Previous thread: >>41549938 • Help, advice, guidance on meds and dosages• HRT related medical experiences and research• Availability and pricing of medications• Rational and scientific discussionSee following post for a pharmacy list.Survey: https://1drv.ms/xs/s!AudRJceTA5C9c2G5lCV2Avq0kQ0▶ Survey data: https://1drv.ms/x/s!AudRJceTA5C9cyIWo6_X14AvHyM▶ HRTGen Data Analysis: https://1drv.ms/f/s!AudRJceTA5C9gRLLWnbpdzlIxe4r▶ HRT Info Sheets: https://1drv.ms/f/s!AudRJceTA5C9gQnyM7wxZcBGWRzW▶ Pill ID: https://www.drugs.com/imprints.php▶ DrugBank: https://www.drugbank.com/▶ Basic HRT: https://apps.carleton.edu/campus/gsc/assets/hormones_MTF.pdf▶ HRT ranges: https://www.hemingways.org/GIDinfo/hrt_ref.htm▶ Powers Method: https://powersfamilymedicine.com/s/Healthcare-of-the-Transgender-Patient-V60.pptx▶ Endocrine Society Guidelines: https://academic.oup.com/jcem/article/102/11/3869/4157558▶ Transline Guidelines (with bicalutamide): https://transline.zendesk.com/hc/en-us/article_attachments/360047702053/TransLine_HRT_Guidelines_FINAL.pdf▶ WPATH SOC: https://www.wpath.org/publications/soc▶ TransDIY: https://www.reddit.com/r/transDIY▶ Blood tests (US): https://www.privatemdlabs.com/, https://www.labsmd.com/▶ Blood tests (UK, Ireland): https://www.medichecks.com/▶ Blood tests (Canada Only): https://bloodtestscanada.com/▶ Blood tests (Sweden): https://werlabs.se/▶ Blood tests by mail: https://www.letsgetchecked.com/ DIY capillary blood samples. Expensive.▶ Lab test guide: https://www.healthcare.uiowa.edu
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/hrtgen/ HRT General #758
im starting pio soon and someone said to not bother with 15mg, but jump straight to 30mg. does anyone have a take on the difference/way to get best results?
>>41649823i'd be curious to know this bc i'm starting 15mg
I'm taking 14mg EEn every 3 days alongside 25mg/day CPA, and my androgen levels are always bad. I've had multiple tests and they all give similar results, the one I took 2 weeks ago showedT: 40.8ng/dLDHT: 27ng/dLE: 5650pg/mLLH: <0.2mIU/mLFSH: <0.2mIU/mLSHBG: >226nmol/LProlactin: 165ng/mLI'm not noticing masculinization signs, but I'm still worried, does anyone have a theory as to what's happening?
Gonna keep things short and not bore anyone to death with the details, i've swapped from pills (4mg E, 50 mg Bica) to monotherapy injections (.18ml subq) within the past month, however i feel like the injections flat out aren't working, im constatly sweaty like i was back on T and i think my fascial hair is coming back in slightly faster, i can't check my levels rn, but could injections just not be working for me? Or could i be fucking up doing them like an idiot or smth?
>>41651084>14mg EEn every 3 days alongside 25mg/day CPAwhat. take a normal EEn dose and change CPA for bica if you're scared of DHT. bicalutamide is better in this case
>>41651084>E: 5650 pg/mlmy first concern would be your sandblasting your E receptors if your numbers are that high holy shit. you might be desensitizing themyou should be shooting for 300 pg/ml at trough max. T looks good. DHT is a little high but you could swap to bica or duta if you're worried about that>>41651162>.18mlthis is meaningless. what is your dose? assuming it's 20mg/ml, that puts you at just under 4mg? why not just do .2ml / 4mg?
>>41649658hi hrtgen. Where's the post number?
>>41651084hey nona why are you taking 14mg EEn every 3 days. i thought extremely high levels of E ended up having negative effects on feminization, due to it leading to high SHBG levels?
is injecting easy to learn on your own? what if you hit a vein? how do you prevent doing this?
>>41651802yes, they're easy and there are plenty of tutorials of self-injection on the internet, youtube, etcif you're doing subcutaneous you wont hit any vein, also you usually do it around the navel area or thighif you're doing intramuscular, just do it on the vastus lateralis muscle. outward part of the middle part of your thigh. its not painful and theres no major veins there, so its pretty easy to inject without getting into problems. just aspirate the syringe before injecting to be sure you didnt hit a blood vessel and you're free to go. very easy.
>>41651863what happens if i *did*?
