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This is a 10 year long study on feminizing HRT of 200 trans women. The results regarding spironolactone were surprising.

liebertpub.com/doi/full/10.108

#transwomen
#hrt

Rylie 🏳️‍⚧️🏳️‍🌈✊

@bunny_jane iirc @siege tore this study a new one a few months ago because it used chart review for "oral estradiol" when some of the levels indicated aren't reachable when taken orally, but are reachable buccal/sublingual. (And also, like, my medical records say oral estradiol but I've never swallowed it whole, and my Endo knows this, knows that I use the buccal route)