Hair Improvement Protocol: Patient Guide

The Maximus Hair Improvement Protocol uses personalized prescription treatments to support thicker, fuller hair. It targets common causes of hair thinning using topical and/or oral medications selected by your clinician based on your goals, photos, and medical history. For prescription, refill, and progress-tracking details, see Hair Improvement Protocol: Prescriptions, Refills, and Tracking.

Hair thinning often results from multiple factors, including:

This protocol addresses these contributors through targeted treatment.

Your clinician designs a personalized plan that may include:

Topical treatments — compounded formulas that may include dutasteride, minoxidil, tretinoin, or fexofenadine.

Oral medications — oral minoxidil, or other prescriptions when clinically appropriate.

Combination therapy is used when additional support is beneficial. Some patients receive a topical-only plan; others use oral medications, or both.

The 4-in-1 Gel is a compounded topical that combines several of the ingredients above to target multiple causes of hair thinning at once. Whether your treatment includes this formulation depends on your evaluation.

The protocol supports hair growth by:

These effects build gradually and vary between individuals.

The Hair Improvement Protocol may be appropriate if you experience:

Eligibility is determined by your clinician based on your health history, photos, and goals.

Not all hair loss responds to the same treatments. This protocol focuses on patterns related to androgen sensitivity and follicle miniaturization. Some individuals may be better suited to alternative medical or dermatologic treatments depending on the underlying cause. Your clinician will determine the most appropriate approach.

Hair growth is a gradual biological process. Most individuals experience changes in phases, and results vary based on age, genetics, treatment type, and overall scalp health.

Early changes (0–3 months):

A temporary increase in shedding can occur as older hairs cycle out and new ones begin to grow. This is a normal part of the hair growth cycle and typically improves over time.

Mid-phase changes (3–6+ months):

Long-term progress (6–12+ months):

Progress may be subtle at first. Photo comparisons over time are often the most reliable way to track changes — see the Logistics article for how progress photos are used.

Texture, volume, and scalp health. Some individuals also notice improved scalp health, reduced irritation, changes in hair texture, and a fuller appearance from thicker strands.

If progress feels slow. Slower or uneven progress does not necessarily mean the protocol isn't working. Hair growth cycles take months to shift, and visible changes often lag behind biological changes. Your clinician reviews scalp photos, your reported experience, and shedding patterns to guide adjustments.

Like all medications, these treatments may cause side effects. Most are mild and improve as your scalp or body adjusts.

Topical treatment side effects:

If your formulation includes tretinoin — you may notice increased skin sensitivity, dryness, redness, or irritation.

If your formulation includes topical minoxidil — possible effects include mild itching or dryness, temporary shedding, and unwanted hair growth if the medication spreads beyond the scalp.

Oral medication side effects:

Oral minoxidil specifically may cause increased shedding early on, mild swelling in hands or feet, lightheadedness, or hair growth in unintended areas (face or body).

If symptoms feel unusual or persistent, message your clinician.

Although uncommon, certain symptoms require prompt medical attention. Seek urgent care if you experience:

These are not typical treatment effects and should be evaluated immediately. For non-urgent concerns, message your clinician through your patient portal.

Your clinician monitors progress through scalp photos, reported symptoms, changes in shedding or density, and overall response to treatment. Adjustments are made when clinically appropriate. Outcomes vary based on genetics, overall health, scalp environment, and the underlying cause of hair loss.

When will I start noticing results? Reduced shedding in the first few months. Early thickening or new growth around 3–6 months. More visible improvements over longer periods. Responses vary.

Is shedding normal? Yes. A temporary increase in shedding can occur when starting treatment, as older hairs cycle out before new growth begins. It typically improves on its own. If shedding feels excessive or persistent, message your clinician.

Can this help with a receding hairline or crown? Possibly. Some individuals see improvement in the hairline, temples, or 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.

Will this help with beard or body hair? The protocol is designed for scalp hair. If you have questions about other areas, message your clinician.

Can I use microneedling or a dermastamp? Some individuals use microneedling to support scalp health or enhance topical absorption. If you're considering this, ask your clinician whether it's appropriate and how often.

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.

Are topical treatments messy or oily? Formulations vary. Some individuals find topicals easy to apply; others prefer oral options for convenience. Your clinician can help you choose what fits your routine.

Can I color or chemically treat my hair? Most individuals can continue normal hair care routines. If you use topicals, avoid applying them immediately before chemical treatments. For specific concerns, message your clinician.

Do I need to refrigerate my medication? Most medications do not require refrigeration. Always follow the storage instructions provided with your prescription. If unsure, contact support.

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 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 matters more than a single missed dose.

What if I don't see improvement? Your clinician will review consistency of use, time on treatment, photos and symptom patterns, and underlying factors. Adjustments may be made if appropriate.