I would stay on finasteride and introduce the dutasteride slowly. One capsule a day (in addition to daily finasteride) for the first 6 months (preferably 12 months), and then assess. If you see progress then you can keep the dose as is. If not, add two capsules a week to your daily finasteride...
Anyone still dermarolling? I see so many conflicting reports/studies these days about the best needle length and frequency etc. If you are, what's your protocol?
I added in minoxidil years later. For awhile, I was just on finasteride. Now I use finasteride 7x a week, dutasteride 1x a week, Nizoral 3x a week, and minoxidil once a day.
My first year on finasteride gave me some NASTY sheds. I was certain my hair was getting worse. I'm also a diffuse thinner in the front half of my scalp. I wasn't on these forums then (this was around the year 1999-2000), and I'm glad. I stuck with it, my hair thickened back up, and I've been on it for...