Susan's Place Logo

News:

Please be sure to review The Site terms of service, and rules to live by

Main Menu

I just started HRT and want to throw a few questions out there.

Started by Dhenric, January 01, 2013, 04:13:20 PM

Previous topic - Next topic

0 Members and 1 Guest are viewing this topic.

Dhenric

Before I begin let me say that I have researched most of the questions I present here. I ask because some of them are very detailed and hard to find else where. I'm a very weary minded person and it would give me more peace of mind to have some of these obscure questions answered.

I'm starting out by taking spiro in the morning and at night. After I feel safe about it I'll start doing day. After my body gets used to the spiro I'm going to start Estrofem. I'm planning on in the morning and in the evening. I plan on eventually adding Microgest to my regimen, but I've yet to acquire it.

My only concerns are a few side effects of the above mentioned medication. The fear of causing Hyperkalemia with the spiro and DVT/PE with the Estrofem. I have read that both are easily avoidable with proper diet and exercise and I've never read of any transgendered individuals having these issues.

Let me get on with the questions:

1. How worried should I be about my potassium intake?

2. How common is potassium in a normal diet? I've scanned everything in my kitchen and the only things I've found potassium in is peanut butter and certain cans of beans.

3. If a food product contains potassium is it required to be on the Nutrition facts label?

4. I have read that I should add more salt(sodium) to my diet while on spiro. Is this true? If so, how much should I add without over doing it?

5. I have also read that exercising(sweating) is a way for your body to push potassium out of your system. Does spiro affect this process?

6. If anyone here has a certain diet aimed at limiting potassium intake, mind sharing it?





9. How long into taking E are the emotional/psychological effects noticeable?

10. Is DVT/PE a major concern while taking estradiol(estrofem)? If so, what steps do you take to prevent it?

11. Is it ok to take vitamins and/or supplements during HRT? I currently take omega 3 and plan on taking a multi vitamin. Could these impact my progression or health?


This is all the questions I can come up with right now. Any feedback at all would be wonderful!
  •  

Alainaluvsu

First of all, this is what a doctor is for.

1. That's something you can't really figure out until your tests come back. Everybody is different (genetically) so that's not really easily answerable.

2. Bananas too. Oranges. Potatos...

3. IDTS.

4. Probably. Spiro is a potassium sparing diuretic. That's why potassium usually not flushed out of the system well on Spiro, but things like sodium come up low. I intake a BUNCH of sodium and my sodium is always on the low side of normal (still in normal range but maybe a point within). Of course everybody is different so, no tellin.

5. IDTS, but I'm not sure.

6. Just stay away from potatos, oranges, and bananas.

9. I noticed them on day 2 but it's very gradual. I was having mood swings first, then I was becoming more sympathetic around month 2 or 3, and becoming more emotional (as in cry baby) about 5 months in. Recently (over a year into it) I've caught myself being more motherly and cleanly.

10. It depends on age. Generally those under 35 it's not really a concern if you're a non-smoker. My doctor recommended taking an asprin every day if I was worried about it.

11. Not sure. I can say that I have had a diet high in protein and I'm very happy with my results. Not sure though if protein helped though, but it's what I've been eating!
To dream of the person you would like to be is to waste the person you are.



  •  

Kelly J. P.

1. How worried should I be about my potassium intake?
Not very much, on average. Some people need to worry about it more than others, but in my experience, there are only a few that need to limit their potassium significantly.

2. How common is potassium in a normal diet? I've scanned everything in my kitchen and the only things I've found potassium in is peanut butter and certain cans of beans.
Common enough. Bananas are infamous for it. Worry about it if your doctor tells you to.

3. If a food product contains potassium is it required to be on the Nutrition facts label?
No idea. A lot of food with potassium in it isn't labelled anyway, such as loose fruit. Potassium is usually labelled, though.

4. I have read that I should add more salt(sodium) to my diet while on spiro. Is this true? If so, how much should I add without over doing it?
You should add as much as you feel like. I let my cravings guide me here - if my body really really wants sodium, then it's probably a good idea to let it have it. It would be unwise to add more than I crave, I feel.

5. I have also read that exercising(sweating) is a way for your body to push potassium out of your system. Does spiro affect this process?
I'm not sure. You'd have to ask the doctor, but hopefully you won't need to exercise just to maintain your potassium levels.

6. If anyone here has a certain diet aimed at limiting potassium intake, mind sharing it?
Your doctor will tell you what foods to limit if it becomes an issue. I don't follow a specific diet, personally.

9. How long into taking E are the emotional/psychological effects noticeable?
Immediately, if you count placebo. The emotional effects typically take place as one's depression and/or dysphoria starts to lift, which is generally either right away or when the physical effects start to take place. Generally, this just relates to being a happier and freer person. However, I notice that it's easier for me to cry even though I'm in a nearly identical emotional state as in pre-HRT - so I figure that comes on hormones somewhere along the line. That'd be anywhere up to a year, if my experience is typical.

10. Is DVT/PE a major concern while taking estradiol(estrofem)? If so, what steps do you take to prevent it?
If you don't smoke, and you're under 40, it's generally only a concern if you overdose.

11. Is it ok to take vitamins and/or supplements during HRT? I currently take omega 3 and plan on taking a multi vitamin. Could these impact my progression or health?
They do impact your health. In a positive way - keep taking them, unless your doctor becomes concerned for whatever reason.
  •  

Cindy

Hi,

It sounds as if you are going to self medicate. That is a very dangerous practice and lead to very bad side effects very quickly. You really need the care of a medic who can perform regular blood checks for you on your liver function etc. You also need oestrogen levels, testosterone  and SBH levels checked certainly in the initial stages until you are stable.