>>41651232sorry, I was a bit dumb & put it in the name field. it's #758
>>41651896i mean, i never did, but thats when the "aspirate the syringe before injection" part comes. if you aspirate, and it come back blood, you hit a vein and you should remove the syringe and insert a few cms to the side (ideally you should discart the injection and prepare a new one i believe so you do not inject blood to your muscle, but idk as i said i never hit a vein and im injecting IM since april) and inject there, again aspirating and etc
>>41649658what should I be looking for in a blood test? I want to start HRT with enanthate and the prebuilt panels on labsmd are really expensive
>>41652126for HRT the most important is Estradiol, Testosterone, FSH and LH, SHBG, DHT, Prolactin. some other things can be important but it depends on your HRT routine, if you're using cyproterone, spiro, taking pills orally, doing monotherapy, etc. theres a bit of info about that on the op guide, right side
>>41652270tysm!!
>>41652270But then what should I look for my levels to be? Just close to normal female levels, right?
>>41652306estradiol should be above 100pg/mL if pills/gel and above 200pg/mL if injections (but not too high, around 200-300 is perfect since you should be taking your blood tests at through, right before your next dose)T should be at least below 50ng/dL, even better if below 30ng/dLDHT should be below 10ng/dLafter this im not exactly an expert so you should do a bit more of research by yourself or wait until other anon explains it better lolFSH and LH i think its nice to have them anywhere from <1mIU/mL to undectableSHBG depends on your estradiol levels i believe? but i think around 100-125nmol/L.Prolactin ideally keeps it below 30ng/mL.as i said im not 100% sure in some of these, but i think i got them right. again you should do more research by yourself just to be sure, there are plenty of resources and links on op post
>>41652067when i aspirate what should i be seeing?
>>41653039nothing. it will literally come backs nothing. if you try to aspirate and nothing happens, go for it
>>41653219is it like, air? do i need to make sure the estradiol gets back to the bottom of the needle before injecting?
>>41649658Where can I order Pio to the United States?
>>41649658where do i order glp-1s in the usa?
>>41651084You need to do something normal like 4mg EEn every week and then just switch to bica as an AA. Yes it's strange that T is that high (even though its within female ranges) with 5600pg/mL of E2.The risk that comes with doing that much estrogen and CPA isn't worth it. Just moderate your dose and take bica instead.
Guys, how long does ordering diy usually take to process it says my “Order has been received” but that the payment status is still waiting for blockchain confirmationIt’s been an hour I’m scared :(
>>41654578k nvm its fully confirmedi am at peace
My sex drive has been non existent for the last two years and a bitch is sick of it. Started prog rectally hoping that would help (and it has been, a bit) but I'm still feeling sterile as hell. My doctor switched me to cypro from spiro a few months ago and I've noticed zero change from that, and my T levels are around the same. Thinking about switching the cypro from 12.5mg/day to 12.5mg every second day. In theory I should be somewhere in the 1.5-2nmol/L range, and on the mid/high side of T levels right? Also when in the fuck am I supposed to step up my prof dosage, just when I get used to 100mg and it's loaded into my system?Somebody call me a fucking retard please>6mg EV/5 days>100mg prog daily (started last week, plan on increasing to 200mg at the end of month)>12.5mg cypro daily>T 0.7 nmol/L>E 2000 pmol/L (yeah idfk, timing was shit)>>41651802You'll probably blow straight through it, or just nick the edge. Even then you're looking at a small hematoma at worst. Just know where the big deep veins are and aim for fatty areas. It's not really necessary, but like >>41651863 said you can always try to pull a small vacuum to see if you're inside anything. >>41651084>That E levelWhy in the hell are you taking so much E girl>>41653039Ideally nothing, the plunger may make a space in the syringe, but that's just a vacuum. If you get blood then you've hit something. Also don't pull more then half a ml of vacuum. If you are in a vein that's how you collapse the silly fuckers.Source: I like sticking people
bump
pg8
I've been doing E injections for a little over a year, I assumed I was doing intramuscular (apparently not). I spoke to someone recently who said my needles are way too short (8 mm) and I'm not getting effective E and I'm basically just hurting myself. So uh oopsie?Then the next day I spoke to a different person and she told me she always does subcutaneous. I did a little research and it seems like that's fine: it takes slightly longer to absorb but the E is still just as effective.So does IM or subq make any difference? Help me hrtg am I retarted?
