Quote from: renrenegade on March 27, 2017, 09:14:21 PM
Ever since I've started al I've been experiencing is really thirsty and I'm tired.
This may probably be due to Spiro as it increases how much sodium and water is excreted. You need to be sure to drink enough water and consume enough salt to avoid things like cramps, dehydration, fatigue, etc. Also, avoid supplementing with potassium or taking anything that contains too much as excess potassium on Spiro can be dangerous and fatal since Spiro increases its retention.
If not enough estrogen is taken to compensate for the loss of testosterone, you may feel tired and depressed/anxious, also have hot flashes and just not feel well, overall. Measuring levels in and of itself (as far as estrogen and even testosterone goes) doesn't seem to be really useful as there is some fluctuation and everyone responds differently to varying levels. Instead, focusing on how you feel in general and physical symptoms such as breast growth, libido, skin oiliness, body odor, hair growth, fat distribution may give you a better idea. Breast growth usually starts anywhere from 1 week after HRT to up to 2 months with some pain under the nipples, breast budding and a knot forming underneath.
Ultimately, these matters should be discussed at length with your doctor and any change to your HRT be done in accordance with them, always. We express our opinions on the matter but we aren't experts.
Take care.