DVT is a rare but significant side effect and its significance is two fold. One it can kill you and two if it doesn't kill you you well probably have to give up on HRT in case it does kill you.

Please seek medical attention hormones are not a guessing game.
  •  

Stephe

just avoid potassium rich foods like bananas. I try to limit eating potato products but I don't obsess over it.  Labels on food will say if they have it. On the salt, unless you are trying to limit your salt intake, you will get plenty eating "normal" food.
  •  

Dhenric

Quote from: Cindy James on January 02, 2013, 12:27:00 AM
Hi,

It sounds as if you are going to self medicate. That is a very dangerous practice and lead to very bad side effects very quickly. You really need the care of a medic who can perform regular blood checks for you on your liver function etc. You also need oestrogen levels, testosterone  and SBH levels checked certainly in the initial stages until you are stable.

DVT is a rare but significant side effect and its significance is two fold. One it can kill you and two if it doesn't kill you you well probably have to give up on HRT in case it does kill you.

Please seek medical attention hormones are not a guessing game.

Thanks for the reply! And yes, I am a DIY'er. I plan on getting my own blood work done, but I am unable to see a Dr at this time. I've sat on this for years and years and I'm prepared for the possible side effects. I have a good diet and I exercise regularly.
  •  

Devlyn

Dhenric, please be aware of our rules regarding self medication discussions:

8. The discussion of hormone replacement therapy(HRT) and it's medications are permitted, with the following limitations:
A. You may not advocate for or against a specific medication or combinations of medication for personal gain. This is strictly prohibited.

B. You may not discuss the means to acquire HRT medications without a prescription. The discussion of self medication without a doctors supervision is prohibited.

C. The discussion of recommended or actual dosages is strongly discouraged to prevent information obtained on this site from being used to self medicate.

The full TOS can be found here: https://www.susans.org/forums/index.php/topic,2.0.html
  •  

kelly_aus

Quote from: Dhenric on January 02, 2013, 03:17:06 PM
Thanks for the reply! And yes, I am a DIY'er. I plan on getting my own blood work done, but I am unable to see a Dr at this time. I've sat on this for years and years and I'm prepared for the possible side effects. I have a good diet and I exercise regularly.

DIY? Really? There's already a current thread lurking round about a woman who was under medical care and decided to adjust her dose without consulting her Doctor.. She got a rather nasty clot.. and will likely be unable to continue HRT.. Have you really thought it through?

And it's all very well to say you'll be getting your own blood work done, but do you know how to read the results? Do you really know all the right tests to order?
  •  

Dhenric

Quote from: Kelly the Trans-Rebel on January 02, 2013, 06:30:10 PM
DIY? Really? There's already a current thread lurking round about a woman who was under medical care and decided to adjust her dose without consulting her Doctor.. She got a rather nasty clot.. and will likely be unable to continue HRT.. Have you really thought it through?

1. It was an older trans woman.
2. Had gone through major surgery.
3. Using a much dangerous source for estrogen.
4. Probably didn't have a good diet and didn't exercise.
5. She states she was being "willfully stupid."

None of the above fit my situation. And I do have easy access to a Dr. I just can't come out as trans.


Quote from: Kelly the Trans-Rebel on January 02, 2013, 06:30:10 PM
And it's all very well to say you'll be getting your own blood work done, but do you know how to read the results? Do you really know all the right tests to order?

There is nothing that Google can't teach us.
  •  

Stephe

Quote from: Dhenric on January 03, 2013, 11:24:04 AM
None of the above fit my situation. And I do have easy access to a Dr. I just can't come out as trans.

Then you shouldn't be on HRT. I can sorta understand if someone has no resources to be monitored and attempt DIY out of desperation but not talking to a doc because you don't want to "come out as trans" isn't a valid excuse. And what exactly do you plan to do about your boobs etc when you "can't come out as trans"?

Quote from: Dhenric on January 03, 2013, 11:24:04 AM
There is nothing that Google can't teach us.

*sigh* Sorry but a google search <> a doctors degree. Note you are asking here, which points that: no you can't find everything you need to know about the human endocrine system from google.
  •  

Hideyoshi

Quote from: Dhenric on January 03, 2013, 11:24:04 AM
1. It was an older trans woman.
2. Had gone through major surgery.
3. Using a much dangerous source for estrogen.
4. Probably didn't have a good diet and didn't exercise.
5. She states she was being "willfully stupid."

None of the above fit my situation. And I do have easy access to a Dr. I just can't come out as trans.


There is nothing that Google can't teach us.

Google "why self medicating is dangerous"

Seriously though, call your local lgbt center and ask for the phone number of an lgbt friendly doctor. You can kill yourself VERY fast with estrogen so don't mess around.
  •  

Cindy

Sorry Dhenric

That is one of the silliest posts I have read.

Find a Dr.

Self medication is very risky and from your post you have not a clue what you are doing or what the risks are.

I'm a Dr and I don't self medicate and my endocrinologist is a specialist in treating TG people. I don't query her judgement and I'm pretty damn sure she doesn't use Google to monitor me.
  •  

Sarah Louise

Susan's Place does not support "Self Medication" I am locking the topic and requesting it not be restarted in a new thread.
Nameless here for evermore!;  Merely this, and nothing more;
Tis the wind and nothing more!;  Quoth the Raven, "Nevermore!!"
  •