there has been miniaturization but something else is causing the constant shed.
I think testosterone is doing the bulk of the damage. My DHT levels have always been low but test middle-high range. Inflammation markers tend to stay very high. And the ferritin levels are always below range aside from the infusions.
That’s why I’m trying to decide on RU/CB or an alt like topical SARMs to try and slow the shedding.
1) You may reconsider your approach to androgens. It doesn't matter whether your DHT is high or low according to some 'normal' ranges based on some statistics - there are many more variables affecting interpretation of the results. You should be concerned if your T level is low: as a male ages, his T tends to decline and his body tries to compensate by increasing its conversion into DHT + up regulating your AR - which exacerbates pattern hair loss. Considering T as an enemy to your hair is not very much correct. If your T level declines as you age, you should be concerned about maintaining it - closer to the upper limit of the normal range may be better, although this runs against intuition.
Androgen -induced inflammation is only one of many sources of inflammation damaging your hair. You should avoid RU/CB in your case and focus on non-androgen causes of inflammation.
2) Low ferritin is a plausible cause, but likely not the only one. Getting you ferritin back is certainly a must. Injectable drugs are more effective than oral. But the mechanisms of anaemia are very complex, you need a good GP. Low B12 and folic acid are also causes of anaemia. Different types of anaemia can co-exist.
3) You're right to be concerned about the high levels of inflammation markers. This is not only about your hair. You need a good GP to eliminate all possible sources of inflammation in your body. Elevated inflammation markers can be explained by e.g. dental problems, chronic infections, atherosclerosis, gastritis, autoimmune conditions, metabolic abnormalities (e.g. elevated HbA1C and early phase of insulin resistance = pre-diabetes), stress ('stress hormones' e.g. cortisol cause inflammation and kill your hair as well) - many many things. This is why you need a thorough exam, go to Cleveland or Mayo or other places with top level expertise.
What is you high-sensitive CRP level?
Finasteride/dutasteride/CB reduce only the kind of inflammation mediated by androgens. This may not be a legitimate target in your case.
In your case you're more likely to benefit from directly targeting inflammation. This means considering an anti-inflammatory drug - immunosuppressant. Discuss tofacitinib (designed to treat alopecia areata and a range of other inflammatory conditions- arthritis etc).