Just saw this badge & my first thought was: "This is THE perfect badge for any other trans folks taking spironolactone!" 😅

https://www.etsy.com/uk/listing/1189096681/i-have-brain-fog-badge-pin-chronic

#HRT #trans #transgender #TransFem #TransWoman #TransHealthcare #spironolactone

I Have Brain Fog Badge Pin Chronic Fatigue - Etsy UK

This Pins & Pinback Buttons item by PawsitivePins has 343 favorites from Etsy shoppers. Ships from United Kingdom. Listed on 07 Jul, 2023

@SleepyCatten

I'm legit asking here. Are you saying that if I chose to transition, I will have, at least for a period of time, less control over my mental facilities?

I'm not sure I have that much left to spare.

@Mendie_Taoma Not at all  

Spironolactone is a drug that nobody has to take. There are viable alternatives to it.

The easiest way to avoid needing any anti-androgen is estradiol monotherapy, ideally using weekly enanthate or cypionate injections with MCT oil. If only valerate is available, then 5 days should be the maximum injection frequency.

Alternatively, GnRH agonists (blockers) are available, but are more pricey.

A cost-effective option for many is bicalutamide.

@Mendie_Taoma Bicalutamide does have a super-rare chance of liver toxicity & it's not suitable for folks with some underlying conditions, plus it's an androgen receptor blocker, rather than an anti-androgen as such, but it has significantly lower known side effects compared to spironolactone or cyproterone.

https://transfemscience.org/articles/transfem-intro/#bicalutamide

In short, there are always viable alternatives.

An Introduction to Hormone Therapy for Transfeminine People

An Introduction to Hormone Therapy for Transfeminine People by Aly

Transfeminine Science