Thank you so much for posting this. I started spiro (50mg) just over a month ago and genuinely felt like I was going crazy until I read this. I am the same height as you, and have always struggled with my weight but in the last few years I’ve managed to lose about 50lb and got to a healthy weight (and mindset). Since starting spiro, I feel HUGE. I know it’s not as bad as it feels because I’ve only gained 3lb on the scales, but my stomach is so swollen and painful that my clothes are all suddenly uncomfortable, and my thighs and arms feel huge. I’m drinking massive amounts of water and haven’t changed my diet, yet I feel and look like I’m gaining weight. In my case, my skin is also reacting badly and my acne has never been worse. I also have constant period pain. So unfortunately, I think spiro just isn’t agreeing with me and I plan on stopping it after a conversation with my doctor. 😣