>>5106207Order 2 months worth of Spiro & E for trialing.
For your first 2 weeks, start with 100mg spiro a day, build yourself up to 200mg a day. If it gives you unsatisfactory side effects, move over to Cypro for a much more effective AA at 50mg a day up to 100mg a day.
So long spontaneous liver problems isn't an issue in your family at also an early age, you're fine taking even Cypro at 100mg a day, but really get a blood test done every now and then, i.e. at 2 months, 4 months, 8 months, 12 months, etc.
For E, progynova is the go-to brand, after you've been 2 weeks on AA's, start with these. If you get 2mg pills, do 4mg a day, if you want you can do 6mg or even 8mg after some while, but you might see negative effects or no effects if your dose is too high, it's a bit tricky, this one.
Split your dose evenly for morning and evening, always try to eat a decent sized meal before you take your HRT, it will help your body take better use of the estrogen and AA's, and even your dose out so you will have less spiked hormones.
I can say for Spiro, it really reduces the side effect of having to pee a lot, getting dryer skin, etc if you eat before you take your HRT.
Oh and why you want to start with AA's and then E with a 2 week gap, is only to see how your body interacts to them, side effects, etc. I personally got too bad side effects from Spiro so I moved over to Cypro for it's slower half life and more potent T suppressing.
To recap/TL;DR:
Start with lower dosages, move up to 100mg+100mg if Spiro, 50mg+50mg if you need that high for Cypro.
2mg + 2mg of E.
12 hour gap, eat before you take your pills, and be sure to drink a lot of water.