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These stop the production of testosterone, but those drugs are either breathtakingly expensive or still in development. The one that’s approved is fifty thousand a year.”“That’s worse than the histrelin,” Glenn replied.“Exactly. Instead we start with an androgen antagonist. These block the action of the testosterone she produces, and are quite reasonably priced. Our first line is spironolactone. It’s a daily pill, available as a generic and costs only about twenty dollars a month.”“That’s quite a bit more reasonable,” Glenn remarked. “If it’s generic, there’s no co-pay. The insurance will cover it all.”“It’s well tolerated, however the drug’s primary use is to treat congestive heart failure or fluid buildup. Its anti-androgen properties are actually side-effects we exploit.”“So, the drug’s primary purposes become side-effects,” Glenn remarked.“I like to start patients like Jackie with a strong estrogen dosage, to jump-start her development.”“How soon will I see results?” Jackie. By August I was getting around okay, my hair had grown out to a respectable length, and we once again enjoyed sex. We started a little before that, but you know what I mean.My stomach turned into a special place for both of us. For me, it was a tight knot that protected my womb; the muscles were always firm to the touch. For Rick, it was a shrine on which to worship. We'd be in bed and he'd lay his head on my thighs, gazing at my belly. He'd touch gently, stroking the skin in circles, softly talking to the occupants within. We'd found out in early September I was carrying two lives in my body. As a prelude to oral sex, he'd kiss it from top to bottom and side to side, lingering near the center. He was gentler with me after the accident until I told him I was healed, but he never got as energetic and athletic with me until after the babies were born.Rick was overjoyed when he heard about them, and insisted I move in with him. I turned the lease on my place over to Harlan and Amber,.
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