/hrtgen/ #709

• Help, advice, guidance on meds and dosages
• HRT related medical experiences and research
• Availability and pricing of medications
• Rational and scientific discussion

See following post for a pharmacy list.

Survey: 1drv.ms/xs/s!AudRJceTA5C9c2G5lCV2Avq0kQ0
▶ Survey data: 1drv.ms/x/s!AudRJceTA5C9cyIWo6_X14AvHyM
▶ HRTGen Data Analysis: 1drv.ms/f/s!AudRJceTA5C9gRLLWnbpdzlIxe4r
▶ HRT Info Sheets: 1drv.ms/f/s!AudRJceTA5C9gQnyM7wxZcBGWRzW
▶ Pill ID: drugs.com/imprints.php
▶ DrugBank: drugbank.com/
▶ Basic HRT: apps.carleton.edu/campus/gsc/assets/hormones_MTF.pdf
▶ HRT ranges: hemingways.org/GIDinfo/hrt_ref.htm
▶ Powers Method: powersfamilymedicine.com/s/Healthcare-of-the-Transgender-Patient-V60.pptx
▶ Endocrine Society Guidelines: academic.oup.com/jcem/article/102/11/3869/4157558
▶ Transline Guidelines (with bicalutamide): transline.zendesk.com/hc/en-us/article_attachments/360047702053/TransLine_HRT_Guidelines_FINAL.pdf
▶ WPATH SOC: wpath.org/publications/soc
▶ TransDIY: reddit.com/r/transDIY
▶ Blood tests (US): privatemdlabs.com/, labsmd.com/
▶ Blood tests (UK, Ireland): medichecks.com/
▶ Blood tests (Canada Only): bloodtestscanada.com/
▶ Blood tests (Sweden): werlabs.se/
▶ Blood tests by mail: letsgetchecked.com/ DIY capillary blood samples. Expensive.
▶ Lab test guide: healthcare.uiowa.edu

inhousepharmacy.vu/t-shipping.aspx - Has been popular in the US. Ships from Vanuatu to some countries.
▶ euaibolitatgmaildotcom - Ships from EU to Worldwide.
unitedpharmacies-uk.md (UK only) - Ships from HK.
unitedpharmacies.md (US only) - Ships from HK.
alldaychemist.com - Ships from India to some countries.
shape-shifter.webnode.page/ - Ships from Turkey to Worldwide.
stayhealthynow.co - Ships from Turkey to Worldwide
amazing4health.com - Ships from Thailand to Worldwide.
favskinhouse.com - Ships from Thailand to Worldwide.
goodstuffstore.net - Ships from Thailand to Worldwide.
otc-online-store.com - Ships from Russia to Worldwide.
weborderpharmacy.md (US only) - Ships from India.
weborderpharmacy-uk.md (UK only) - Ships from India.

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im injecting twice with the same syringe and needle so i don't lose a part of my dose to syringe dead space, does this actually work or is it gigahon science, lol?
from what i've noticed there's less e left on the syringe than before but i'm still unsure if i'm actually getting a my full dose lol

are blood tests taken an entire day before injection helpful in any way? I got some but I'm worried the results are gonna be useless

honscience. you should just switch to needles that have little to no deadspace (some kinds of insulin needles do this). you probably aren't getting hondosed, just not optimal
yeah, that's exactly when you want them because you want your blood results at your lowest hormone levels when checking. if your baseline is good, the rest is good, essentially.

yeah I usually do it right before an injection though, this was a day before injection

I was using low dead space syringes but they've literally ran out i think they're no longer being shipped from brazil which is a big bummer because i want to make the most of my vial (im ordering another one on december but still) i upped the dose to 0.1 ml (4 mg, technically 5.2 mg if the method actually works)/7 days cuz i was getting some remasculinization i think with just 0.08

you'll be fine, there isn't much of a difference at that point
yeahh, it'll be best to just up your dose till it works, then

Is injecting more frequently more effective? Or is it equivalent to larger doses but spread over a longer interval
(using Estradiol Undecylate)

bump

Does diabetes interact with HRT in any way?

has anyone living in the US ordered astrovials? Tea is down and Otoko is expensive

apparently it can help with dealing with type 2 but generally you should be fine I think? I found a single writeup called "Considerations for Transgender People With Diabetes" that states that hrt is linked with higher insulin resistance in trans women but idk, this isn't my area of expertise

Gonna ask here just for peace of mind
For the past 4 days I've been sick with a very strong cold and so I've taking some cold medicine, some cough syrup and some other body pain medicine I dont remember the name but its weak stuff
Woke up today with my breasts swollen and heavy and pratically any touch makes milk come off shooting
I'm a little paranoid it might be a prolactin tumor but to note this is the first time I get proper sick since starting hormones 14 months and today is my injection day (havent took it yet)
I've lactated once before but it was only droplets rn its too much so im a bit worried. Should I actually be worried or is this some weird side effect of taking multiple medicines?

type 1 or 2? also a med list for diabetes would be helpful to check for interactions.

what meds are you currently taking (hrt and cold medicin + any other)?

