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Really want to start HRT but extremely worried about brain fog from spiro. I just started college at a pretty rigorous place and am under a lot of pressure from parents to succeed. Scared of anything that could inhibit my mental function, but also really terrified of putting HRT off. I would try estrogen monotherapy but I'm pretty sure my testosterone levels are very high and so I doubt it'll work.
You could bring up your concerns to whoever would prescribe your HRT. Maybe they can find something else. There are alternatives to spiro.
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