yes I think that is a good idea to use dutasteride once or twice a week with fina as that has been shown to inhibit more DHT than with fina alone.. I would still take the finasteride even on the dutasteride days just to be safe. I think the up-regulation thing is rare. As long as you don't take super doses of 2.5mg dutasteride like some people on here. that would be way more likely to cause an up regulation..
hmmm, I feel like maybe the issue is that your hair became minoxidil dependent. I personally believe that minoxidil does help and that it is required for maximum results however I view it as kinda like coffee. Coffee can give you a boost but it won't work if you are truly exhausted. I hear so many min stories about synchronized growth and shedding cycles, dependence, and initial results followed by a crash. minoxidil without proper androgen surpression is like stepping on the accelerater while the brakes are locked down. The car moves forward until the transmission fries.
yeah, try dutasteride once or twice a week. next step is switching to dutasteride everyday.. then next go to 50-100mg spironolactone, then increase by 50mg at a time. If it still doesn't work at 300mg (I wouldn't go higher than this) then cypro would be next, 25mg, then 50mg.. then finally increasing estradiol dosages, which is what is needed to get into castration range T levels, should be saved as final resort.