hairloss › Head-to-head comparison
Keeps vs DirectMeds
True annual cost, labs inclusion, delivery methods, and verified reviews compared. Updated March 2026.
★
Our pick: DirectMeds — 8.8/10 vs 8.3/10, higher rated
Keeps
$25/mo — only clinic with ketoconazole shampoo
8.3/10
Monthly
$25/mo
True Annual
$300/yr
Labs
✗ Extra
States
All 50
Pros
✓Only provider offering ketoconazole shampoo
✓Good physician follow-up
✓Oral and topical options
Cons
✗Slightly more expensive than Hims
VS
★ Our Pick
DirectMeds
Compounded GLP-1 from $199/mo — semaglutide and tirzepatide, labs optional
8.8/10
Monthly
$199/mo
True Annual
$2,388/yr
Labs
✗ Extra
States
All 50
Pros
✓Fast approval process — under 24 hours
✓Compounded sema and tirzepatide available
✓Free shipping on all orders
Cons
✗Labs not included
✗Newer provider
Side-by-side comparison
| Feature | Keeps | DirectMeds |
|---|---|---|
| Monthly price | $25/mo | $199/mo |
| True annual cost | $300/yr | $2,388/yr |
| Labs included | ✗ No | ✗ No |
| Delivery options | oral, topical | injection |
| Editorial score | 8.3/10 | 8.8/10 |
| Trustpilot | 4.4★ | 4.5★ |
| State availability | All 50 states | All 50 states |
Our verdict
DirectMeds (8.8/10) is our pick over Keeps (8.3/10) for most patients.
Keeps may be a better fit if you want more delivery options (oral, topical). Both clinics require a prescription and blood work before starting treatment.
More comparisons
DirectMeds vs Strut Health
$199/mo vs $79/mo · 8.8 vs 8.6 score
DirectMeds vs Sesame Care
$199/mo vs $16/mo · 8.8 vs 8.3 score
DirectMeds vs Happy Head
$199/mo vs $79/mo · 8.8 vs 8.1 score
DirectMeds vs Strut Health
$199/mo vs $65/mo · 8.8 vs 8.1 score
Keeps vs Strut Health
$25/mo vs $79/mo · 8.3 vs 8.6 score
Keeps vs Sesame Care
$25/mo vs $16/mo · 8.3 vs 8.3 score