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This is Dr. David
you have to get your blood testosterone levels checked. if they are normal, you can use finasteride
finasteride blocks confusion of testosterone in cells
it is thought that some hair follicle cells don't work if your testosterone levels are too high.
spironolactone stops skin hair from growing so this is not right for you
you need blood tests for thyroid and iron and ferritin levels
at your age, you could be suffering from declines of your estrogen levels after menopause which can cause hair loss
so another option for you is HRT hormone replacement therapy which can help your hair growth.
let me know if you have other questions.