Hair Loss

Reverse hair loss and regain your confidence

2 out of 3 men start losing their hair by age 35, but you don’t have to put up with hair loss anymore. Our treatments are backed by science and are effective in 9/10 men.

Experts
UK-licensed experts
Growth
Results in 3-6 months
Clinician
Effective in 9/10 men
Check
Free fast delivery

Real results, for all hair types

Trustpilot stars
TrustScore 4.3/5
8,471 reviews
Type of hair loss:
Temples
Thinning Hair
recceding
Receding Hairline
Thinning
Thinning and Receding
Caret
Caret
Day 1
Marco before
Month 3
Marco after

“I love the product and it really works! I'm already waiting for more to arrive so I can keep progressing”

Day 1
Michael before
Month 6
Michael after

“It’s making a real difference. Starting this treatment with Manual has improved my confidence no end.”

Day 1
Gerson before
Month 3
Gerson after

“I felt a huge difference. There is no more balding crown and I also noticed new hair growing on the hairline.”

Day 1
Alan before
Month 6
Alan after

“MANUAL's clinical support made it all very simple and easy.”

Day 1
Joe
Month 5
Joe

“I take the oral tablet once a day, and it’s really helped with the thickness and texture of my hair”

Day 1
Matt
Month 3
Matt

“My hair really knocked my confidence but this treatment has me feeling myself again - full of confidence and life and worked in only 3 months use!”

Day 1
Antes before
Month 3
Antes after

“The hair regrowth is improving day by day. Even my barber noticed the difference.”

Day 1
Callum before
1 Year
Callum after

“I noticed pretty quickly I was getting more hair growth especially at the front.”

Day 1
Leo
Month 5
Leo

“I thought, if 9 out of 10 men can have improved hair, then I’m sure I could”

Day 1
Luke
Month 5
Luke

“I’ve had help every step of the way from Manual if I’ve required it and I couldn’t be happier with the results!”

Day 1
Dharrish before
1 Year 6 months
Dharrish after

“I've been on the Manual - total combo plan, which has a daily tablet and a spray”

Day 1
Richard
Month 6
Richard

“Manual was easy to use and I definitely saw a difference.”

Day 1
Rafael before
Month 6
Rafael after

I am really pleased with my progress, my hair is back!

Day 1
Michael
Month 5
Michael

“So far, my experience has been great, no side effects and my hair looks and feels thicker and I feel much more confident and happier.”

Real results, for all hair types

Trustpilot stars
TrustScore 4.3/5
8,471 reviews
Type of hair loss:
Thinning
Thinning and Receding
Temples
Thinning Hair
recceding
Receding Hairline
Caret
Caret
Day 1
Month 6
Improved my quality of life considerably

“MANUAL has improved my quality of life considerably. Have I completely reversed my balding? No, but it’s at least 75% better and I am so happy with that. I wasn’t expecting it to work and it certainly did!”

Day 1
Month 3
Noticeable Difference

“I've been taking it for three months and there's already a noticeable difference!”

Day 1
Month 4
I had great results

“I had great results applying manual hair loss products. I continue to see results even several months into the programme.”

Day 1
Luke
Month 5
Luke

“I’ve had help every step of the way from Manual if I’ve required it and I couldn’t be happier with the results!”

Day 1
Dharrish before
1 Year 6 months
Dharrish after

“I've been on the Manual - total combo plan, which has a daily tablet and a spray”

Day 1
Richard
Month 6
Richard

“Manual was easy to use and I definitely saw a difference.”

Day 1
Rafael before
Month 6
Rafael after

I am really pleased with my progress, my hair is back!

Day 1
Month 8
Mind Blowing

“Mind Blowing. I couldn’t really believe until I saw the comparison of the pictures.”

Day 1
Marco before
Month 3
Marco after

“I love the product and it really works! I'm already waiting for more to arrive so I can keep progressing”

Day 1
Michael before
Month 6
Michael after

“It’s making a real difference. Starting this treatment with Manual has improved my confidence no end.”

Day 1
Gerson before
Month 3
Gerson after

“I felt a huge difference. There is no more balding crown and I also noticed new hair growing on the hairline.”

Day 1
Alan before
Month 6
Alan after

“MANUAL's clinical support made it all very simple and easy.”

