Seeking Advice on Next Steps After Multiple Treatments

I feel like I’m losing a little battle here, and it’s not fun. Would appreciate your advice.

Forty eight year old male. Here is what I have used:

3/2022 Started topical Minoxidil, twice a day.

10/24 Started using 1% Ketoconazole shampoo daily.

12/24 Switched to combo Topical Fin and Min.

1/25 Switched to Oral Fin and Topical Min.

8/25 Started using Dr. Pen Microneedling, every 14 days.

1/26 Switched to Oral Duesteride and Min. Continued topical Min for 3 more weeks until I ran out.