hairloss › Head-to-head comparison
Keeps vs Happy Head
True annual cost, labs inclusion, delivery methods, and verified reviews compared. Updated March 2026.
★
Our pick: Keeps — 8.3/10 vs 8.1/10, $648/yr cheaper
★ Our Pick
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
Happy Head
$79/mo — custom compounded topical formulas
8.1/10
Monthly
$79/mo
True Annual
$948/yr
Labs
✗ Extra
States
Most states
Pros
✓Custom compounded topical formulas
✓Combines finasteride + minoxidil + DHT blockers
✓No systemic side effects
Cons
✗More expensive
✗Topical only
Side-by-side comparison
| Feature | Keeps | Happy Head |
|---|---|---|
| Monthly price | $25/mo | $79/mo |
| True annual cost | $300/yr | $948/yr |
| Labs included | ✗ No | ✗ No |
| Delivery options | oral, topical | topical |
| Editorial score | 8.3/10 | 8.1/10 |
| Trustpilot | 4.4★ | 4.4★ |
| State availability | All 50 states | Most US states |
Our verdict
Keeps (8.3/10) is our pick over Happy Head (8.1/10) for most patients. At $300/yr vs $948/yr, Keeps saves you $648 per year.
Happy Head may be a better fit if you prefer Happy Head's specific protocol approach. Both clinics require a prescription and blood work before starting treatment.
More comparisons
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
Keeps vs Strut Health
$25/mo vs $65/mo · 8.3 vs 8.1 score
Keeps vs Hims
$25/mo vs $20/mo · 8.3 vs 7.8 score
Happy Head vs Strut Health
$79/mo vs $79/mo · 8.1 vs 8.6 score
Happy Head vs Sesame Care
$79/mo vs $16/mo · 8.1 vs 8.3 score