Hey islandgirl. I'm almost to a week on spiro, still waiting on E, and I've been curious about the effects of just the AA, too. There's not a whole lot of information out there, probably because it varies and not too many girls just do the spiro. Anyway, I've had the diuretic effect big time. Other than that, I'm not sure what's placebo/wishful thinking and what, if anything, is real. I have felt fatigued in the afternoons on a couple of days, and the first two days especially, felt kind of spacy. I've felt a little calmer, but that I more strongly suspect is just in my head.
The best effect, though, is the couple minutes a day where I'm taking the pills. It's a really nice affirmation and concrete reminder that I'm *really* doing this. :-)