Anagen formulation · 5 activesBStrong pairwise evidence, novel combination

Growth Maxi

Anagen's flagship five-active topical. The pairwise evidence for each component is solid; the five-active combination itself isn't directly studied at this concentration — making this our most aggressive evidence-extrapolation in the catalog.

What's in it

Every active in Growth Maxi

Each active in this formulation, scored against its own standalone evidence for AGA. Click any active for the full claim-by-claim breakdown.

ActiveGradeWhy it's in this formula
Finasteride0.1%DHT suppressionA

Same topical 0.1% finasteride that anchors The Basics — backed by Piraccini 2022 non-inferiority data against oral 1 mg.

Minoxidil5%Follicular activatorA

Standard 5% topical minoxidil. 35+ years of RCT data. Combined with finasteride here per the most-replicated AGA protocol.

Liothyronine (T3)6.5 ng/mLAnagen inductionC

Microdosed T3. Mechanism is well-characterized — thyroid hormone receptors (TRα, TRβ) are expressed in human hair follicle dermal papilla, and topical T3 stimulates hair growth in animal models and ex-vivo human scalp tissue. Human RCT data at this dose for AGA specifically is limited.

Levocetirizine0.5%Anti-inflammatory / anti-PGD2C

Levocetirizine inhibits PGD2 (elevated in bald scalp) and activates the AKT pathway in dermal papilla cells. The Zaky 2021 case-controlled study (60 men, 6 months) showed topical cetirizine 1% produced significantly higher hair regrowth on dermoscopic assessment vs control (P<0.001).

Latanoprost0.1%Prostaglandin agonistC

Latanoprost 0.1% at this concentration is the dose studied in Blume-Peytavi 2012, the only published RCT of topical latanoprost for scalp AGA — a pilot study (n=16 men, 24 weeks) showing significant hair density increase vs placebo.

The case for this stack

Why we paired these actives

Five mechanisms, one formulation

Growth Maxi combines five orthogonal mechanisms in a single daily topical. The strategy: cover every reasonably-evidenced pathway in AGA at once — DHT suppression (finasteride), vasodilation / follicular activation (minoxidil), anagen induction (T3), prostaglandin modulation (latanoprost), and anti-inflammatory / anti-PGD2 effect (levocetirizine). The pairwise evidence for the foundation — finasteride + minoxidil — is the strongest in AGA literature, established by multiple RCTs and the 2025 meta-analysis (MD +9.22 hairs/cm², p=0.04 over minoxidil alone). On top of that foundation, three additional actives target mechanisms each has independent (smaller) human evidence for. The honest tradeoff: no published RCT has tested this five-active combination at these exact concentrations. The case for it is mechanistic plausibility plus per-active evidence — not direct combination data. We grade Growth Maxi B (rather than A like The Basics) because the layered actives outpace what the literature directly validates.
Cited literature
  • Li Y, Huang Q, Zhou Z, Zhang Y (2025). Comparing minoxidil-finasteride mixed solution with minoxidil solution alone for male androgenetic alopecia: a systematic review and meta-analysis of randomized controlled trials. Frontiers in Medicine PMID 41127390
  • Blume-Peytavi U, Lönnfors S, Hillmann K, Garcia Bartels N (2012). A randomized double-blind placebo-controlled pilot study to assess the efficacy of a 24-week topical treatment by latanoprost 0.1% on hair growth and pigmentation in healthy volunteers with androgenetic alopecia. J Am Acad Dermatol
  • Zaky MS, Abo Khodeir H, Ahmed HA, Elsaie ML (2021). Therapeutic implications of topical cetirizine 1% in treatment of male androgenetic alopecia: A case-controlled study. J Cosmet Dermatol PMID 33417284
  • Safer JD, Fraser LM, Ray S, Holick MF (2001). Topical triiodothyronine stimulates epidermal proliferation, dermal thickening, and hair growth in mice and rats. Thyroid PMID 11525263
What's been studied

The studies behind the combination

There is no published RCT of Growth Maxi as a five-active formulation. The supporting literature is per-component and per-pairing, summarized here.

Li 2025 — Topical fin + min meta-analysis (the foundation pairing)
Frontiers in Medicine · PMID 41127390
META
Design

Meta-analysis of 7 RCTs

N

396

Duration

Variable

Topical finasteride + minoxidil combination produced superior hair density (MD +9.22/cm², p=0.04), hair diameter (MD +2.26 µm, p=0.005), and global photographic assessment (MD +0.79, p<0.00001) over minoxidil alone. This is the most-replicated foundation pairing in AGA.

Blume-Peytavi 2012 — Topical latanoprost 0.1% pilot RCT
J Am Acad Dermatol · Source ↗
RCT
Design

Randomized double-blind placebo-controlled pilot

N

16

Duration

24 weeks

Latanoprost 0.1% increased overall hair density and the number of vellus and terminal hairs vs placebo at 8 and 24 weeks in young men with mild AGA. Pilot scale (n=16), narrow age range (23–35) — supportive but not definitive.

Zaky 2021 — Topical cetirizine 1% in male AGA
J Cosmet Dermatol · PMID 33417284
STUDY
Design

Case-controlled

N

60

Duration

6 months

Topical cetirizine 1% applied daily produced significantly higher hair regrowth than control on dermoscopic assessment (P<0.001), with significantly higher patient satisfaction (P<0.001). Mechanism: PGD2 inhibition (PGD2 is elevated in bald scalp) and AKT pathway activation in dermal papilla cells.

Topical T3 — mechanism + animal + ex-vivo human scalp
Multiple sources
PRECLINICAL
Design

Animal models and ex-vivo human scalp organ culture

N

Variable

Duration

Variable

Topical T3 produces dose-dependent increases in hair growth in murine models (Safer 2001) and increases the percentage of anagen hair follicles in ex-vivo human scalp tissue. TRα and TRβ are expressed in human follicle dermal papilla. Human AGA RCT data at the microdose used in Growth Maxi is limited.

Honest limits

What the science doesn't yet answer

  • No RCT has tested this five-active combination at these exact concentrations. Anagen's case rests on per-component evidence + the fin+min meta-analytic foundation.
  • Whether layering five mechanisms produces additive benefit vs the fin+min two-mechanism foundation is not directly studied. Diminishing returns are possible.
  • Latanoprost and T3 carry the lightest human RCT evidence in the stack — both have plausible mechanisms but limited large-scale clinical data at scalp doses.
  • Long-term safety (>2 years) of this specific five-active combination is not characterized.
  • Whether levocetirizine's PGD2 inhibition meaningfully composes with latanoprost's prostaglandin agonism — they target related but distinct prostaglandin pathways — has not been studied head-to-head.
Bottom line

Our verdict on Growth Maxi

Maximalist stack with strong pairwise evidence
Growth Maxi is Anagen's most ambitious topical: five mechanisms, one daily application. The foundation pairing (finasteride + minoxidil) is the most-evidence-backed combination in AGA, and the three additional actives each have independent published human data — but the five-active formulation as a whole has not been studied at these concentrations. The editorial honest take: this is a maximalist protocol that extends from solid pairwise evidence into mechanism-based stacking. For users prioritizing maximum theoretical coverage over published combination evidence, Growth Maxi makes sense. For users who want the cleanest evidence base, The Basics (fin + min only) is the more defensible choice.
Strong pairwise foundation (fin + min, Grade A evidence) + three additional actives each with independent human data + a novel combination not directly studied at these concentrations. Grade B for the overall formulation.
The product

Growth Maxi

Our premium suite of hair growth essentials packed into one bottle. Maximum science for maximum results.

See the product →From $80.00 / mo with a 12-month plan