Hi Jordan,
My apologies for not greeting you sooner.
Spiro has few side effects on depression, cyproterone acetate, Androcur, is the problem AA for that.
Spiro will reduce T quickly and E will then help feminize you. A month is fine. I in fact did it the other way around, but every endo has their own schedule.
Spiro reduces blood pressure and is a diuretic. Let your Doc know if you have dizzy spells, particularly on standing up or 'feeling cold' and keep a glass of water handy next to your bed!