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    Programs Hair
    Hair

    A measured response to a measurable change.

    Take on hair loss with a clinician in your corner — real evaluation, real follow-through, driven by you.

    You treat the change as the real clinical concern it is — with a clinician beside you, not an auto-refill from a stranger.

    Investment
    from $25/mo

    A private clinician evaluation and a plan built with you — topical or oral treatment shipped when clinically appropriate.

    Your fee covers clinician care, labs, and messaging. Medication, when prescribed, is billed separately — your clinician confirms the cost before anything ships.

    See if it's for you
    • Cancel anytime — no long-term contract.
    • Direct-pay pricing; we don't bill insurance (most HSA/FSA cards accepted).
    • If a clinician determines treatment isn't right for you, you won't be charged for the medication.

    Clinician evaluation required. Medications issued only when clinically appropriate.

    Your options

    Choose the treatment that fits you.

    See all available options first, then choose the treatment and plan that works best for you.

    1

    Select your product

    2

    Choose your plan

    Clinician-reviewed and trusted
    Treatments backed by evidence and prescribed by licensed professionals.
    Discreet shipping to your door
    Private packaging. Fast, reliable delivery right to you.
    Ongoing care that adapts to you
    We're with you for the long run with support when you need it.
    If this sounds like you

    You want to get ahead of hair loss — early, with a real plan behind it.

    You're ready to stay ahead of hair loss — real evaluation, real follow-through, a clinician in your corner. Here, you and a clinician look at the full picture and build care together.

    What stands behind your care
    • LegitScript-certified — independently reviewed for compliance.
    • US-licensed physicians prescribing in your state.
    • FDA-approved medications when clinically appropriate.
    • Available in most US states.
    Elegant woman in her early 50s with full, thick, lush, glossy healthy hair catching soft natural light.
    What you can expect

    Care you shape, built on your labs and history.

    • 01

      A real clinical evaluation — pattern, timeline, and labs.

    • 02

      Topical or oral care when clinically appropriate, with a clinician you can reach.

    • 03

      The payoff of acting early, with a clinician paying attention.

    HOW OPTMZ WORKS

    A simple path to clinician-guided care.

    Complete your assessment online. A licensed clinician reviews your information and, when appropriate, prescribes treatment for delivery to your door.

    1. Tell us about your health

      Complete a brief, secure online medical assessment and share your treatment goals.

    2. A clinician reviews your information

      A licensed clinician evaluates your answers and determines whether treatment is appropriate for you.

    3. Your treatment is delivered

      If prescribed, your treatment is prepared by the pharmacy and shipped discreetly to your door.

    4. ONGOING CARE

      Continue your care

      Access ongoing support, complete check-ins, and discuss adjustments with your clinician when needed.

    Member reviews

    Coming soon — we don't publish testimonials we haven't verified.

    Research-based FAQ

    Questions, answered plainly.

