Oh, Iāve been in the closet for 11 years. Iāve had a LONG time to do my research. The problem is that the clinic Iām seeing is being overly cautious, and I donāt want to end-run them to DIY because I need them for lots of other things, some related and some not. They put me on 50mg spironolactone, which I guess did the job. Almost. T is at 70ng/dl. Since Iām in the US, cypro isnāt an option and the clinic is paranoid and told me they wonāt prescribe anything with a side effect of ādeathā listed, even though you and I both know thatās infinitesimally small a chance and bigger for cis-women than us. So that means no bicalutamide.
Iām also unfortunately on 4mg oral estradiol tablets. They donāt want to make ANY changes until the 3 month mark, so my E2 is sitting at 70pg/ml. The clinic seems happy with this. Iām beside myself at how low it is. I have asked to move to intramuscular estradiol valerate at monotherapy dosages, but they keep pushing back. My age likely doesnāt help, though. Iām over the hill. And fairly lean, since I run marathons and cycle centuries. So there isnāt a lot of fat to redistribute, but I should still feel the pain and sensitivity. Itās frustrating.
honestly, spiro is an awful medication that should be totally unacceptable as an anti androgen. On top of that, I was able to get planned parenthood to prescribe injection monotherapy, and theyāre much cheaper and quicker to work with than most other places. 70 ng/dl is way too high, to the point that youāre probably getting the worst of both worlds. Iād find new doctors if I were you.
fewest? it makes you constantly dehydrated and puts strain on your kidneys. My advice as someone who wasted 15 months getting fucked around by useless doctors is to plan your healthcare without them, and do whatever it takes to get doctors who will help you. You really cannot rely on them.
Iām on a really low dosage of spiro (25mg/day), so that might be why I havenāt felt it as badly.
But yeah, thatās basically what I did. My doctor is actually pretty okay (didnāt mind that I didnāt have the psychiatric diagnosis that youāre āsupposedā to have (not a legal requirement)), but she definitely did underdose me, and I am awful at making appointments, so Iāve just increased my own dosage of E in line with whatās actually a reasonable amount.
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Oh, Iāve been in the closet for 11 years. Iāve had a LONG time to do my research. The problem is that the clinic Iām seeing is being overly cautious, and I donāt want to end-run them to DIY because I need them for lots of other things, some related and some not. They put me on 50mg spironolactone, which I guess did the job. Almost. T is at 70ng/dl. Since Iām in the US, cypro isnāt an option and the clinic is paranoid and told me they wonāt prescribe anything with a side effect of ādeathā listed, even though you and I both know thatās infinitesimally small a chance and bigger for cis-women than us. So that means no bicalutamide.
Iām also unfortunately on 4mg oral estradiol tablets. They donāt want to make ANY changes until the 3 month mark, so my E2 is sitting at 70pg/ml. The clinic seems happy with this. Iām beside myself at how low it is. I have asked to move to intramuscular estradiol valerate at monotherapy dosages, but they keep pushing back. My age likely doesnāt help, though. Iām over the hill. And fairly lean, since I run marathons and cycle centuries. So there isnāt a lot of fat to redistribute, but I should still feel the pain and sensitivity. Itās frustrating.
honestly, spiro is an awful medication that should be totally unacceptable as an anti androgen. On top of that, I was able to get planned parenthood to prescribe injection monotherapy, and theyāre much cheaper and quicker to work with than most other places. 70 ng/dl is way too high, to the point that youāre probably getting the worst of both worlds. Iād find new doctors if I were you.
Is spiro really that bad?
I get that itās the least effective among the choices but it also has the fewest side-effects, from my understandingā¦
Something to bring up w/ my doctor, I guessā¦ Iāve been trying to reach them for a dosage increase anyway
fewest? it makes you constantly dehydrated and puts strain on your kidneys. My advice as someone who wasted 15 months getting fucked around by useless doctors is to plan your healthcare without them, and do whatever it takes to get doctors who will help you. You really cannot rely on them.
Iām on a really low dosage of spiro (25mg/day), so that might be why I havenāt felt it as badly.
But yeah, thatās basically what I did. My doctor is actually pretty okay (didnāt mind that I didnāt have the psychiatric diagnosis that youāre āsupposedā to have (not a legal requirement)), but she definitely did underdose me, and I am awful at making appointments, so Iāve just increased my own dosage of E in line with whatās actually a reasonable amount.
thatās good, but those t levels really donāt need to be so high. thatās the benefit of monotherapy is that no anti androgen is necessary
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