don't listen to anyone that tells you definitive answers when it comes to response to treatment. the truth is we don't know how your body will respond and most people don't post their results on the internet for people to see. in the most amazing cases we see people who responded in 2-3 months and experienced amazing regrowth. we also have people who are on it for 2+ years and can only managed to maintain / slow down hair loss. the general consensus is to wait for 6 - 12 months and re-evaluate. stick with the big 3. in my opinion your hair does not look that bad at all.. you only start to look ridiculous once the hair on the top starts to shrink and die and become diffused