Starting to lose my hair after 3 years on the big three, what next?

[earlybalder]

At first I thought it was seasonal shed (at winter) which happened the previous 3 years where the hair comes back good again. However it is almost summer now and my hair is worse off than before and I can barely comb it.

I'm a diffuse thinner Norwood 2 however im very diffuse at the front of my hair. I dont use minoxidil at crown because that is how I judge the effectiveness of propecia which maintained it for 3 years but now I as I look in the mirror both the crown and front are much worse.

What next for me? should I drop finasteride (I cut proscar into fifths and take 1 every day) and just take avodart ? or should I supplement avodart with my daily routine of finasteride. Bearing in mind that I havent felt any side effects that I'm aware of (thank god) from finasteride.

What routine should I go with if only avodart and what routine if both finasteride and avodart?

 

[diffuse2007]

i think you should get a blood test to measure you current dht levels. in most men finasteride will inhibit 85-90% of 25ar but some men may get 70%. besides that i agree with the above poster you may need to add dutasteride and or a topical ar antagonist like spironolactone or ru

 

[fuugenes]

Keep in mind that Propecia DOESN'T eliminate all DHT in your hair follicles. The left over DHT is still there to interact with your genes, but at a much, much lower amount.

So obviously you still have enough DHT to signal miniaturization, but at a much slower rate now.

You need some more powerful anti-androgen therapy.

You have the option of either switching to, or adding Avodart which would be very helpful.

But what you really need is to add a more topical, local anti-androgen treatment; something more than just a ketoconazole shampoo three times a week. It should be something that has a different mechanism than a 5AR since you're already on one of the best and it'll just be redundant. It should be something that blocks the androgen receptor.

You got a lot of stuff to explore here: RU58841; cb 03 01; acj9; and a zinc, azliac acid, vitamin b6 combination (Revivogen) to name a few.

I'm on Avodart + RU58841 + Nizoral cream daily as my anti-androgen treatment.

I agree, I'm a believer of, your body gets used to medications. I would try asking your doctor if you can up the dose or shoot for avodart. btw, how many mg is your 1 tablet of proscar?