Assessment Open Follicular Retention

Follicular Retention Protocol

Clinically evaluated protocols for male pattern hair loss — 5α-reductase inhibitors and topical vasodilators prescribed by independent licensed providers when clinically appropriate. Results require ongoing treatment and take months to emerge.

How It Works

Three Steps to Clinical Intake

The ForgeVita platform routes your intake to an independent licensed clinical practice in your state. Here's what to expect.

Step 01

Start Assessment

Complete your 5-minute health intake at no cost. Your state is verified for routing availability before any clinical workflow begins.

Step 02

Clinical Matching

The secure clinical partner workflow discloses the independent provider entity, applicable consents, and all charges before your evaluation begins.

Step 03

Receive If Prescribed

If treatment is clinically approved by the independent provider, the pharmacy partner fulfills and ships your medication in plain, unbranded packaging.

About Male Pattern Hair Loss

Understanding Androgenetic Alopecia

Clinical context for patients researching finasteride and minoxidil treatment.

Androgenetic alopecia (male pattern baldness) is the most common form of hair loss in men, affecting over 50% of men by age 50 and a significant proportion earlier. It follows a characteristic pattern — typically beginning at the temples and crown — and progresses at a rate that varies considerably by individual.

The primary driver is dihydrotestosterone (DHT), a potent androgen converted from testosterone by the enzyme 5α-reductase. In genetically susceptible hair follicles, DHT binds to androgen receptors and progressively miniaturizes the follicle, shortening the growth (anagen) phase and eventually causing the follicle to stop producing visible hair.

The most clinically studied treatments work either by blocking DHT conversion (finasteride, dutasteride) or by extending the anagen phase and increasing blood flow to the follicle (minoxidil). These mechanisms are distinct and may be used individually or in combination at the provider's discretion.

Treatment is most effective when started early in the hair loss process, before follicles have been permanently miniaturized. Ongoing daily use is required — discontinuing treatment typically leads to resumed hair loss within months. All protocols require evaluation and prescription by an independent licensed provider.

Prescription Options

Available Treatment Approaches

The independent licensed provider evaluates which option is most appropriate for your pattern, history, and individual clinical circumstances.

Rx — Oral

Oral Finasteride

A 5α-reductase type II inhibitor that blocks DHT conversion. Taken daily. Requires ongoing use to maintain effect. Provider evaluation required due to contraindications and potential side effects.

Topical

Topical Minoxidil

A vasodilator applied directly to the scalp that extends the anagen (growth) phase and increases follicular blood supply. Available OTC but provider-evaluated dosing and formulation may differ.

Rx — Oral

Oral Minoxidil

Low-dose oral minoxidil is an off-label option evaluated by the independent provider. Systemic absorption requires cardiovascular screening and provider monitoring. Not appropriate for all patients.

Combination

Combination Approaches

Provider may recommend finasteride combined with topical or oral minoxidil based on pattern severity, progression rate, and individual clinical judgment. Disclosed in the clinical workflow.

Common Questions

Frequently Asked Questions

Transparency about how treatment works, what to expect, and what it costs.

How does treatment work?
Finasteride works by inhibiting 5α-reductase type II, reducing scalp DHT levels and slowing or halting the miniaturization of genetically susceptible follicles. Minoxidil works through a separate mechanism — extending the anagen (active growth) phase and improving follicular circulation. Both require ongoing daily use to maintain effect. Neither mechanism reverses follicles that have already been permanently miniaturized.
How much does it cost?
Charges vary by program, state, medication, and independent provider. All applicable fees — including any professional evaluation fee and medication costs — are fully disclosed within the secure clinical partner workflow prior to your authorization. The assessment has no cost to complete.
What are the side effects?
Oral finasteride: a small percentage of patients report sexual side effects including reduced libido, erectile dysfunction, or ejaculatory changes. A subset report persistent side effects after discontinuation (Post-Finasteride Syndrome). Discuss your full medical and mental health history with your provider. Oral minoxidil carries cardiovascular considerations including fluid retention and potential changes in blood pressure or heart rate — your independent provider evaluates appropriateness based on your individual history.
Do I need to use it forever?
Yes — both finasteride and minoxidil require ongoing daily use to maintain their effect. Discontinuing finasteride typically leads to resumed DHT-driven follicle miniaturization within months. Discontinuing minoxidil typically results in shedding of hairs maintained by the treatment. Your independent provider will discuss long-term treatment planning during evaluation.
What type of hair loss is treated?
This protocol is designed for androgenetic alopecia (male pattern baldness) — the most common type of hair loss in men. It is not evaluated or indicated for alopecia areata, telogen effluvium, scarring alopecias, or other non-androgenetic causes. The independent licensed provider evaluates the nature of your hair loss and determines clinical appropriateness during intake.
Which states is this available in?
Availability is configured state by state based on provider licensure and telehealth regulations. Check the current map at forgevita.com/state-availability.
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Medical & Safety Disclosure: Finasteride is a teratogen — it is contraindicated in pregnancy and must never be handled by women who are pregnant or may become pregnant, particularly in crushed or broken tablet form due to risk of absorption through skin. Finasteride should not be handled by children. A small percentage of patients report sexual side effects including libido changes, erectile dysfunction, and ejaculatory changes; a subset report persistent effects after discontinuation (Post-Finasteride Syndrome). Regrowth is not guaranteed and individual outcomes vary significantly. Oral minoxidil requires cardiovascular evaluation due to systemic absorption; it is not appropriate for all patients. All prescribing decisions are made by independent licensed providers at their sole clinical discretion. ForgeVita LLC is a technology and management services company and does not practice medicine, provide clinical services, or guarantee any treatment outcome. Treatment is never guaranteed.