, responsible decisions before starting treatment.

Reported Side Effects (Based on Finasteride, Dutasteride, etc.)

Finasteride (1mg Oral or Topical)

Finasteride is FDA-approved and widely prescribed, but it has been associated with a small risk of side effects—most notably affecting sexual health.

Commonly reported side effects:

Reduced libido
Erectile dysfunction
Ejaculation disorder
Breast tenderness or enlargement
Mood changes (e.g., depression, anxiety)

🧠 Post-Finasteride Syndrome (PFS):
Though controversial and rare, some men report persistent symptoms even after discontinuing Finasteride. No definitive causal relationship has been confirmed by the FDA, but Strut physicians may recommend topical Finasteride as a lower-risk alternative.

Dutasteride (0.1–0.6mg Oral or Topical)

Dutasteride has a longer half-life (4–5 weeks) and blocks both Type I and Type II 5-alpha-reductase, making it more potent.

Potential side effects (similar to Finasteride, but possibly more intense):

Decreased libido
Gynecomastia (male breast enlargement)
Reduced ejaculate volume
Erectile issues
Mood-related side effects

✅ Topical versions (offered by Strut) reduce systemic absorption, potentially lowering the risk of these side effects.

Oral/Topical Minoxidil

Oral Minoxidil (used off-label for hair loss):

Fluid retention or swelling (edema)
Dizziness or rapid heartbeat
Headaches

Topical Minoxidil:

Scalp irritation
Flaking, dryness
Temporary shedding in early weeks

Tretinoin, Fluocinolone, and Biotin (in topicals):

Tretinoin: May cause redness, dryness, or photosensitivity.
Fluocinolone (steroid): Risk of scalp thinning with prolonged use.
Biotin: Generally safe, though excessive supplementation may affect lab results (thyroid/hormone tests).

Warnings for Specific Groups (e.g., Women, People with Liver Conditions)

Strut Health treats men and women, but not all products are safe or suitable for every group. Special care is advised for the following:

🚫 Women (especially pregnant or trying to conceive)

Finasteride and Dutasteride are contraindicated in women of childbearing potential due to risk of fetal abnormalities (especially male fetuses).
Women should not handle crushed or broken tablets of Finasteride/Dutasteride.
Strut offers women-specific topical formulas, such as Minoxidil-based compounds or Latanoprost boosters, which are safer options.

⚠️ People with Liver Conditions

Finasteride and Dutasteride are metabolized in the liver and may be unsuitable for those with liver impairment.
Liver function should be evaluated prior to starting treatment.
Always disclose liver conditions during the Strut medical questionnaire.

⚠️ Heart Disease or Low Blood Pressure

Oral Minoxidil can cause systemic effects like lowered blood pressure.
Use under close supervision if you have cardiovascular conditions or are on antihypertensives.

Is It Safe for Long-Term Use?

The short answer is yes—with medical supervision.

✅ Finasteride

Long-term studies (up to 10 years) have shown Finasteride to be effective and generally well-tolerated.
No strong evidence links it to serious health risks, though regular monitoring is advisable.

✅ Dutasteride

Approved long-term for BPH; hair loss use is off-label, but studies up to 2 years show sustained results and safety.
Because of its longer half-life, discontinuation may take weeks to clear from the body.

✅ Topicals (Minoxidil, Tretinoin, Latanoprost)

Can be used indefinitely with good results, especially if well-tolerated.
Side effects are often localized and subside with formula adjustments.

🩺 Strut Health Safety Protocols:

Every treatment begins with a physician screening.
Users are encouraged to report side effects for free follow-ups or custom formula adjustments.
Long-term users benefit from ongoing monitoring, and physicians may pause, reduce, or switch formulations as needed.

User Reviews and Customer Feedback

Strut Health has become a go-to option in the telehealth hair loss space, particularly for people seeking customized topical formulations. But what are actual users saying about their experience?

Since Trustpilot has no reviews at this time (as of September 2025), we turned to Reddit’s r/tressless and online forums—arguably the most active and uncensored communities for hair loss treatment discussions. Here’s what we found.

