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It’s available as an implant similar to histrelin but at a fraction of the cost. The second is an anti-androgen, to neutralize the testosterone she is producing.”“Doesn’t that mean continuing with the histrelin?” Sierra asked.“It’s a different mechanism. Ideally we’d like to use an androgen synthesis inhibitor. 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. She could do basic math just fine and dividing four men, one of whom was off limits, among all the women meant that she'd be bored for most of the evening, so she'd kissed Billy good-bye and gone home to enjoy a quiet evening alone.Once there she'd poured herself a glass of wine, turned on the radio to NPR and picked up a book she'd been reading, a 'Frank Coulter' mystery by Roy and Cassandra Wells, "Death Backed the Wrong Horse".In the living room, Lisa had recommended to Rochelle a nice relaxing fuck, and when Rochelle assented, Lisa called Billy over.Rochelle watched Billy as he pulled off his prosthetics. From a beautiful face, down to a scarred body, and then further down to the stumps.There was something in her expression that distressed Billy, as he said, "My apologies for my imperfections, Mistress — perhaps we can find you someone less damaged."Rochelle was shocked, as she wasn't turned off by his disfigurements; she had merely been studying him."Billy ... my apologies, I.
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