seriously, it’s insane that spiro is used so much - it’s a weak anti-androgen to start with, and the side effects are so common and potentially dangerous (I feel like everyone I talk to that takes spiro has a horrible time on it - the only person I can think of who had a good experience is Mia Violet).

Meanwhile, injecting bioidentical estrogen with monotherapy doses is relatively harmless (the biggest harm I guess would be from needle injury, infections, etc. - easily mitigated by following standard / best practices, something diabetics have to do as well).