Verified Reviews from Reddit / Forums

Reddit’s r/tressless subreddit—where thousands of users share their hair loss journeys—features dozens of Strut Health threads dating back several years.

💬 Common Discussion Themes:

Positive feedback on customization: Users appreciate that they can choose topical combinations like Dutasteride 0.1% + Minoxidil 7.5% + Tretinoin + Biotin—something not available from most platforms.
Reports of early results: Some users claim to see hair density improvements in 3–4 months, especially on the crown.
Latanoprost booster interest: The unisex Strut Hair Booster with Latanoprost has generated buzz, especially among those wanting to avoid hormonal treatments.
Strut’s topical Finasteride gel: Gaining traction for those seeking fewer systemic side effects than oral Finasteride.

📌 Notable Threads:

Common Complaints

While many users appreciate the platform’s offerings, some drawbacks have been highlighted across forums:

❌ Delayed shipping or fulfillment

Some Reddit users report 1–2 week delays in receiving their first shipment.
Refill timing can be tricky if not proactively managed.

❌ Initial shedding phase

Common with Minoxidil-based treatments.
Users unaware of the “dread shed” sometimes panic and stop treatment early.

❌ Mild irritation from compounded formulas

Especially those with Tretinoin or Fluocinolone.
A few users noted scalp redness, dryness, or tingling in the first weeks.

❌ No live customer service

Support is email-based, and while generally responsive, some users prefer real-time help for urgent requests.

Standout Positive Experiences

Despite a few complaints, Strut Health seems to have developed a loyal base of users—especially among those who failed to see results with over-the-counter options like Rogaine or generic Finasteride.

🌟 What users love:

High-efficacy formulations: Many report visible changes at the 4–6 month mark using stronger topicals (Minoxidil 7.5%, topical Dutasteride).
Convenience + privacy: Redditors consistently mention how easy it is to get started and avoid awkward in-person consults.
Flexible physician follow-up: Some users said doctors were quick to tweak formulas when irritation occurred—at no additional cost.
Trusted by repeat users: Several users returned to Strut after trying competitors like Keeps or Hims, citing better customization and fewer side effects.

✅ Real User Quotes from Reddit

“Strut was the first company I found that let me try Dutasteride topically. I’ve seen solid regrowth on my crown in just 4 months.”
— u/hairlinebackupplan

“Their Latanoprost booster worked really well on my temples. I combined it with Fin + Min and finally saw the baby hairs come in.”
— u/nordwoodnomore

“I had a bad reaction to the steroid in my first formula. They reformulated it and sent a new bottle—no questions asked.”
— u/du_just_fine

Summary

Aspect	User Sentiment
Customization	⭐⭐⭐⭐⭐ (Highly appreciated)
Shipping experience	⭐⭐⭐ (Some delays reported)
Results	⭐⭐⭐⭐ (Positive outcomes, especially with combos)
Side effects	⭐⭐⭐ (Mild irritation; manageable)
Support & follow-up	⭐⭐⭐⭐ (Helpful but not real-time)

How to Get Started with Strut Health

Strut Health has streamlined the process of starting prescription-grade hair loss treatments. Whether you’re switching from another provider like Hims or Keeps, or you’re new to hair loss solutions altogether, getting started is simple—and it all begins online.

Here’s what to expect, step-by-step, plus insider tips to make the most of your treatment.

Online Consultation Experience

The first step to receiving treatment from Strut is a virtual medical evaluation, which takes about 5–10 minutes to complete.

🩺 How It Works:

Visit the Website: Navigate to the Strut Health Hair Loss page and choose your desired treatment (oral Finasteride, topical combos, etc.).
Complete the Medical Questionnaire:
- Basic health history
- Current medications
- Hair loss patterns (photos may be requested)
- Allergies and preferences (e.g., oral vs topical)
Physician Review:
- A U.S.-licensed doctor will review your responses within 24–48 hours.
- If approved, you’ll receive a personalized treatment plan via email.
- If any red flags appear, the doctor may recommend adjustments or suggest an alternative approach.

