Originally posted on Reddit Profile: "NW Picard" (Severe thinning/baldness on top). The Strategy:I am throwing everything at it. It is not a major improvement yet, but it is steady. I am waiting until the 24-month mark to judge the final result. The "Advanced" Stack: Oral: 1mg Finasteride + 0.5mg Dutasteride (Aggressive combination). Topical: Switched from Kirkland Minoxidil to a Trichosol base (Minoxidil + Tretinoin) for better absorption. Topical: Minoxidil Spray + Finasteride. Add-ons: Sulfogenz (Added 2-3 months ago). Experimental: KX-826 (Pyrilutamide) - planning to start soon. Devices: LLLT (Laser Cap) started 1 month ago. Stopped: Microneedling (stopped 7 months ago). Doctor's Advice:I talked to a Hair Transplant surgeon. He recommended I stay on the meds for another year to stabilize and see more progress before considering surgery. This saves donor grafts.