Good points. CPA+E seems to be the best route. Could viably start on a low dose. His T is almost equivalent to someone on a low dose of steroids, so I wouldn't be surprised if he is fine side effect wise with lowering it a few hundred. He also said his E was slightly high, so he wouldn't even need much. Maybe he could get away with topical only? I don't know what the target numbers should look like, but all I know is that T over 1000 is going to be hard to maintain hair for even those with the best genetics. Obviously though, as I have mentioned before, I think he's already got good hair for the rest of his life. But if he wants to reduce the shedding then he's going to have to address the testosterone. It seems like although he has a high shed rate, he has an almost equally high growth rate. This is evident with his high T/E. OP needs to keep in mind that there are those who are balding without shedding much at all, they just don't have the growth factors to keep maintaining.