Personally, I don't really think spiro is all that bad (as long as you aren't taking high doses of it), at least to start with for quicker results until E has time to reduce T levels. Especially if you don't want to start with needles (needles scary imo, so I couldn't start with them - I was still doubting whether I wanted HRT a bit, so fear of needles would have prevented me from actually using it). Some plus sides to injections is it gives you a lot more control over your own treatment (you can just ignore what the doctor recommends and choose whichever dose you think is most appropriate) and you can stockpile reserves more easily.