Update on my situation

Well, the hormones I'm still on are apparently doing better. Instead of one patch every three and a half days, I'm wearing two patches for a week. That plus the Spiro actually has my breasts growing now. I mean, I wake up in the night finding myself rubbing them going "these aren't a bra or padding, they are really attached to me" and then drifting back into a contented sleep.

I've also noticed that my skin is getting softer and my limbs are getting thinner. My bicep was well developed and I had thick forearms, now they are noticeably thinner.

Now I have to go back in about a month and we can see what my "baseline" is and do our adjusting to the meds.