This article applies specifically to the Hair Improvement treatment plan.
Requirements may differ for other Maximus programs.
How does the Hair Improvement Protocol work?
The protocol supports hair growth through several pathways, including:
improving blood flow to the scalp
supporting follicle health
reducing hormonal contributors (such as DHT)
extending the growth (anagen) phase of hair follicles
Your clinician selects treatments based on your pattern of hair thinning and overall health.
When will I start noticing results?
Hair grows in cycles, so improvements are gradual.
Many individuals notice:
reduced shedding in the first few months
early thickening or new growth around 3–6 months
more visible improvements over longer periods
Responses vary, and your clinician may adjust your plan over time.
Is shedding normal?
Yes. A temporary increase in shedding can occur when starting treatment.
This happens as older hairs cycle out before new growth begins. It typically improves on its own.
If shedding feels excessive or persistent, message your clinician.
Do topical or oral treatments work better?
Both approaches work differently:
oral treatments may address hormonal contributors
topical treatments target scalp follicles directly
Some individuals benefit from one approach, while others use a combination.
Your clinician will recommend what is most appropriate.
What is the 4-in-1 Gel?
The 4-in-1 Gel is a compounded topical that may include ingredients such as:
dutasteride
minoxidil
tretinoin
fexofenadine
It is designed to target multiple causes of hair thinning. Your treatment may or may not include this formulation.
Can this help with a receding hairline or crown?
Possibly. Some individuals see improvement in:
hairline
temples
crown
Your clinician will review your photos to determine whether your pattern is likely to respond.
What if I’ve had a hair transplant?
The protocol may help maintain transplant results or support ongoing growth.
Your clinician will review your history and recommend an appropriate plan.
Can I combine this with Testosterone or Enclomiphene?
Possibly. Some individuals use hair treatments alongside hormone-related protocols.
Your clinician will confirm what is safe and appropriate based on your full treatment plan.
Will this help with beard or body hair?
The protocol is designed for scalp hair.
If you have questions about other areas, your clinician can provide guidance based on your goals.
Are topical treatments messy or oily?
Formulations vary. Some individuals find topicals easy to apply, while others prefer oral options for convenience.
Your clinician can help you choose what fits your routine.
Can microneedling or a dermastamp help?
Some individuals use microneedling to support scalp health or enhance topical absorption.
If you’re considering this, ask your clinician whether it is appropriate and how often to use it.
What if I experience scalp irritation?
Mild irritation (redness, dryness, itching) can occur.
If symptoms persist or become uncomfortable, message your clinician. Adjustments may be recommended.
Does this work for all types of hair loss?
Not all hair loss responds to the same treatments.
This protocol focuses on common patterns related to:
androgen sensitivity
follicle miniaturization
Your clinician will guide you based on your evaluation.
Do I need to refrigerate my medication?
Most medications do not require refrigeration.
Always follow the storage instructions provided with your prescription. If unsure, a member of the team can help clarify.
Do I need to take medications with food or at a specific time?
Your clinician or pharmacy will provide guidance.
Follow your prescribed instructions unless directed otherwise.
Will this affect my hormones?
Some medications may influence hormone pathways related to hair growth.
Your clinician reviews your health history to ensure your treatment is safe and appropriate.
How long will I need to stay on the protocol?
Hair typically requires ongoing support to maintain results.
Many individuals continue treatment long-term. Your clinician will guide maintenance planning.
What if I miss a dose?
Do not double your next dose.
Message your clinician for guidance. Consistency over time is more important than a single missed dose.
Can I color or chemically treat my hair?
Most individuals can continue normal hair care routines.
If using topicals, avoid applying them immediately before chemical treatments. For specific concerns, message your clinician.
What if I don’t see improvement?
Hair progress varies and can take time.
Your clinician will review:
consistency of use
time on treatment
photos and symptom patterns
underlying factors
Adjustments may be made if appropriate.
Still have questions?
If you have questions about your experience, symptoms, or progress, message your clinician through your Maximus patient portal.