I lose 100-130 strands of hair a day normally. When I play with it much, I end up in the 150-200 range. Is it normal?

Of the ones you have listed, namely Ketoconazole 2% shampoo, Miconazole nitrate (Monistat), Dutasteride (Avodart capsule using topical), CopperPeptide, Caffein, Melatonin, Tretinoin, Azelaic Acid, Fluoride - the best evidence is for ketoconazole. There is less to no evidence for many of the o...

While I doubt Thuja will have any significant impact on your hair, good or bad, I suppose it couldn't hurt to try. I would recommend a more proven medicine though, such as Finasteride/Minoxidil or even just laser therapy if your hair is mostly intact.

Using Finasteride and Minoxidil together is far more effective than just using one. Yes they are both a lifetime commitment.

You would benefit greatly from PRP treatments and LLLT (low-level laser therapy) for stimulation of hair growth and prevention of hair loss.  I strongly suggest against using finasteride, as the sexual and mental side effects (depression, low libido) can be devastating....

Although not always definitive, scalp biopsy is relatively quick and easy and can rule out certain pathology if present. Proceeding with this has little downside, and may answer some of your questions.

If you have been using minoxidil for a year and have developed minoxidil dependent hairs with this drug, then stopping it will cause you to lose those hairs