Hi jowoo215
your story reminds me of mine. 6 years on finasteride, not working anymore, then 3-4 years on dutasteride, then thinning re-started.
The bad news, as you have realized, is that we are fighting a battle that gets tougher as we age..the drugs will be less and less effective over the years.
The good news however, is that we still have a few more powerful drugs availalable, flutamide being the most powerful. This drug has created some heated debates on those forums but most people using it noticed improvements.
Increasing dutasteride dosage works too.
i would try the MDF Solution topical from SAMSON therapeutics.
i am not in the US so i have not tryed it yet, but i am asking our office guys over there to send me some bottles.
i used Flutagel, now discontinued, and had very good results.
i also tryed fluridil, which is designed to degrade the androgen receptors and not block them like flutamide,and has no side effects at all.
But so far fluridil on its own seems to be less powerful than flutamide, but a good addition to a topical regime because you can cover all your head and not worry about side effects.
For flutamide, it is best used at the hairline and in small amounts.
good luck
el duterino