I think Eunuch forums are not what most people have in mind when talking about these extreme regimens in the context of hair lol. The transfeminine approach is simply better in terms of hair. If somebody is willing to nuke their androgens to regain hair, risking gyno anyway, I see no reason why not to combine Estrogen with an AA. It's safer and more effective then AA monotherapy.Based on my own experience ofcourse, it is not supposed to be advice. I'm taking from what i learned from my own experiences. People from an eunuch forum suggest 200mg as a chemical castration trial which imo is overkill which is why i said 50-200 and that is monotherapy not with an additional estrogen. Some people are able to reduce the amount after being on the drug for some time where being on such a dose doesn't pose anymore benefit; the drug has a relatively long half-life so usually it's taken with an estrogen at 25mg every other day which works out to be like 12.5mg everyday. Heck, some trans women are able to reduce it down to 6.25mg and keep their testosterone in low ranges.
"Eunuchs" are a different story though, they do a chemical castration trial for about 3-6 months taking said dose i said in my original reply which isn't long enough to have lasting effects on physical health besides a prolactinoma that goes away on its own after discontinuation. I got this information from the eunuch archive and after the chemcast trial they decide whether to go full hrt or gonadectomy with trt. To say any drug is safe is a mistake I made on my part and I should have clarified more. But if you don't believe what I said thats understandable since a forum of self-proclaimed castration aficionados isn't the most reliable of places to get your information from and it is to be a fool to draw conclusions like the ones I made.
Nothing i said should be taken as advice, and the next time i should make that clarification and that i maybe wrong and always willing to stand corrected.