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All about hair loss
2m - By Dr. Earim Chaudry
Video
A word from our medical director
In this video, Dr. Earim Chaudry talks about the causes of hair loss, what can reverse it, and how our treatments and offering can help.
The science behind how our treatments work
Dr. Earim Chaudry, Medical Director
The science
Why we lose hair
DHT (a male hormone) shrinks your hair follicles causing hair thinning, and eventually baldness.
Keep your hair
Finasteride
Finasteride blocks the enzyme that produces DHT. This prevents hair loss and promotes hair regrowth.
Regrow hair
Minoxidil
Minoxidil acts as a hair fertiliser, increasing blood flow to follicles to promote longer, thicker hair growth.
Clinically proven to stop hair loss and improve growth
Dr. Earim Chaudry, Medical Director
94% of men who combined Finasteride and Minoxidil treatments showed an improvement in their hair loss
citations
¹Combined treatment with oral finasteride and topical minoxidil in male androgenetic alopecia, 2015
²Finasteride: a review of its use in hair loss, 2012
³Global photographic assessment of men... Olsen, 2007
Money back guarantee
Follow your treatment plan and if you're not satisfied after 180 days, we'll give you your money back. See full terms

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The most effective ingredients, in a way that works for you
Our hair loss plans allow you to choose between single ingredients or proven combinations, in both a spray or pill format.
Pill
Pill
Spray
Spray
Finasteride & Minoxidil working together
Our combined hair loss plans fuse the powerful duo of Finasteride and Minoxidil, clinically proven to improve hair loss for 94% of men.
Pill, spray, or both - it's up to you
Developed to suit your lifestyle, our treatment plans come as pills, sprays or a combination of both, with dozens of combinations available.
Designed by specialists to suit you
Using the information you share with us, our team will get to the underlying cause of your hair loss and match you with the most effective treatment for you.

Choose a hair loss plan

Our plans are created by our medical team to offer the most effective combination of treatments
Most Effective

Complete Hair Loss plan

Combines Finasteride & Minoxidil to increase hair growth & prevent hair loss
Best combo for maximum results
Effectiveness
over 9/10 men
Results
In 3-6 months
Delivery frequency
1 month
£28.00/month
3 months
£20.00/month
Save 30%
“Strongly recommend a 3 month order as first results take time”
Earim Chaudry, Medical Director
£114
£60 for the first 3 months
This item can not be added to the cart
Cancel anytime subscription
FIND OUT MORE

Finasteride Hair Loss plan

Blocks the enzyme that produces DHT to prevent hair loss and promote growth
Shields against hair loss
Effectiveness
over 8/10 men
Results
In 3-6 months
Delivery frequency
1 month
£18.00/month
3 months
£15.00/month
Save 17%
“Strongly recommend a 3 month order as first results take time”
Earim Chaudry, Medical Director
£84
£45 for the first 3 months
This item can not be added to the cart
Cancel anytime subscription
FIND OUT MORE

Minoxidil Hair Loss plan

Increases blood flow to follicles to promote growth and longer, thicker hair.
Stimulates hair regrowth
Effectiveness
over 7/10 men
Results
In 3-6 months
Delivery frequency
1 month
£29.00/month
3 months
£17.33/month
Save 40%
“Strongly recommend a 3 month order as first results take time”
Earim Chaudry, Medical Director
£79
£52 for the first 3 months
This item can not be added to the cart
Cancel anytime subscription
FIND OUT MORE

Initial selections are indicative only. Final treatment plans are determined in consultation with your clinician.

Not sure which plan is right for you?

Our team can help. Answer a few questions about your hair and get recommended the best treatments for you, by UK prescribers.

The hair regrowth journey
0 to 3 months
Reset phase
No visible change. Some shedding is normal, and a sign that your hair growth cycle has started!
3 to 6 months
Stabilisation
Hair loss will have slowed and you might start noticing some growth
6 to 12 months
Regrowth
Improved scalp coverage and hairline density as regenerated hairs fill in areas of thinning hair
How it works
How it works
1
Tell us about your hair loss
A clinician will review your answers
2
Receive your treatments
Second day delivery, discretely packaged
3
Get ongoing support, for free
Speak to your clinician at any point
Everything happens on your phone
Free 2nd day delivery (medication)
Cancel or pause your subscription anytime
As seen in
Help for your whole journey
Whatever you need, our clinical team is on hand - chat with a medical expert on the phone or via email, whenever suits you, for advice and support through your treatment.
Guaranteed results, or your money back

Follow your treatment plan, easily track your hair growth progress, and if you're not satisfied after 180 days, we'll give you your money back. See full terms.

