Start with Finasteride 1mg and wait a year to see if it gets any worse. Takes photos of your hair and keep them until 12 months passes and you’re able to compare the before and current pictures. If finasteride isn’t strong enough for you then try Dutasteride and wait another 12 months if hair...
I’m currently diffusing in the front toward norwood 1 but I’m also recovering from a big Telogen Effluvium shed Thats been going on for some months now, it’s beginning to fill back in, I don’t like body hair so i dont like to mess with minoxidil.
I’ve always been the self proclaimed guinea pig in the science...
I started oral finasteride when i was 17 with 98% density, by 21 i was left with 30% density left. DHT is not the sole cause of hair miniaturation. To completely halt hair loss in its tracks the androgen receptors need to be blocked either locally or systemically.
Bicalutamide is the stronger AA but spironolactone has its own benifits. I thing you should read this thread like @John said or read the clinical study papers written about each drug.
If the two drugs actually work together and don’t end up fighting for receptors then you don’t have to worry about the adrenal system DHT since spironolactone will be occupying the receptors.
It could be, i never did extensive research on the adrenal glands contribution to DHT conversion so I can’t comment on it much. I know CPA+Bicalutamide counter eachother and cause problems (in my own body at least), ikarus reported the same issue. CPA+Spironolactone might behave differently...