I am at a point where i don't think anything will work for me. problem with Oral minoxidil is that i have become abit sensitive in recent years to hypersensitivity. so B vitamins and Caffiene can make me feel abit anxious, sick and panicky. so id be afraid to try Oral Minoxidil.Wire brushing? That's quite a list. Nobody can ever accuse us of being lazy in terms of treatments tried. I don't know if you are willing to try things like oral minoxidil or progesterone/progestins or estrogen on your scalp and face. My experience is that estrogen is phenomenal but it is also extremely likely to go systemic when used topically anywhere although It is especially absorbed at rates of five times more when used on genital skin by males and females.
I don't know what progesterone/progestins is, but i know Spirolactone certainly doesn't help and isn't that estrogen? i don't think my body likes Low testosterone tbh.