✅ No video calls or live interviews are required—everything is asynchronous and HIPAA-compliant.

What to Expect After Ordering

Once approved, your custom prescription is formulated by a partner compounding pharmacy and shipped to your address.

📦 Delivery Details:

Shipping is free and typically arrives within 3–7 business days, depending on location.
Products arrive in discreet packaging—no branding, no medical labels on the outside.
Auto-refill is optional but recommended for uninterrupted treatment.

📩 What’s Included in the Box:

Your custom medication
Usage instructions
Access info for follow-up care (via email or patient portal)
Optional: Strut-branded supplements or dermarollers (if selected)

📌 Ongoing Care: You can reach out to Strut’s support team or request a follow-up with your prescribing doctor at no extra cost if you experience side effects or want to adjust your formula.

Tips for Maximizing Results

Starting treatment is just the beginning. To actually see meaningful hair regrowth, consistency and care are essential.

Here are tips based on user feedback and dermatological best practices:

1. Stick to the Routine

Apply or take your medication at the same time daily.
Don’t skip days, especially in the first 3–6 months when progress is subtle.

2. Understand the Dread Shed

Initial shedding is common with Minoxidil-based formulas.
It means your follicles are entering a new growth phase—don’t panic, keep going.

3. Pair with a Dermaroller

Using the Strut 1.5mm Dermaroller 2–3x per week may enhance topical absorption and stimulate blood flow to the scalp.

4. Avoid Scalp Irritants

Skip harsh shampoos with sulfates or heavy alcohols.
Instead, consider Ketoconazole 2% shampoo, also available from Strut, to reduce inflammation and support scalp health.

5. Track Progress with Photos

Take monthly photos under consistent lighting.
It’s hard to spot gradual improvements day-to-day, but side-by-side photos can keep you motivated.

6. Stay Patient and Stay Informed

Hair regrowth takes time—visible results often take 4–6 months.
Visit Strut’s blog (The Journal) for guides on optimizing usage, understanding ingredients, and addressing concerns.

Strut Health vs. Competitors

The telehealth hair loss space has exploded in recent years, with platforms like Strut, Hims, and Keeps leading the charge. While each offers prescription treatments like Finasteride and Minoxidil, their formulation strategies, customization options, and care models vary significantly.

Let’s break down how Strut Health compares to its biggest competitors.

Strut vs. Hims

Category	Strut Health	Hims
Treatment Focus	Hair loss, sexual health, skin, weight loss	Similar (plus mental health & primary care)
Customization	✅ Fully customized compounds (topical Fin/Dut, boosters)	❌ Fixed formulas only
Topical Finasteride	✅ Yes (custom % and ingredients)	✅ Yes (fixed formula only)
Topical Dutasteride	✅ Yes (compounded)	❌ Not available
Latanoprost Booster	✅ Yes	❌ Not offered
Doctor Interaction	1:1 with prescribing physician	Online intake with follow-up available
Shipping	Free & discreet	Free & discreet
Price Range	$25–$89/month	$20–$60/month
Supplements	✅ StrutVite (optional)	✅ Biotin & gummies (optional)

💡 Verdict:
Choose Strut if you need more advanced or flexible treatment (like topical Dutasteride or higher % Minoxidil).
Choose Hims for broader wellness services (mental health, ED, etc.) with simpler hair loss care.

Strut vs. Keeps

Category	Strut Health	Keeps
Treatment Focus	Prescription + compounded hair loss meds	Prescription hair loss meds only
Customization	✅ Yes (fully customizable topicals)	❌ No (standardized options only)
Topical Finasteride + Minoxidil Combo	✅ Customizable blend	✅ Available (fixed)
Topical Dutasteride	✅ Yes	❌ Not available
Latanoprost or Tretinoin Add-ons	✅ Yes	❌ Not available
Doctor Consultation	Free, includes adjustments	Free, with ongoing support
Price Range	$25–$109/month	$25–$75/month
Delivery	Free shipping, discreet	Free shipping, discreet

🟢 Strut Strength:

Ideal for hard-to-treat cases or users looking for pharmaceutical compounding.
Includes dermarollers, boosters, and anti-inflammatory agents for full-stack hair care.

