Hair Loss

Hair follicles on the head convert the hormone, testosterone, into a different form of testosterone called dihydrotestosterone (DHT). It’s believed that the gene for male pattern baldness causes the follicles to become sensitive to DHT and start to shrink. Eventually, the follicle stops working and no hairs will grow from it. Please fill out the form below so that our clinicians can determine if the treatment will be suitable for you to take.




To help us understand that this treatment is the right option for you, please answer the following questions. If you get stuck or need any help, you can contact us.

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Presently Pregnant
Presently Breastfeeding
Planning on getting pregnant
Neither Pregnant nor Breastfeeding

Male
Female
Transmale (Born a female)
Transfemale (Born a male)







A period of 0 to 3 months
3 - 12 months
Years 1 to 3
Three years or longer









































Please answer the following questions to help us confirm that you'll follow the guidelines for this medicine.

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