I’m considering drop the Minoxidil all together but I guess I could try a topical Finasteride with Minoxidil.
I regret Minoxidil more than anything in the last two years. Feel trapped. Definitely thinning fast and miniaturization on the entire head. I haven’t noticed any progress in Finasteride with mild sides.
Yes it's really hard to say now since it's gotten worse with the stuff you've tried. If it gets worse, how can we blame it on Finasteride at this point? However I would just stick with what has proven to work (Big 3) that is not Trans Regimen. Derma rolling may help, but I've read testimonials of side effects from Topical Finasteride after adding Derma rolling, so might as well take Oral if that's the case.
1. Your thyroid condition. With the timing(because of your age, age thinning may also be a part of it + telogen effluvium. The reason I include telogen effluvium is because I recall a few times my hair seemed thinner/thicker at various times in my life(before Finasteride). Basically my hair thinning was not aggressive where my follicles and hair diameter was hard to recover(If treatment worked). Age related thinning is simply our body not working the way it did when we were younger. Yes it's possible to be like Ronald Reagan and not lose much density until old. but I'm fairly certain he had less density over the years. We just couldn't tell as it was minor. Many would call that non aggressive male pattern baldness, I don't agree with that. I can agree it's some form of hairloss, but I wouldn't classify it as male pattern baldness. IMO male pattern baldness is premature hairloss compared to the median. Going to a norwood 2 is very normal in late 20's + with slight thinning. We just don't notice it until it gets to 50 percent loss of density.
Currently with so many things going on it's hard to say, but based on your timeline of hairloss, it appears your thyroid condition/medication is when you noticed the start of increased shedding? Did you notice before starting the medication/condition? I presume the reason you took it was due to lethargy and other side effects of low thyroid.
2. As you've already realized Minoxidil was not needed at that point and and may have just accelerated a shed that you've not recovered from.
This pic is a bit scary compared to your before pic but seems like perhaps you part it to show more clearly your diffuse. It may not look as bad dry, but obvious loss in density. You should part it the same way for a better comparison.
I'm pretty much close to your position but in reverse, where Finasteride alone thickened me up, especially my hairline. Personally I wouldn't try too many unproven treatments and stick with just the big 3. I don't take anything except for Fish Oil, Iron,Vitamin D. I may be getting quite a bit of biotin from eggs and Salmon. I would not say I eat healthy but I don't eat unhealthy. As for working out,the benefits of working out outweigh any theoretical largely unproven correlation.
You're already living a healthy lifestyle and while I don't believe stress is a factor, the opposite of stress(relax) can do wonders in general for the well being as a whole.
I know it's easy to say, but my advice would be to not worry so much for things out of your control. You're already taking precautions in tying your hair loosely to avoid traction alopecia. Keep your scalp healthy. It's pointless to be afraid of washing hair and keep the hair that can't even go through a hair wash without falling out. I'm amazed with the amount of hair you've shown you losing everyday your hair still looks good. Good Luck and I hope you at least halt the shedding and recover.
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James Carwell, regarding your twin brother. Do you have pictures for comparison and have you asked him if he's taken any treatments?
This article is interesting regarding Twins hairloss and treatment.
http://www.twinshairloss.com/