07-01-2026, 04:43 PM
If your HRT is working, as it appears to, why add AA? And why Spiro, because of availability? I would stay away from it and pick a better blocker, or no blocker at all. What matters most is your moods and body changes, if both are fine and your labs appear fine, don't change what isn't broken. 
I will obviously advice for switching from pills to gel oe injections if possible, just so that you avoid too high estrone levels and get maximal absorbtion and get your E2 to bypass liver matabolism. Also at some point, you might want to considerupping your prog to 200mg/day. Are you boofing it?
Then a neat trick to deal with chest hair, try progesterone cream topically, its a magnificent DHT killer, I did that before a full conventional HRT and it nuked body hair like crazy. It was easy riding on HRT later on.
I will obviously advice for switching from pills to gel oe injections if possible, just so that you avoid too high estrone levels and get maximal absorbtion and get your E2 to bypass liver matabolism. Also at some point, you might want to considerupping your prog to 200mg/day. Are you boofing it?
Then a neat trick to deal with chest hair, try progesterone cream topically, its a magnificent DHT killer, I did that before a full conventional HRT and it nuked body hair like crazy. It was easy riding on HRT later on.