Meet our medical team
Enabling the mission of revolutionising how men approach health, they are at the core of the men’s wellness platform. Meet our team.
Earim Chaudry, MD
Medical Director
Eve Agwuncha
Pharmacist, Ind. Prescriber
Bentley Ifediora-Ezike
Pharmacist, Ind. Prescriber
Male Hair Loss: Everything You Need to Know
Curated by Dr. Earim Chaudry, Manual Medical Director
Male pattern baldness (MPB) is common – and probably more common than you think. 30% of men aged 30 have it to some degree. By the age of 70, that proportion is 70%. While some of us can even see it in our 20s, others can hold out until their older years. The chances are that you will almost certainly see some degree of thinning.
But what are the common causes of hair loss? And is it treatable? Read on to find out more.
The Causes of MPB and Other Hair Loss
In 90% of cases, though, male hair loss is caused by MPB (also known as androgenic alopecia). This is a result of your hormones and genes – and your follicles’ sensitivity to dihydrotestosterone (DHT). DHT is a male hormone that gives your male characteristics when young, but it impacts hair growth as you age.
DHT binds to hair follicles on your scalp, and causes them to shrink, weaken, and stop producing healthy hair. It also affects your hair growth cycle, meaning that your follicles are in their resting phase for longer and stay in the growth phase (or anagen phase) for a shorter time. MPB is treatable and even reversible.
There are other reasons why you can lose your hair – and, unfortunately, not all of them are treatable. Alopecia areata is one possibility, caused by autoimmune disease, in which hair falls out in clumps. Another cause is traction alopecia, where hair falls out due to tension at the root. This is usually the result of wearing a tight-fitting helmet for too long, or wearing hairstyles such as braids, cornrows, or hairpieces too tightly. It’s usually accompanied by itchiness and redness on the scalp.
Trichotillomania, or obsessive hair pulling, is another of the types of hair loss, caused by physically pulling out hair from the scalp or eyebrows. Meanwhile, telogen effluvium is the name of hair loss caused by stress. Other medical conditions and treatments – including fungal infection and chemotherapy – can also cause hair loss. Consult your GP or a dermatologist before treatment.
Is my hair loss treatable?
If you’re male and in the 90% of hair loss cases, take a deep breath. It’s okay. MPB is easily treated using widely approved treatments.
You’ll be able to recognise if you have MPB. It first affects either the hair above your temples or on your crown. You’ll see your hairline receding into a “widow’s peak”, a v-shaped hairline at the front of your head. Elsewhere, thinning hair will be seen across the top of the head. Importantly, it won’t fall out suddenly or in clumps, and it won’t leave behind a rash.
There are two effective and approved treatments for a receding hairline. Known as Finasteride (often sold as Propecia) and Minoxidil (Rogaine or Regaine).
The first, Finasteride, tackles the root cause of MPB by blocking the production of the hormone DHT. Effective in 90% of men and usually taken orally as a daily pill, Finasteride intervenes to prevent the shrinkage of hair follicles before they become permanently damaged.
Minoxidil, meanwhile, is applied topically as a spray. It’s a “vasodilator”, widening blood vessels on the scalp to facilitate the transport of nutrients and oxygen. Use the spray twice daily – and it’s shown to help regrowth in two thirds of men. We recommend that men use both of these treatments together.
Note: Many men report that topical Minoxidil has not worked for them because they lack the SULT1A1 sulfotransferase enzyme in their hair follicles to activate the topical Minoxidil to the active form Minoxidil Sulphate. Studies show oral Minoxidil (a tablet form) is more effective as it utilises the sulfotransferase enzyme present in the liver, and is not reliant on it being present in the scalp.
What are the side effects of the treatments?
Finasteride and Minoxidil are licensed as effective treatments for hair loss. Like all medications, they can have side effects. However, the good news is that these side effects are rare, and the vast majority of people do not experience them.
The side effects of Minoxidil usually come as a result of overapplication. They include dizziness and drowsiness – as the increased blood flow lowers your blood pressure slightly – as well as irritation in the area of your scalp where it has been applied. Other side effects may include hypertrichosis (abnormal amount of hair growth), changes in hair colour, headaches, fast heartbeat, fluid retention (swelling) in the hands, feet or legs, shortness of breath, and low blood pressure. More serious side effects – including chest pain, heart palpitations, nausea, and changes to your vision – are very rare.
Over 98% of men experienced no serious side effects of Finasteride in clinical trials. However, weight loss and weight gain, skin rashes, tenderness around the nipples or lumps, dizziness and weakness, erectile dysfunction, testicular pain, poor seminal quality / infertility, ejaculation disorders, decreased libido and changes in mood or depression have all been reported as side effects. If your partner is pregnant, conservative advice is to use a condom.
Unreported side effects may also occur. Any questions, just reach out to us via direct messaging through your account, WhatsApp, phone or book via this link to schedule a call with one of our clinicians.
Why wouldn’t I have a hair transplant?
Hair transplants are not quite as permanent as they may seem. As MPB is a progressive condition, there’s no guarantee that your hair loss won’t continue post-op. And, as a result, you might find yourself saving up for a second or a third transplant.
Hair transplants are also accompanied by treatment with Finasteride and Minoxidil. These drugs tackle the root cause of hair loss, where hair transplants only manage the symptoms. You’re increasing the chances of further hair loss if you don’t follow surgery with these treatments. You’re the best judge of what you need, but if you’re getting a transplant, you’ll be taking these medications afterwards anyway.
Can a shampoo treat my hair loss?
Yes, it’s true. Shampoos can be effectively used to treat hair loss. However, with many duff products on the market, it’s important that you know what you are looking for.
Manual’s Power Shampoo includes ingredients known to encourage healthy hair. Caffeine is known to stimulate hair follicle activity. Biotin is an essential vitamin for hair health, as it plays a role in the production of keratin, the protein of which hair is made. Meanwhile, saw palmetto is thought to reduce the amount of DHT in the body, too. But Finasteride and Minoxidil are the only proven treatments.
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This has honestly revived my hair. I was going bald from the age of 19 and by 21 my hairline was completely gone. I’ve been taking this for 6 months and my hair line has grown back completely to how it was.
Alex. Trustpilot
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