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Looking at the pictures, a hair transplant is a way for you to go.I would use a drug such as Dutastride 2% topical liposomal gel to stop the recession.
Reducing finasteride in this manner comes with a significant chance of hair loss. I appreciate your data on enzyme kinetics- the reality is this plan causes a high proportion of males to lose hair.
Based upon your description of your side effects to finasteride, I believe your risks outweigh the benefits of finasteride. Thus I do recommend weaning yourself off of the finasteride as soon as possible. I would also recommend that you consider starting the vitamin biotin, a laser hair helmet,...
Your surgery may have triggered telogen Effluvium. Other causes, such as traction alopecia and female pattern baldness, may contribute to your hair loss. I suggest you schedule an appointment with an experienced hair restoration surgeon. He should be able to make a diagnosis and advise you on...