Day 1
Joe
Month 5
Joe

“I take the oral tablet once a day, and it’s really helped with the thickness and texture of my hair”

Day 1
Matt
Month 3
Matt

“My hair really knocked my confidence but this treatment has me feeling myself again - full of confidence and life and worked in only 3 months use!”

Day 1
Antes before
Month 3
Antes after

“The hair regrowth is improving day by day. Even my barber noticed the difference.”

Day 1
Callum before
1 Year
Callum after

“I noticed pretty quickly I was getting more hair growth especially at the front.”

Day 1
Month 4
I had great results

“I had great results applying manual hair loss products. I continue to see results even several months into the programme.”

Pill in hand

Customers love our new, next generation plan

Finally, hair loss gets innovated with our most powerful treatment yet

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Convenient to take

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Dual-action formula

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MANUAL Exclusive

Manual money back guarantee

Money back guarantee

We're confident you'll love the results. Just follow your treatment plan and if you're not satisfied after 180 days, we'll give you your money back.  See full terms

Less than 1%

Less than 1% of customers contact us for the Money Back Guarantee. It’s why we back our treatment service.

We are revolutionising hair loss treatments

We combine science, technology and medical expertise to deliver personalised, cutting-edge hair-loss treatment plans that put an end to hair loss.

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Others
Flexible hair loss plans

Take one or combine several medications, all personalised to you

One size fits all

Limited, generic medication, for all customers

VS
MANUAL exclusive treatments

Exclusive high strength and bioavailability formulations

Low strength treatments

Less effective, low dose medication plans

VS
Online provider

Fast, private and available 24/7

In-person visits

Long wait times, travel time and limited privacy

VS
UK’s biggest clinic

Trusted by over 200,000 men experiencing hair loss

Small online pharmacy

Potential stock issues and quality assurance.

VS
Unlimited symptom support

Free clinician consultations and monitoring

No support

Face your potential symptoms alone

VS
Easy plan adjustments

Cancel, pause or change delivery dates with ease

No customisation

Unable to change deliveries or plans without fees

VS

The hair growth journey

Reset phase

0 to 3 months

Reset phase

No visible change. Some shedding is normal, and a sign that your hair growth cycle has started!

Stabilisation

3 to 6 months

Stabilisation

Hair loss will have slowed and you might start noticing some growth

Regrowth

6 to 12 months

Regrowth

Improved scalp coverage and hairline density as regenerated hairs fill in areas of thinning hair

Close icon
Preference
Suggestion
Best results
Minoxidil & Finasteride
Spray only
Minoxidi
Close icon
Preference
Suggestion
Best results
Every 3 months
Most cost-effective
Every 3 months
Just trying
Monthly
Medical icon
UK licensed experts
Delivery icon
Free, discreet delivery
Cross icon
Cancel any time
Clinician icon
UK licensed experts

Join over 100,000 men
getting back confidence

“Like many I was sceptical, but after a year on the daily tablets, all bald areas are fully recovered. Thanks to manual I have my hair back which I didn't think was possible”
trustpilot 5 stars
Luke Hallam
trustpilot logoTrustpilot stars
4.3/5
6,116 reviews
Luke before and after
I couldn't be happier
5 months
Finasteride information
Read the full story  >
Jordan before and after
Fairly quick results!
4 months

“I saw fairly quick results in the first few months and it’s been improving in bursts. Initially, it was wispy hair but now I actually have follicles just reappear in places where I had NONE! It’s amazing!”

Read the full story  >
Michael before and after
Great experience
7 months

“So far, my experience has been great, no side effects and my hair looks and feels thicker and I feel much more confident and happier.”

Read the full story  >
Leo before and after
Thicker hair
5 months

“I thought, if 9 out of 10 men can have improved hair, then I’m sure I could”

Read the full story  >
Joe before and after
Helped with thickness and texture
5 months

“I take the oral tablet once a day, and it’s really helped with the thickness and texture of my hair”

Read the full story  >
Before and after
Great confidence booster
1 year and 11 months

“My hair’s a lot fuller, a lot healthier, and I have a lot more hair on top now. My barber noticed it as well. It gives you a confidence boost when people start to notice that your hair's looking much better.”

Before and after
Amazing regrowth
1 year and 2 months

“Whenever I’d go outside I would hide under a hat, but I haven't used that hat for a year and a half now - ever since I started treatment with Manual.”

