Spironolactone- anyone else have hormonal issues on it? Weight gain?

I was on Spironolactone for a few years and I hailed it as the greatest thing ever. Cleared up the hormonal acne along my jaw/chin. I was taking 100 mg a day.

Over the summer I switched jobs/changed insurance and I ended up going off of it. My insurance was such a hassle that I didn’t get it straightened out until a month or so ago meanwhile I think I realized that while it cleared up my acne, i suffered a strange hormonal side effect.

I don’t have a scale, so I can’t say for sure. But what I’ve specifically noticed is that the past couple of years I did gain weight (about 10-15 lbs) and my upper arms looked kind of lumpy, cellulite-ish. It wasn’t cellulite though and it actually looked like an early stage of lipedema, but primarily on my upper arms vs lower body.

Now that I’ve been off of it since July, my arms no longer have that cellulite look. Nothing else has changed diet or health wise. I have a mirena IUD going on four years now. I attributed the weight gain to it, and I still think that’s the case. But the fatty textured skin on my arms has gone. Breast size is also somewhat smaller, as I had gained about half a cup while on Spironolactone.

My acne has started to come back so I’m not sure what to do. I’m already on tret and have a good regimen going. I want clear skin, but I live in a hot climate and wear sleeveless tops all the time. I don’t want to go back to my arms like that.

Any suggestions?