I finally got my blood lab work for spironolactone done. They stuck me with a huge needle and drained out two vials of rich and robust red blood. OUCH! The tests were done at the lab and then I and my dermatologist were able to access the results via my health records in my online account for my health insurance. She started me off at 25mg of spironolactone a day. I started last night. My dermatologist's assistant called me and told me that I have to get blood work at the lab again in one month to make sure my blood potassium levels are not extremely high. If my lab is normal, she, my dermatologist, will increase the dose. I have a great working relationship with my dermatologist. She allows me to ask for new drugs that I have heard good things about and she always examines my face closely to make sure I have no breakouts. She is highly sophisticated.