Before and after
Full of confidence
3 months

“My hair really knocked my confidence but this treatment has me feeling myself again - full of confidence and life and worked in only 3 months use!”

Richard before and after
Easy to use
6 months

“Manual was easy to use and I definitely saw a difference.”

Shane before and after
Pills and spray made a difference
5 months

“I have noticed an improvement taking both pills and spray which has made a difference to my confidence.”

Cosmin before and after
It really works
3 months

“Stick with it and be patient, it really works and I've regained my smile and confidence back.”

Michael before and after
It's making a real difference!
6 months

“Starting this treatment with Manual has improved my confidence no end, showing a real difference by increasing hair density and even growing new hair (something I did not believe was possible).”

Luke before and after
Visible difference in 6 months
6 months

“My hair felt more dense and full of life within the few months of treatment, with friends and family visibly noticing the difference 6 months into the treatment. 5 star!”

Finasteride & Minoxidil
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trustpilot logoTrustpilot stars
4.3/5
6,116 reviews

TREATMENTS INClUDED

Finasteride product
Finasteride
A tried and tested treatment, clinically proven to be effective for 8/10 men.
How does it work?
It stops testosterone from converting into DHT, the hormone that shrinks hair follicles and causes hair loss.
How effective is it?
8 out of 10 men taking the oral treatment grew more hair or stopped losing hair so quickly.
How do I take it?
Oral tablets are taken once a day.
Minoxidil
Minoxidil
Manual Minoxidil spray that promotes hair growth by shedding old hairs and replacing them with new ones.
How does it work?
It increases blood flow that stimulates hair follicles. Revitalising and stimulating hair from the resting to the growth phase.
How effective is it?
Studies have shown that over 7 out of 10 men with male pattern baldness saw an improvement in hair growth.
How do I take it?
Apply to dry hair and leave it on for at least 4 hours. Make it a habit and apply twice a day to get maximum benefits.
"These are the most effective, proven treatments available in the UK"
By Dr. Earim Chaudry, Manual Medical Director
Headshot

How it works

Phone mockup manual screenshot

Online prescription

We’ll ask you a couple of quick medical questions. Tick the boxes and a clinician will review your answers and issue you a prescription.

Manual products in box

Online prescription

Your selected treatments will be delivered for free in discreet packaging. There’ll be some helpful info included to make sure you get the best out of it.

Screenshot of Manual conversation with support

Clinician support

Chat with a medical expert whenever you need. On the phone or via email. With support throughout your treatment.

Frequently asked

Why am I losing my hair?

Male pattern baldness (MPB), androgenetic alopecia, male pattern hair loss – call it what you will. If you have a receding hairline or balding crown, the single most common cause is your hormones. Specifically, that’s dihydrotestosterone (DHT), a hormone your body converts from testosterone. DHT binds to your hair follicles and causes them to shrink, weaken, and stop producing hair. And that’s MPB in a nutshell.

How does Finasteride work?

It works by tackling the root source of DHT. An enzyme known as 5-alpha reductase (5AR) normally converts testosterone into this androgen that causes hair loss. But it blocks the activity of 5AR, meaning that much less DHT is produced. With less DHT in your system, your hair follicles are able to recover – and, as a result, they start producing thicker, stronger, healthier hair again.

Does it really reverse hair loss?

There are no better 5-alpha reductase inhibitors on the market for hair loss. The oral treatment causes DHT levels to drop by 60%. Meanwhile, three 5-year studies showed 9/10 participants saw their hair loss stop – and more than 3/4 experienced hair regrowth. So, yes, it does really reverse hair loss. It is an FDA-approved treatment for MPB, and it is used by thousands of men in the UK.

How long does it take to see results?

It typically takes 3-6 months before you see any changes, and at least 12 months before you notice significant hair growth. It works with the natural cycle of shedding and growth – and, unfortunately, these things just take time. Stay committed and take your daily dose – and you’ll see noticeably better hair within a year. When you use the oral treatment, persistence and patience are key.

When should I start taking Finasteride

When tackling MPB, the key is to start early. DHT, the hormone behind MPB, can cause your hair follicles to stop producing hair completely – and no medication can help once you’ve reached this stage. That’s why it is crucial to start treatment before you become completely bald – because at that stage there’s no guarantee that it will work. Catch MPB early and keep your hair for longer.

