The other problems with medroxyprogesterone acetate are vascular problems, increase in risk in blood clotting and breast cancer whereas this is not the case with bio-identical progesterone. Medroxyprogesterone acetate is also mildly androgenic whereas bio P is not.
I personally am wondering, despite some of its benefits to me, if it has made me gain a little too much weight and increased cellulite (also water retention) or if this is due to estradiol.
Lastly, cycling isn't something natural to ciswomen and only a recent phenomena since industrialisation. In the past, women would spend more time being pregnant and breastfeeding and much less time cycling, whereas nuns who would spend all their time cycling had a significantly higher breast cancer occurrence. Plus, cycling increases the risk of mood swings. I don't see the point of it, personally.