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   NicTea (nictea@tech.lgbt)'s status on Wednesday, 07-Jun-2023 08:28:28 JST NicTea

   in reply to

   • CJ Bellwether
   • nerdybutcute

   @nerdybutcute @siege I didn't even know this was possible until my GP said she recommends starting with E only, and only adds an anti androgen if T isn't dropping from that alone.

   I knew monotherapy was technically possible but I thought it was much harder/rarer.

   • Embed this notice
     nerdybutcute (nerdybutcute@social.horrorhub.club)'s status on Wednesday, 07-Jun-2023 08:28:29 JST nerdybutcute

     in reply to

     • CJ Bellwether

     @siege can confirm. i got t-suppression to cis fem range on E alone, and it wasn't even that hard

   • Embed this notice
     CJ Bellwether (siege@octodon.social)'s status on Wednesday, 07-Jun-2023 08:28:30 JST CJ Bellwether

     in reply to

     if you're taking estradiol and spiro, and your testosterone is going down, thats because of the estradiol's anti-androgen effect.

     If you're taking a steady source of estradiol (transdermal/injection) along with spiro and your testosterone levels are in cis female range, you dont need to be taking the spiro at all, its not doing anything.

   • Embed this notice
     CJ Bellwether (siege@octodon.social)'s status on Wednesday, 07-Jun-2023 08:28:31 JST CJ Bellwether

     doesnt decrease testosterone or affect testosterone production.

     it just binds to the androgen receptor to try and block testosterone from affecting you.

     if your endo is giving you more spiro to try and get your testosterone levels to go down, thats a very big red flag that they're NOT A GOOD ENDO.

   • Embed this notice
     NicTea (nictea@tech.lgbt)'s status on Wednesday, 07-Jun-2023 11:11:40 JST NicTea

     • CJ Bellwether
     • goatsarah
     • nerdybutcute

     @goatsarah @siege @nerdybutcute It's still much the same in AU. Spiro or cypro, with some doctors being willing to consider bica. GnRH agonists are completely unaffordable.