I’m in my mid 30s and I’ve been on T for about 6 years and starting to have some hair thinning. Like most guys this makes me pretty sad and embarrassed, and I’m wondering how to improve it.

Things I’ve done/ considered—

• I decreased my T dose a few months ago in hopes that would make a difference. I don’t think it has, because my levels are still in the 400s. I’m considering reducing my dose further.

• I have started topical 5% minoxidil so will see if that works after 6 months.

• I have considered oral or topical finasteride. It makes me really hesitant because the idea of taking T and taking a DHT blocker just seems crazy to me. Like must be unhealthy long term?

• I’ve considered going off T entirely. Has anyone considered this or done this? To be clear I pass 100% of the time, and I absolutely don’t want to “de-transition”, but I feel like the irreversible changes (ie voice, and I’m lucky to be 5’9”) will keep me passing in the future.

Thanks all— curious to hear your thoughts.