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so im finally taking the plunge and'll be starting hrt soon, ive got estrogel already and im currently looking into getting AA but i was curious about which type to get (im in england btw) (hexbear.net)

submitted 10 months ago* (last edited 10 months ago) by [email protected] to c/[email protected]

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for context im in my early 20s and in a decent material condition rn so getting the AA isnt the problem, it's just deciding which to get

CW: mention of alcoholism

so a friend recommended bica and i was pretty much just about to get it until i saw in the warnings section (on this website: https://healor.com/bicalutamide_mtf) that it said "Do not use or use with caution if you drink heavily" and since i'm an alcoholic (and have been for quite a long time, tried to quit a few times but always started drinking again) i think that i probably shouldn't go with it.

so since i'm probably not going to be doing bica because of the alcohol related warning, what type of AA would you people advise i get instead?

edit: also how bad could it be if i just went ahead with getting bica anyway, is it worth just trying that out despite the alcohol risk? because it seems to be the best for what i want out of hrt that isnt ludicrously expensive

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[–] [email protected] 1 points 10 months ago

I think bica has some risk of liver damage and that's why it is contraindicated in case of alcoholism? The same would also apply to cyproterone acetate. Liver health is monitored during regular blood work and normally that makes the risks to the liver from these medications very manageable, but in your case, i think monotherapy is an option you should definitely look into.