Balding Pattern is now a Class 5 at 33

I’ve seen balding since I was 20, now 33M, NW V.  I took intermittently min/fin for periods of no longer than 6 months, with noticeable results. Then skipped the treatments due to laziness. I now decided to go all-in for the very last time before I decide to get a hair transplant. I am doing religiously min, fin, biotin, zinc, saw palmetto and vitamin D daily; ketoconazole twice/three times a week; dermarolling 1.5 mm once a week.  Do you think it will reverse?

At 33, the drugs rarely reverse a Class 5 pattern of balding.