    What is Finasteride?
    Finasteride 1mg is an oral tablet, prescription medicine that is FDA approved to treat male pattern baldness. At a higher strength of 5mg, Finasteride is FDA approved to treat BPH (Benign prostatic hyperplasia).
    How does Finasteride work?
    Finasteride belongs to a group of drugs called 5-alpha reductase inhibitors. It works by blocking the conversion of Testosterone to DHT by up to 70% and therefore lowers DHT levels in the body and at the scalp. Lowering DHT will allow your hair to start the process of growing back.
    What can I expect with Finasteride treatment?
    Results will begin appearing after 3-4 months but significant results may not be apparent for 6-9 months after starting the medication. Full results are usually seen approximately 1 year after starting treatment with Finasteride and using the medication on a daily basis. Patients who skip treatment days, weeks, or months may find that the medication does not work as effectively and does not produce the results they were expecting.
    How to take Finasteride?
    Finasteride comes as a tablet to take by mouth. It is usually taken once a day with or without food. Take Finasteride at around the same time every day. Follow the directions on your prescription label carefully. Take Finasteride exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.
    What are the possible side effects of Finasteride?
    Finasteride is a medication primarily used to treat male pattern hair loss (androgenic alopecia) and enlarged prostate (benign prostatic hyperplasia). Like any medication, it can have potential side effects. The most common side effects of Finasteride include: Sexual side effects : This is the most well-known side effect of Finasteride. It may include decreased libido (sex drive), erectile dysfunction, and decreased ejaculate volume. In some cases, these side effects may persist even after discontinuing the medication. Breast enlargement and tenderness : Some men may experience breast enlargement and tenderness, a condition known as gynecomastia. Allergic reactions: Rarely, some individuals may experience allergic reactions to Finasteride, which may manifest as rash, itching, swelling, dizziness, or difficulty breathing. It’s important to note that not everyone experiences these side effects, and most people tolerate Finasteride well. If you are prescribed Finasteride, your healthcare provider will monitor your progress and discuss any potential side effects with you. If you notice any troubling side effects while taking Finasteride, it is crucial to discuss them with your doctor as soon as possible.
    What are the possible side effects of Topical Finasteride?
    It is important that women of child-bearing age do not take or handle Finasteride as it may cause birth defects. The most common side effects of Topical Finasteride typically occur on the scalp and may include: Scalp Pruritus Burning Sensation Irritation Contact Dermatitis Erythema (redness on the skin)
    What should I do if I miss a dose of Finasteride?
    If you forget to take your daily dose of Finasteride, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.
    How should I store Finasteride?
    Keep this medication in the original container that you received it in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom).
    What is Minoxidil?
    Minoxidil is a prescription medication used to stimulate hair growth. Minoxidil widens blood vessels which leads to increased blood flow to hair follicles. This improved blood flow, in turn, enhances the follicles’ function and stimulates hair growth in individuals experiencing hair loss.
    What are the possible side effects of Oral Minoxidil?
    Side effects are uncommon at the low doses used to treat hair loss. However, as with all prescription medications, side effects can occur: Fluid Retention: Oral minoxidil can lead to fluid retention, causing swelling in the ankles and other parts of the body. Increased Heart Rate: It may cause an increase in heart rate, which can be problematic for individuals with certain cardiovascular conditions. Hypertrichosis (Excessive Hair Growth): One interesting side effect is increased hair growth. While this is a desired effect when using Minoxidil for hair loss, this hair growth can appear on other parts of the body. Pericardial Effusion: There have been reports of oral minoxidil causing fluid accumulation around the heart (pericardial effusion). Electrolyte Imbalance: It can lead to electrolyte imbalances in the body. Chest Pain: Some individuals may experience chest pain or discomfort.
    What are the possible side effects of Topical Minoxidil?
    Side effects of topical Minoxidil typically occur on the scalp and may include: Irritation Eczema Erythema Burning Dermatitis
    What to expect with Minoxidil/Spironolactone treatment?
    Patients who used Minoxidil/Spironolactone over a period of 1 year saw a fuller head of hair and decreased fallout. Results were seen within 3 to 6 months and hair shedding was 3 times less than before treatment. The medication should be taken on a daily basis for best results. Patients who skip treatment days, weeks, or months may find that the medication does not work as effectively and does not produce the results they were expecting.
    What to expect with Finasteride/Minoxidil treatment?
    Results will begin appearing after 3-4 months but significant results may not be apparent for 6-9 months after starting the medication. Full results are usually seen approximately 1 year after starting treatment. The medication should be used on a daily basis for best results. Patients who skip treatment days, weeks, or months may find that the medication does not work as effectively and does not produce the results they were expecting.
    What is Minoxidil?
    Minoxidil is a prescription medication used to stimulate hair growth. Minoxidil widens blood vessels which leads to increased blood flow to hair follicles. This improved blood flow, in turn, enhances the follicles’ function and stimulates hair growth in individuals experiencing hair loss.
    What is Spironolactone?
    Spironolactone is a prescription medication that can be prescribed to women who suffer from female pattern hair loss. Spironolactone is known as an anti-androgen. It reduces aldosterone in the body which leads to its anti-androgen effect and encourages hair growth.
    What is Finasteride?
    Finasteride is a prescription medicine that used to treat female pattern baldness. Finasteride belongs to a group of drugs called 5-alpha reductase inhibitors. It works by blocking the conversion of Testosterone to DHT by up to 70% and therefore lowers DHT levels in the body and at the scalp. Lowering DHT will allow your hair to start the process of growing back.
    What are the possible side effects of Oral Minoxidil?
    Side effects are uncommon at the low doses used to treat hair loss.  However, as with all prescription medications, side effects can occur: Fluid Retention: Oral minoxidil can lead to fluid retention, causing swelling in the ankles and other parts of the body. Increased Heart Rate: It may cause an increase in heart rate, which can be problematic for individuals with certain cardiovascular conditions. Hypertrichosis (Excessive Hair Growth): One interesting side effect is increased hair growth. While this is a desired effect when using Minoxidil for hair loss, this hair growth can appear on other parts of the body. Pericardial Effusion: There have been reports of oral minoxidil causing fluid accumulation around the heart (pericardial effusion). Electrolyte Imbalance: It can lead to electrolyte imbalances in the body. Chest Pain: Some individuals may experience chest pain or discomfort.
    What are the possible side effects of Topical Minoxidil?
    Side effects of topical Minoxidil typically occur on the scalp and may include: Irritation Eczema Erythema Burning Dermatitis
    What are the possible side effects of Spironolactone?
    Overall, side effects from Spironolactone and low but as with all prescription medications, side effects can occur: Hyperkalemia: Spironolactone can lead to elevated levels of potassium in the blood, which can be serious and may require monitoring. Dehydration : It can cause dehydration due to increased urination. Low Blood Pressure : Some individuals may experience low blood pressure, especially when standing up quickly. Dizziness or Lightheadedness: This can be a side effect, particularly when initiating treatment or changing the dosage. Menstrual Irregularities: Women may experience changes in their menstrual cycle. Breast Tenderness or Enlargement: Spironolactone has anti-androgenic effects, and some individuals may experience breast tenderness or enlargement. Gastrointestinal Issues : Nausea, vomiting, and diarrhea are possible side effects.
    What are the possible side effects of Topical Finasteride?
    It is important that women of child-bearing age do not take or handle Finasteride as it may cause birth defects. The most common side effects of opical Finasteride typically occur on the scalp and may include: Scalp Pruritus Burning Sensation Irritation Contact Dermatitis Erythema (redness on the skin)
    What should i do if i miss a dose of my medication?
    If you forget your daily dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.
    How should I store my medication?
    Keep the medication in the original container that you received it in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom).
    Hair

    Optimize what matters — you in command, with a team that moves at your pace.