hairloss › Head-to-head comparison
Keeps vs Sesame Care
True annual cost, labs inclusion, delivery methods, and verified reviews compared. Updated June 2026.
★
Our pick: Keeps — 8.3/10 vs 8.3/10, higher rated
★ 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
Sesame Care
Direct-to-patient marketplace — GLP-1, ED, HRT, mental health from $16/appt
8.3/10
Monthly
$16/mo
True Annual
$192/yr
Labs
✗ Extra
States
All 50
Pros
✓Available in all 50 states
✓No insurance required — transparent cash pricing
✓Same-day telehealth or in-person appointments
Cons
✗Marketplace model — quality varies by provider
✗Lower recurring revenue than subscription clinics
Side-by-side comparison
| Feature | Keeps | Sesame Care |
|---|---|---|
| Monthly price | $25/mo | $16/mo |
| True annual cost | $300/yr | $192/yr |
| Labs included | ✗ No | ✗ No |
| Delivery options | oral, topical | oral, injection, topical |
| Editorial score | 8.3/10 | 8.3/10 |
| Trustpilot | 4.4★ | 4.5★ |
| State availability | All 50 states | All 50 states |
Our verdict
Keeps (8.3/10) is our pick over Sesame Care (8.3/10) for most patients.
Sesame Care may be a better fit if you want more delivery options (oral, injection, topical). 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 Happy Head
$25/mo vs $79/mo · 8.3 vs 8.1 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
Sesame Care vs Strut Health
$16/mo vs $79/mo · 8.3 vs 8.6 score
Sesame Care vs Happy Head
$16/mo vs $79/mo · 8.3 vs 8.1 score