Has anyone lowered or come off of Spironolactone and been able to keep hormonal acne in check?

I’m starting to put two and two together, and would like to test a theory that I have. After a couple years on Spiro, my breasts went from a D to a G, and I’m gaining weight in places that I never did before; mainly arms, face, and belly. I would like to try and lower, possibly come off of the meds to see if that helps anything, but even after a week of going from 300mg to 200mg, my hormonal acne went batshit crazy. I have an appointment with my endocrinologist next week, but am hoping to hear some personal stories. Thanks!