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

Earim Chaudry, MD

Medical Director
Eve

Eve Agwuncha

Pharmacist, Ind. Prescriber
Bentley

Bentley Ifediora-Ezike

Pharmacist, Ind. Prescriber
Finasteride: everything you need to knowFinasteride: everything you need to know

Curated by Dr. Earim Chaudry, Manual Medical Director

Earim headshot
Overview

So what is it? You may have heard of the oral treatment as the unbranded active ingredient within a more famous hair loss pill. The only difference is that, with all brand names, you pay for the famous name.

Here are some of the key things you need to know about the oral treatment – to ensure you take it safely and optimise your hair growth results.

How to take Finasteride

Taking it is simple: take one tablet per day. That means no fiddling around with hair solution or foam, as you might with an alternative medicine. You just pop a pill and go.

For hair loss, men use the 1mg daily dose. While there’s a 5mg pill available, medical advice warns against its use for MPB. The higher dose is used to treat benign prostatic hyperplasia (BPH) – and you run the risk of serious adverse effects if you use it improperly.

It can be taken with or without food. The key, though, is to take it at the same time every day. This ensures the drug works without interruption in your body – and it’s just easier to remember. If you do forget, you shouldn't take two pills to make up for a missed dose.

Importantly, don’t stop taking it or normal levels of DHT production will restart and you will start to lose your hair again. The oral treatment is not a permanent cure for MPB. But it can become an easy part of your routine, so seeing results doesn’t take too much effort.

For best long-term results, combine it with Minoxidil.

Who should not take Finasteride

The oral treatment, importantly, is not for everyone. And we wouldn’t be doing our job properly if we didn’t make sure that those who shouldn’t have it know that.

Women should never take it – and pregnant women or those planning pregnancy should never handle Finasteride tablets. Men planning pregnancy should stop taking it too. You have traces of the drug in your semen, and while it is unlikely to pose any risk to an unborn baby, it is best avoided. Children (under the age of 18) should never take it.

You should not take it if you are already taking it for purposes such as treating prostate enlargement, or if you take any other 5α-Reductase inhibitor medications. Similarly, you should not take it if:

  • you suffer or have suffered from male breast cancer or prostate cancer
  • you have had an allergic reaction to it or any other component in the medication
  • you have Galactose intolerance, lapp lactase deficiency or glucose-galactose malabsorption
Finasteride side effects

Besides being highly effective, it is also safe. In clinical trials, 98.6% of men experienced no serious side effects from it. However, as with most medications, some side effects can occur.

Side effects tend to be mild. They include dizziness, weakness, swelling in the hands or chest

In very rare circumstances, sexual side effects are possible – including erectile dysfunction, decreased libido, and ejaculation disorders. Studies have found these to be rare, usually reversible, and most often associated with the higher 5mg dose taken by men treating an enlarged prostate gland. There is no statistically significant connection between taking it for MPB and sexual side effects.

If you are concerned about the potential side effects, get in touch with a Manual clinician. If you think you are experiencing serious side effects right now, contact your GP.

Why choose Manual

Some men will choose a hair transplant to tackle MPB and many men are happy with the results. However, the oral treatment provides an easy way to reverse hair loss at home and without an expensive operation. Men with hair transplants still have follicles that are susceptible to DHT, by the way – and they’ll usually use the oral treatment (and Minoxidil) to prevent further hair loss after the operation.

Naturally, the choice of treatment is yours. Manual is an accredited online pharmacy, and the product is an FDA-approved treatment for MPB. Unlike many other online vendors, we’re clinical professionals, experienced in tackling men’s hair loss. And we’re here whenever you need us, to provide free unlimited expert support and medical tracking.

So what is it? You may have heard of the oral treatment as the unbranded active ingredient within a more famous hair loss pill. The only difference is that, with all brand names, you pay for the famous name.

Here are some of the key things you need to know about the oral treatment – to ensure you take it safely and optimise your hair growth results.

How to take Finasteride

Taking it is simple: take one tablet per day. That means no fiddling around with hair solution or foam, as you might with an alternative medicine. You just pop a pill and go.

For hair loss, men use the 1mg daily dose. While there’s a 5mg pill available, medical advice warns against its use for MPB. The higher dose is used to treat benign prostatic hyperplasia (BPH) – and you run the risk of serious adverse effects if you use it improperly.

