I believe photos with flash show the hairloss worse than in person.
yes, one might be losing hair compared to what he had when he was 13 years old and the hairloss may not be visible in pictures (when one loses 0.01% of his hairs may be).
The question is it is worth taking the risk altering our hormones for such a degree of hairloss? I realize I started the drugs too late (after NW6), but even if I were to do it again if I get a chance, I won't use hormone altering drugs unless my Norwood is past 1.5 or 2.
It is left to the individuals what they want in life.