On Finasteride and I don’t believe it is working

I started fin in November 2018 with 1mg per week, increased to twice per week in April 2019 and then to every other day in November 2020. So far I’ve seen hair loss continuing through that whole period. I did a few blood tests and I have naturally low DHT. I got tested after taking fin 2x per week and it was lowering my dht levels

I’ve been using minoxidil since 2016 and initially I didn’t experience much loss but then in 2018 it accelerated (hence the move to fin).

I’m not sure my options here – do you think dut would be more effective than fin/worth trying? Part of me things I’ve not given it a full 2 years from starting fin in the first place. Also, perhaps increasing my dosage is causing the benefits to be pushed back. But I think that wishful thinking.

What do I do?

If you stop it and it is working, you will see an increase in shedding and then you will know. That is how most of my patients find out when they think it is not working and find that they lose hair stopping it and quickly go back on it. I tell most men who are balding, that finasteride is working regardless of their perceptions of it not working.