hairloss › Head-to-head comparison
Keeps vs Strut Health
True annual cost, labs inclusion, delivery methods, and verified reviews compared. Updated March 2026.
★
Our pick: Strut Health — 8.6/10 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
Strut Health
Hair loss, weight loss & skincare — compounded by US pharmacy, no video visit required
8.6/10
Monthly
$79/mo
True Annual
$948/yr
Labs
✗ Extra
States
Most states
Pros
✓No video visit required — async review in ≤1 business day
✓US-licensed doctors, US compounding pharmacy
✓Hair loss, weight loss, skincare, libido all in one platform
Cons
✗Not available in AK
✗Labs not included in base price
Side-by-side comparison
| Feature | Keeps | Strut Health |
|---|---|---|
| Monthly price | $25/mo | $79/mo |
| True annual cost | $300/yr | $948/yr |
| Labs included | ✗ No | ✗ No |
| Delivery options | oral, topical | topical, oral, injection |
| Editorial score | 8.3/10 | 8.6/10 |
| Trustpilot | 4.4★ | 4.5★ |
| State availability | All 50 states | Most US states (excl. AK) |
Our verdict
Strut Health (8.6/10) is our pick over Keeps (8.3/10) for most patients.
Keeps may be a better fit if you prefer Keeps's specific protocol approach. Both clinics require a prescription and blood work before starting treatment.
More comparisons
Strut Health vs Sesame Care
$79/mo vs $16/mo · 8.6 vs 8.3 score
Strut Health vs Happy Head
$79/mo vs $79/mo · 8.6 vs 8.1 score
Strut Health vs Strut Health
$79/mo vs $65/mo · 8.6 vs 8.1 score
Strut Health vs Hims
$79/mo vs $20/mo · 8.6 vs 7.8 score
Keeps vs Sesame Care
$25/mo vs $16/mo · 8.3 vs 8.3 score
Keeps vs Happy Head
$25/mo vs $79/mo · 8.3 vs 8.1 score