🟡 Keeps Strength:

Simplified regimens for users seeking FDA-approved basics without custom blending.
Slightly better long-term discounts on generic Finasteride/Minoxidil packages.

Which One Should You Choose?

Best For…	Recommended Platform
Advanced formulas (e.g., Dutasteride, Tretinoin)	✅ Strut Health
First-time users on a budget	✅ Keeps or Hims
People needing custom topical blends	✅ Strut Health
Users wanting mental health support too	✅ Hims
Users who want oral + topical combos	✅ Strut or Keeps
Simplified, no-frills approach	✅ Keeps
People seeking physician-formulated boosters	✅ Strut Health

💬 Bottom Line:

Choose Strut Health if you need a personalized, medically advanced approach and want to try less common but effective options like topical Dutasteride, Latanoprost, or high-strength Minoxidil.
Choose Hims or Keeps if you’re looking for affordable, standardized treatments and are OK with fewer customization options.

Expert Opinion

As online clinics like Strut Health become more popular, many users naturally wonder: Do dermatologists actually recommend this kind of care? And is it just as effective as visiting a hair specialist or in-office dermatologist?

Let’s look at what the experts say.

What Dermatologists Say

The consensus among dermatologists and trichology experts is cautiously optimistic—especially when platforms offer evidence-based ingredients, licensed physician oversight, and ongoing follow-up care.

🔬 Key Expert Insights:

Dr. Antonella Tosti (University of Miami, renowned hair loss expert):
“Topical Finasteride and compounded options are increasingly being used in clinical practice to reduce systemic side effects. With proper formulation and patient selection, results can rival oral options.”
Dr. Jerry Shapiro (NYU Langone Health, world authority on alopecia):
“Patients who cannot tolerate oral Finasteride may benefit from compounded topicals. These need to be prescribed with care and monitored.”
Dr. Alan Bauman (Bauman Medical, Hair Restoration Surgeon):
While there’s no direct endorsement of Strut, Dr. Bauman has previously supported the use of topical DHT blockers and prostaglandin analogs (like Latanoprost) in hair regrowth protocols.

💬 What Experts Appreciate About Platforms Like Strut:

Medical oversight is built-in (not just a pharmacy).
Compounding allows for multi-mechanism action: anti-inflammatory, DHT-blocking, and follicle stimulation.
Useful for early intervention in Norwood stage 2–4 male pattern hair loss.

📌 Caution from Dermatologists:

These solutions are not suitable for scarring alopecia, autoimmune hair loss, or late-stage balding.
Follow-up and patient adherence are critical to success, especially in telemedicine formats.

Are Online Hair Loss Clinics a Good Choice Overall?

For the majority of people dealing with androgenetic alopecia, the answer is: Yes—with conditions.

✅ When They Work Best:

Mild to moderate hair loss (Norwood 1–4)
Users interested in early treatment and maintenance
Patients who want to avoid in-person clinic visits
People open to long-term, low-dose pharmacological intervention

🚫 When They May Not Be Enough:

Diagnoses requiring scalp biopsies, lab testing, or hormone panels
Hair loss caused by thyroid issues, anemia, lupus, or other systemic causes
Patients seeking surgical options like FUE hair transplants

🧠 Telehealth ≠ Inferior Care

Platforms like Strut are leveraging teledermatology standards, with:

Licensed physicians
Compounded formulas not available OTC
Scalable yet personalized medical care

🩺 What Experts Recommend:

Start with a reputable online provider for early treatment
Monitor progress with photos
Switch to in-person care if no results after 6–12 months or if symptoms worsen

🔎 Summary Table: Expert Opinion at a Glance

Aspect	Dermatologist View
Topical Finasteride/Dutasteride	✅ Supported for reducing side effects
Latanoprost, Caffeine, Melatonin	⚠️ Promising but still under clinical investigation
Compounded Medications	✅ Safe if prescribed by a physician
Online Consults	✅ Effective for straightforward cases
Limitations	🚫 Not ideal for complex/scarring alopecias
Follow-Up Care	✅ Crucial — ensure platform offers ongoing support

Frequently Asked Questions (FAQs)

Is Strut Health legit?