type 1

Just the cough syrup, some generic cold and pain medicine I'm sorry I dont know the names on top of my head and I'm lying on my bed right now
I guess it's worth saying that my mom is also sick, she's the one that got me sick, and we're both feeling the same pains

Actually I remembered I'm taking Dipyrone and some yellow/red capsule cold medicine

bumping.
FL btw

that's weird. i would schedule a blood test

just use insulin syringes if you care about deadspace so much
yeah that’s fine, closer to trough is better but if ur injecting weekly being one day off isn’t gonna kill you
more frequent injections give more stable levels, there’s a point of diminishing returns for how frequently you should inject though
Tea is gonna be back up soon, you’d get your vial faster by waiting for tea to come back then you would by ordering from someone else desu

Is breast buds at week 2 on low dose E a good sign? They’re firm and kinda hurt and I don’t want conetits that come with too quick development…

im injecting twice with the same syringe and needle

That’s crackhead behaviour stop it

Tea is gonna be back up soon

oh fr? I saw a leddit thread talking ab them having a tor mirror, do any of you have it? I'll take it on signal or tg or riot or whatever

is dashpct down for anyone else? it's where I usually get my duta

What's your dose? That'll inform us better.
Speaking of doses, I'm switching to injections. Doctor prescribed 5mg every 7 days (0.25mL weekly of 20mg/mL solution)
This seems a bit lower intake than my previous sublingual 2mg at 4 times daily. Does it seem right, or..?

pic unrelated

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Dosage is 1mg EC once a week with 50mg spiro. Pre-HRT blood showed cis female levels of estrone with normal T, so there’s that…

the dead space is taken into account, you lose part of your estrogen but your dose will be correct.

injecting twice is not a problem but using the same needle to draw from the vial is a big risk of contamination, you introduce bacteria from your body into the vial.

i know that, i'm just worried abt the dead space draining my vial. i obviously don't use the same syringe to draw i'm very cautious abt them being sterile before entering the vial because i don't want to get gangrene lol

The same needle*

assuming 5mg/mL solution, yeah that is low, but if you're v young it makes sense. is your doctor practicing akin to the "powers method"? there's some growing discussion about analogizing real puberty, which uses a lower starting dose to emulate natural breast development, as a high starting dose can actually stifle natural formation and give you "cone tits". i doubt 1mg ec is hitting this, so you shouldnt need to worry abt it.

dead space won’t “drain your vial” lmao. worst case scenario you lose like a dose at most if you’ve got a year’s worth

low dead space syringes drain 0.045 with each injection i also inject weekly so i won't risk it lol

is your doctor practicing akin to the "powers method"?

I’m don’t think so. She’s said anecdotally that EC (which I specifically asked for after getting advice from my trans friends) is harder to dose, so she’ll be working up to appreciable levels over the next few months.
I will say that (this is my second time starting E) when she started me on EV the dosage was 4mg, so I’m not sure what her approach is

I’m not sure what her approach is

when she started me on EV the dosage was 4mg

her approach is hondosing, it seems
if ur pre or mid puberty the dosing actually makes sense and ignore the above comment.
if ur not pre or mid puberty, ur dose should be on the lower end of steady, which would be 1.25 ec and work up from there

unrel

i struggle to find equivalent dosing for sublingual estradiol. anyone have a linky link?

i started to feel them at 2 weeks on just 2 mg valerate 50 mg spiro, i have conetits. it's so over.

Has anyone gotten hrt/worked with doctors from this site? If so, how did it work out?

getplume.co/

(Asked this last thread but it died before anyone could answer)

are there differences between the different e pills or can you just get whichever? asking for a friend

What size needle does hrtgen use?

29g 1/2 inch

yes they can be estradiol valerate or estradiol hemihydrate. some are better for sublingual as well, but still take ages to dissolve
sounds about right

I've been injecting 5mg een per week but I read that 4 mg is a better starting dose? does it matter that much? can't get bloods for another few weeks

29g? That’s too big. I got a 23g needle and it didn’t work.

29g is thin as hell. it's for subq injections

either is fine

Regimen: 4mg EV Injection every 5 days
Levels:
E - 718pmol/L (taken at trough maybe offset like 12ish hours since I had blood test in morning 9am and previous injection cycle I injected closer to 6-7pm rather than usual 9:30am)
T - 1.8nmol/L
SHBG - 135nmol/L

Recently, I've switched from pills (6mg sublingual) + pellet (200mg; wasn't working well on me, was only getting 150pmol/L on the pellet alone, hence the supplementing with pills) and 12.5mg Cypro twice a week. I'm trying to go monotherapy. My T increased from 0.7nmol/L to 1.8nmol/L.
Should I increase my dosage of EV?
I'm definitely noticing the effects of more T, particularly more horniness and sustained erections including more morning wood. I enjoy the increase in horniness again but don't like the easier to get erections and especially morning wood. and is 1.8nmol/L going to masculinse me again? I read that generally want to stay below 1.5nmol and preferably <1nmol.
Also, my SHBG increased 88nmol to 135nmol

Sumsar don’t lie.

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what are you talking about? seriously