To the extent that it parallels bica and flutamide, I was on 200mg to 400mg of spironolactone which caused a massive immediate shed after being on low dose Premarin for a couple of years but it all grew back much nicer! In my opinion such synthetic meds can be far more stereotypically feminizing when used jointly with estradiol, even low dose. I felt weak, fatigued, had to wake up to eat salt from a shaker on my night stand and CPA is pretty much similar but also similar to provera which for me, lacked sides entirely. Now I am E2 only unless you count 200mg orally of P4 which seems to serve mostly for sleep and maybe libido.
I would avoid all synthetics in the long-run. If you use an AA, then I would say only do it to quickly get up to (spoofed) levels of E2 immediately and then titrate up in E2 and down/off of spironolactone cpa mpa bica and so forth as all are synthetic and have heavy sides save MPA/Provera which might do little to nothing, I can't tell. E2 has no sides lol as per MtF's meaning, nothing painful or noticeable except diminished strength and speed and endurance but strength is better for me on E2 alone than low dose plus those large doses of spironolactone. spironolactone to me, I would limit to 50 mg daily if not 25 which is what cis-females often use for hair loss. P4 is also said to increase breast size which Janey disbelieves but eh, "just in case" swallows 200mg daily and in her lesser-proud moments, has tried the pills at 100 mg which look like hi ho cherrios and roll right off the crack and onto the floor and under the bed and there's Janey on hands and knees with her scrawny boy butt up in the air. Those dyed orange and red pills do work better in the exit only place but do not wear white, because you will have an orangey and red goopy mess in those white nylon panties most of us adore. Not, sexy but Janey tells all even the less pleasant stuff.
Janey
Will! You sign too. Get with the program, private!
Will