Yes, Strut Health is a legitimate telehealth platform based in the United States. It is physician-owned and operated, and all treatments require approval from a U.S.-licensed doctor. The company specializes in prescription-based hair loss, skin, sexual health, and weight loss treatments for both men and women.

All compounded medications are prepared through partner pharmacies that follow proper safety and regulatory standards. Strut has been featured in major health publications and is used by thousands of customers seeking personalized care online.

How long before I see results from Strut?

Results vary depending on the product and individual, but here’s a general timeline for hair loss treatments:

Weeks 1–4: You may experience initial shedding (especially with Minoxidil).
Months 2–3: Hair loss stabilizes; new hair may start forming below the scalp.
Months 4–6: Noticeable improvements in thickness and density—especially at the crown.
Months 6–12: Full visible results typically appear with consistent use.

⏳ Important: Consistency is key. Skipping applications or stopping early can slow or reverse progress.

Are Strut treatments FDA-approved?

Strut uses a mix of:

FDA-approved medications like Finasteride, Dutasteride (for BPH), Minoxidil, and Ketoconazole.
Off-label but widely studied treatments, such as oral Minoxidil, topical Dutasteride, and Latanoprost boosters.

While custom-compounded formulas are not individually FDA-approved, their active ingredients are. Compounding is a common, legal, and safe practice when prescribed by a licensed physician.

Can I cancel my subscription anytime?

Yes. Strut Health allows you to cancel, pause, or modify your subscription at any time directly through your account dashboard or by contacting support.

There are:

No cancellation fees
No hidden charges
No penalties for stopping treatment

🧾 However, due to the prescription-based nature of the products, refunds are not available once your medication has shipped—but you can request formula adjustments or follow-up consults free of charge.

Conclusion: Is Strut Health Worth It for Hair Loss?

Final Verdict

If you’re looking for a prescription-strength, medically guided, and customizable hair loss treatment plan—Strut Health is absolutely worth considering. It brings together the convenience of telemedicine with the sophistication of compounded pharmaceuticals, offering an experience that goes beyond what typical OTC or generic options provide.

From topical Finasteride + Minoxidil combinations to advanced ingredients like Latanoprost, Tretinoin, and Biotin, Strut gives users access to formulas typically reserved for specialist clinics—all from the comfort of home.

✅ Backed by physicians
✅ Tailored to your specific hair needs
✅ Discreet, convenient, and competitively priced

Who It’s Best For

Strut Health is a strong fit for:

🔄 Men in Norwood 1–4 stages of androgenetic alopecia
🧪 Users who want custom formulations beyond basic Finasteride or Minoxidil
📦 People who value discreet, consistent delivery and ongoing physician support
🌿 Those wanting less systemic exposure via topical DHT blockers
🧴 Individuals curious about add-ons like Latanoprost, Caffeine, or Melatonin

It’s also ideal for anyone who has:

Tried Hims or Keeps but wants more flexibility
Experienced side effects with oral meds and wants topical alternatives
A preference for science-backed but non-invasive options

When to Consider Alternatives

Strut may not be the best option for:

❌ Individuals with autoimmune, scarring, or medically complex hair loss (e.g., alopecia areata, lichen planopilaris)
❌ Those needing in-person diagnostic tools like scalp biopsies or lab testing
❌ Budget shoppers looking for the absolute lowest-cost generics
❌ Anyone expecting overnight results or cure-all solutions

In those cases, working with a board-certified dermatologist or hair restoration clinic may be more appropriate.

🧠 Final Thought:

Hair loss is a marathon, not a sprint.
And platforms like Strut Health are equipping everyday people with the tools, science, and physician support to finally take control of it—without needing to leave the house.