I’m on 50mg E4D, so 100 total a week. I’m early 40s so my MPB (NW 3V) was well established and had essentially stopped. Hair and frontal third HT super healthy and stable. Oral Minox 5mg daily. My donor was / is very strong so that helps. Did not do well on any anti androgens, so I stay away from that. Do everything else I can. I believe vascular health to the scalp is super critical. Please be cautious with any anti androgens especially oral forms.
Monitor labs every 6 weeks (full profile). Test usually sits around 750 on trough with great free t and e2 counts. DHT sits around 45-50 which I’m very content with. Good mix of positive effects of DHT without the negatives (acne, hair loss, prostate enlargement etc).
I would possibly consider mesotherapy PRP w DUT but I don’t need it at all now.
Do you know where your DHT level sits at?
Bottom line - it’s all genetics. There’s guys on heavy TRT who don’t lose a strand. Or high T guys in general who don’t. In the absence of an androgen blocker, I do what I can do ensure good vascular scalp health, which is good for my body and brain regardless.