The Hair Improvement Protocol supports scalp hair growth through medications and topicals selected for your needs. Below are high-level answers to common questions. Your clinician will determine what is appropriate based on your medical history, symptoms, and goals.
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 to thinning
Extending the growth (anagen) phase of hair follicles
Your clinician selects medications and topicals based on your pattern of hair thinning and overall health profile.
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 with continued use over longer periods
Responses vary, and your clinician may adjust the protocol over time.
Do topical or oral treatments work better?
Different people respond better to different approaches. Some notice more benefit from topicals, others from oral medications, and some from a combination. Your clinician will recommend what best fits your goals and medical history.
What is the 4-in-1 Gel?
The 4-in-1 Gel is a compounded topical that may include multiple active ingredients—such as dutasteride, minoxidil, tretinoin, or fexofenadine—to target several causes of hair thinning at once. Your treatment may or may not include this formulation depending on your clinician’s assessment.
Can this help with a receding hairline or the crown?
Possibly. Some individuals see improvement in areas such as the hairline, temples, or crown. Your clinician will review your photos to determine whether your specific pattern of thinning is likely to respond.
Is shedding normal?
Yes. A temporary increase in shedding can happen when starting certain hair treatments. This occurs as older hairs transition out before new growth begins. It typically improves on its own. If shedding feels excessive or persistent, message your clinician.
What if I’ve had a hair transplant?
The protocol may help maintain transplant results or support ongoing growth. Your clinician will review your transplant history and recommend an appropriate plan.
Can I combine hair medications with Testosterone or Enclomiphene Protocols?
Possibly. Some individuals use hair treatments alongside testosterone-related protocols. Your clinician will confirm what is safe and appropriate based on your medications and health history.
Will this help with beard or body hair?
The protocol is designed for scalp hair. If you have questions about beard density or other areas, message your clinician for general guidance.
Are topical treatments messy or oily?
Formulations vary. Some people find gels and liquids easy to apply, while others prefer oral options for convenience. Your clinician can help you choose the format that fits your routine.
Can microneedling or a dermastamp help?
Some individuals incorporate microneedling to support scalp health or enhance topical absorption. If you’re considering a dermastamp or similar tool, ask your clinician whether it is appropriate for you and how often to use it.
What if I experience scalp irritation?
Mild redness, itching, or dryness can occur with certain ingredients. If irritation is persistent or uncomfortable, message your clinician. They may adjust your formulation or recommend an alternative.
Does this protocol work for all types of hair loss?
Not all hair loss responds to the same treatments. This protocol focuses on common patterns of thinning often related to androgen sensitivity or gradual follicle miniaturization. Your clinician will guide you based on your evaluation.
Do I need to refrigerate my medication?
Most medications in the Hair Improvement Protocol do not require refrigeration, but always follow the storage instructions on your prescription. If you’re unsure, ask your clinician or message Support.
Do I need to take these medications with food or at a specific time of day?
Your pharmacy or clinician will provide high-level guidance on timing. Some individuals prefer taking certain products with food for comfort. Do not change your routine without checking if you have concerns.
Do oral treatments work better than topicals?
Oral and topical treatments work through different mechanisms:
Oral treatments can address hormonal contributors.
Topical treatments primarily target scalp follicles directly.
Your clinician determines the right combination based on your hair pattern, tolerance, and medical history.
Can I use this protocol for beard growth?
Some people ask about using components of the protocol for beard enhancement. Your clinician will determine whether any approach is appropriate based on your goals and the medications involved.
Will the Hair Improvement Protocol affect my hormones?
Some medications in hair treatments may influence hormone pathways related to hair growth. Your clinician reviews your health history to ensure your regimen is safe and appropriate.
How long will I need to stay on the protocol?
Hair requires ongoing support to maintain gains. Many individuals stay on treatment long-term. Your clinician will assess your progress and recommend maintenance strategies if appropriate.
What if I miss a dose?
If you miss a dose, do not double the next one. Message your clinician for high-level guidance. Consistency over time matters more than the exact timing of a single dose.
Can I color or chemically treat my hair while on the protocol?
Most individuals can continue normal hair care routines, including coloring and styling. If using topicals, avoid applying them immediately before chemical treatments. If you have concerns, ask your clinician.
What if I don’t see improvement?
Hair changes can be slow and vary widely. Your clinician will review:
How consistently you’re using the protocol
How long you’ve been on treatment
Your photos and symptom patterns
Any underlying contributors
Whether adjustments or alternative options may help
They may modify your plan if appropriate.
If you have questions about your experience, symptoms, or progress on the Hair Improvement Protocol, message your clinician through your Maximus portal.