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In the Transgender Hormone Therapy section it's mentioned that CPA has "an advantage over spironolactone as an antiandrogen in transgender people, as the combination of estrogen and CPA consistently suppresses testosterone levels into the normal female range whereas estrogen with spironolactone does not.". Unless I've got this wrong, this is technically both a true and false statement: CPA does reduce androgen production far more than Spiro, however it is not an advantage because their respective modes of operation are completely different (in the context of transgender hormone therapy): Spiro works to block the androgen receptors throughout the body, whereas CPA stops the production of the androgens to begin with. Therefore naturally you would see differing androgen levels in people taking CPA vs Spiro, but that's not helpful; you need a different metric to compare the feminizing capability of these medications. Aspenpaw (talk) 06:35, 19 November 2024 (UTC)[reply]