The scariest thing ever is that “qualified” medical professionals have almost no idea what they’re doing when it comes to prescribing HRT to trans women.
For example: spironolactone is not necessary for reducing testosterone levels, and can have not only severe impacts on mental health like insomnia and depression, but can significantly reduce growth of breast tissue. Yet I still see girls taking up to 200 mg a day, which is SO dangerous and irresponsible given the mental health risks that trans women are already put under just by existing in our transphobic society. This is also the case for other antiandrogens like Finasteride or Dutasteride.
High levels of estrogen are usually associated with a risk for thrombosis/blood clots, but the studies that extrapolated this were based on the combination of two dangerous drugs, Premarin and Provera. In order for the results from HRT that most of us are looking for, estradiol has to be in the higher “””female””” ranges, which will also be enough to reduce testosterone level by itself.
Bioidentical estrogen should also be combined with bioidentical progesterone, NOT drugs like provera which can cause increased risk of depression and anxiety and cancer. Progesterone is also necessary for the potential of HRT results to be increased.
Also, ALL THIS STUFF SHOULD BE INJECTED! oral estradiol and progesterone are not going to give the same results as their injectable versions. And thanks to the super notgreat workings of pharma. companies, injectable estrogen is in a huge shortage in the US! But you can still get it in different forms from overseas that are just as safe and viable.
Do your research, and don’t let whoever you’re seeing for HRT push you into something without knowing the repercussions on your body and mental health. Girls are dying because of stuff like this.