It can be taken with or without food. The key, though, is to take it at the same time every day. This ensures the drug works without interruption in your body – and it’s just easier to remember. If you do forget, you shouldn't take two pills to make up for a missed dose.

Importantly, don’t stop taking it or normal levels of DHT production will restart and you will start to lose your hair again. The oral treatment is not a permanent cure for MPB. But it can become an easy part of your routine, so seeing results doesn’t take too much effort.

For best long-term results, combine it with Minoxidil.

Who should not take Finasteride

The oral treatment, importantly, is not for everyone. And we wouldn’t be doing our job properly if we didn’t make sure that those who shouldn’t have it know that.

Women should never take it – and pregnant women or those planning pregnancy should never handle the tablets. Men planning pregnancy should stop taking it too. You have traces of the drug in your semen, and while it is unlikely to pose any risk to an unborn baby, it is best avoided. Children (under the age of 18) should never take it.

You should not take it if you are already taking it for purposes such as treating prostate enlargement, or if you take any other 5α-Reductase inhibitor medications. Similarly, you should not take it if:

  • you suffer or have suffered from male breast cancer or prostate cancer
  • you have had an allergic reaction to it or any other component in the medication
  • you have Galactose intolerance, lapp lactase deficiency or glucose-galactose malabsorption
Finasteride side effects

Besides being highly effective, it is also safe. In clinical trials, 98.6% of men experienced no serious side effects from it. However, as with most medications, some side effects can occur.

Side effects tend to be mild. They include dizziness, weakness, swelling in the hands or chest

In very rare circumstances, sexual side effects are possible – including erectile dysfunction, decreased libido, and ejaculation disorders. Studies have found these to be rare, usually reversible, and most often associated with the higher 5mg dose taken by men treating an enlarged prostate gland. There is no statistically significant connection between taking it for MPB and sexual side effects.

If you are concerned about the potential side effects, get in touch with a Manual clinician. If you think you are experiencing serious side effects right now, contact your GP.

Why choose Manual?

Some men will choose a hair transplant to tackle MPB and many men are happy with the results. However, the oral treatment provides an easy way to reverse hair loss at home and without an expensive operation. Men with hair transplants still have follicles that are susceptible to DHT, by the way – and they’ll usually use the oral treatment (and Minoxidil) to prevent further hair loss after the operation.

Naturally, the choice of treatment is yours. Manual is an accredited online pharmacy, and the product is an FDA-approved treatment for MPB. Unlike many other online vendors, we’re clinical professionals, experienced in tackling men’s hair loss. And we’re here whenever you need us, to provide free unlimited expert support and medical tracking.

Trustpilot stars
TrustScore 4.3/5
8,471 reviews
trustpilot 5 stars
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.
Andre. 37
trustpilot 5 stars
Don’t get me wrong it’s early days but already I’m seeing results, my hair grows just as quick as Hussain Bolt ties his laces!!
Aaron. Trustpilot
trustpilot 5 stars
This stuff is working for me. I’m about 2 weeks in and I’m waiting to test out the shampoo. So if you are a hairy man everywhere other than the summit, give it a go!
Robert. Trustpilot
trustpilot 5 stars
Amazing product! My results are really starting to show
Pier. Trustpilot
trustpilot 5 stars
After a few months of using the spray, the pills and the shampoo I have seen incredible results and my hair has never looked so healthy in the past few years.
Charles. Trustpilot
trustpilot 5 stars
The convenience and cost are unbeatable. Having used the Belgravia Centre for years, I realise just how much better the cost and service can be.
Aaron. Trustpilot
trustpilot 5 stars
I think all the help that I wanted is exactly what you’ve delivered so far. I am only 2 days into it so I don’t know how the product is going to turn out but I feel confident that I am in good hands .
Scott. Trustpilot
trustpilot 5 stars
I'm using Manual minoxidil and shampoo and its very useful. I feel the change.
Ahmed. Trustpilot
trustpilot 5 stars
Customer service is top rate. Delivery of goods on time in discreet packaging, and the quality of the goods is also great.
Ian. Trustpilot
trustpilot 5 stars
I was hesitant at first but I stuck with it and results really did begin to show about 6 months in! If you’re struggling, I would say keep going for a longer period of time.
Francis. Trustpilot
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