Spironolactone/ body issues

Hello beautiful ladies,

I have been struggling with cystic acne and hair loss for 3 years now. It’s tough, and I’m at my wits end. I have been researching spironolactone as a last try before accutane. All the reviews look too good to be true however there is one draw back- weight gain. I have recovered from a fairly low level eating disorder in the last year (low level sounds weird, but I mean, food control issues and fear of weight gain). A lot of the reviews say they gained huge amounts of weight in a short period of time.

I find it so tricky to navigate as the doctor said this is impossible! Does anyone have any advice or experience?

Thanks so much to everyone who responds ❤️