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Direct-to-consumer platforms like Hims, Keeps, and Ro have introduced millions of patients to compounded finasteride and minoxidilbut the clinical oversight on those platforms varies enormously, and the compounding pharmacies behind them are not always transparent about their accreditation or testing protocols

This article explains what each treatment involves, how they are sometimes used together, the current evidence base, and the important safety and regulatory considerations every patient should understand before seeking either therapy

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