Andrew, I am in much the same boat as you. I am a diffused thinner and have had some thinning (probably about as much as you) on the top and some slight recession of the temples (about 1 inch). I am also on finasteride + nizoral for a little longer than you (a little over 3 months). I haven't added minoxidil yet because i don't want the hastle. I also have my hair a bit longer than yours and it isn't noticeable yet to anyone but me, no one has ever made a comment to me about it and my girlfriend says that my hair looks the same as the day i met her (about 1 year ago). Anyway, I just though that i would let you know and perhaps we could keep each other posted on our progress. you can look for my story (leons story) if you want a little more info, or i can answer any questions you may have. So far I haven't noticed any significant loss or improvement, i continue to shed slightly, about 5-10 hairs in the shower and about 15-30 on the pillow when i wake up. When i brush my hair i always get a few coming out and if i do the hair pull test i will usually get between 1-3 hairs. I don't know if this is a normal amount to shed or not, but my hair doesn't seem much worse.