Our Treatments

Personalized prescription options for hair, skin, weight management, sexual health and everyday concerns. All treatments are prescribed only after clinical review by Scott Gestrich, MD.

Hair Loss: Finasteride + Oral Minoxidil

A convenient oral combination used for androgenetic alopecia (male and, in select cases, female pattern hair loss).

  • Finasteride 1 mg daily — FDA-approved for male pattern hair loss. Helps slow progression and support regrowth.
  • Oral Minoxidil 2.5 mg daily — Low-dose oral use (off-label) for hair growth. Easier for many patients than twice-daily topical application.
  • Often used together for complementary benefits.

Who it may be right for: Adults 18+ with gradual thinning at the crown, temples, or diffuse pattern. Not appropriate for women who are or may become pregnant.

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Hair loss medications

Skin: Tretinoin 0.025% Cream

A gold-standard prescription retinoid for acne, photoaging, and improved skin texture.

  • Helps unclog pores and reduce acne lesions.
  • Supports collagen and reduces the appearance of fine lines over time.
  • Improves skin tone and texture with consistent use.

Important: Avoid in pregnancy and breastfeeding. Daily broad-spectrum sunscreen is required. Initial dryness and peeling are common and usually improve.

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Skin treatment aesthetic

More Online Treatments

Additional physician-reviewed treatments, all handled online. Choose a treatment to see how to start.

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Erectile Dysfunction / Premature Ejaculation

Sildenafil or Tadalafil — Prescription treatment reviewed privately online, with careful screening for heart conditions and medication interactions.

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Eyelash Growth

Bimatoprost 0.03% — For thin or sparse eyelashes (hypotrichosis). Applied nightly to the upper lash line.

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Dark Spots, Melasma & Age Spots

Hydroquinone 4% cream — For hyperpigmentation, melasma, and sun spots. Photo review is part of the evaluation.

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Rosacea & Facial Redness

Azelaic Acid — Helps calm persistent redness, flushing, and rosacea bumps.

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Acne

Topical Erythromycin 2% — Prescription antibiotic solution for acne, reviewed with photos of the affected areas.

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Birth Control

Junel 1/20 — Daily oral contraceptive prescribed after a complete safety screening, including blood pressure and smoking history.

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Cold Sores & Genital Herpes

Valacyclovir 1 g — Antiviral treatment for outbreaks, whether for episodic treatment or ongoing suppression.

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Hair Thickening

Ketoconazole 2% shampoo — Medicated shampoo used 2–3 times weekly to support a healthier scalp and fuller-looking hair.

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Weight Loss: Zepbound KwikPen

Tirzepatide weekly injection — GLP-1 weight management with a guided dose schedule, after full medical screening including BMI and health history.

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Weight Loss: Wegovy Pill

Oral semaglutide, taken daily — A needle-free GLP-1 option for weight management, after full medical screening.

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Safety First

Every prescription is individualized. During your intake we screen for contraindications for each treatment — including pregnancy status, cardiovascular history (especially for oral minoxidil), mood history (for finasteride), medication interactions, and condition-specific risks — using a dedicated screening questionnaire for the treatment you choose. Some answers mean a treatment cannot be offered online, and your provider may request additional information or a live visit if needed.