So I currently only have cypro that expired in January 2024 I'm curious if this will still works? Even if it works worse than if it didn't expire that's fine I'm just not sure how this works
>>41656496for most esters it shouldnt matter that much iirc, consistency is still the most important criteriai think it does matter if you are doing EUn, but most people doing EUn have it figured out already
>>41652067what happens if you end up hitting a vein? ive never done the aspirate thing because it just seemed too scary
>>41649658bump
>>41657578Possibly pulmonary embolism, and your body won't be happy. We're generally using tiny amounts of volume so the chance of getting it all in there and it actually being an issue are low.Monitor for 30 minutes with 911 on speedial if you start going south type shit
>>41659537>>41657578dont scare them. you have to hit X, Y and Z axis perfectly and there has to be something wrong with the medicine/needle and the vein has to be perfect size. you will hit *something*, but not that what you fear.. its so unlikely>what if I win the lottery?>you wont
hey anons ive got some questions and i want ur opinions and advice abt dosage. this is gonna be a fat ass message sequence so bear with me.I do subcutaneous injections of estradiol valerate, monotherapy, every 7 days. When I did labs on 9/10, I was taking 0.5mL from 20mg/mL vials, for a dose of 10 mg. I had occasionally tested on the higher range of E levels in the past, but my 9/10 results showed 479 pg/mL estrogen and 35 ng/dL testosterone. Instead of opting to retest like in the past, my prescriber dropped my dose to 0.3mL (6 mg). I switched to 0.3mL injections, while tending to draw a little extra beyond 0.3 (so probably 0.33ish) and have remained at that dose since. The Saturday before my 10/29 labs, I underdosed myself at a little under 0.2mL in hopes that my provider would see my reduced levels and bump my dose back up accordingly. I tested at 127 pg/mL estrogen and 41 ng/dL testosterone. When I contacted my provider with concern with how high my testosterone tested, I was informed (through a nurse) that she thought the levels were perfectly fine and my dose shouldn’t be adjusted.Diyhrt wiki says that I want to be getting my estrogen >100 pg/mL and testosterone at <50 ng/mL, but I’m still concerned about my dose being too low to get optimal results. Do y’all think I’m getting underdosed rn? Post labs I have returned to the 0.3mL (6mg) injections like before, so my E should be higher and T lower than 10/29’s results showed, but I’m still concerned. Even back doing sublingual and spiro I had more effective testosterone suppression (116 pg/mL, 35 ng/dL, unsure abt E dose but somewhere between 4 & 8mg).Should 0.3mL (6mg) shots of EV on 7 day intervals be enough to get optimal/quality results? If no, how should I adjust my dose? Obviously I don’t want to be taking too high of a dose since at some point higher E ≠ better results + health concerns like blood clots since I’m in this for that long haul.
>>41659802its valerate, i believe you could take that 6mg dosage every 5 days. if you dont want to inject every 5 days, maybe 7 or 8mg every 7 days wont be bad? the simulator says your levels at through would be around 200pg/mL. anyway, your levels were like that on your blood tests bc you basically took a 4mg EV dose 6/7 days before. that would be a normal value for that dose. with monotherapy its nice to have the E2 near 200pg/mL bc you're not taking an AA, so you need levels higher to supress your T
I want my boobs as round and as small as possible, anything to do besides not gaining weight? I’m on monotherapy with injections
>>41659664Exactly, like trying to line up the fuckin' median cubical with a 19g is hard enough when you're trying and it's anchored well. Accidentally sticking some tiny fucking vein? Not even worth worrying about.>>41660336Anamode and you should be fine
What’s the deal with conetits? I never saw those in cis girls, are they normal or there’s a way to prevent them growing like that?
>>41649658why in god's name would you use the name field for the subject, and with a fucking insecure trip?
>>41660631its congenital for some people, so no way to avoid it, but for most, its just a growth stage. stable E levels, maybe prog depending on how long you're on E, and they'll eventually grow into normal breasts
>>41651084you need to raise 3 days to 7 days and switch to bica + duta
>>41660631It's literally just teenage type tits on a 20yo man body. It rounds out after a few years lol.I was bitching about having conetits years ago, and my sister was laughing because she misses when hers were all small and triangular. I thought she was gaslighting the shit out of me, but the gf agreed. It's just part of developing
>>41659537injections make me so nervous, is it really that likely? i feel like im gonna have a panic attack again, why have i even been getting shots at the doctor if i can literally die at any moment from them??
>>41660076op here, i took the 4mg shot sat afternoon and did labs the following wed morning, so it was more like 3-4 days with those resulting levels
P9 bump faggots
going to be anamaxxing on tirzepatide before piobulking and taking measurements for science.currently planning on logging weekly the following data points:-weight-high/low bust-circumbust-underbust-high waist/waist-hips-thighs-bicepsanything else i'm missing? general advice?
>>41652270>>41653717With bicalutamide, it's super important to do liver function tests, doubly so during the first 6 months on it (during which the risk of liver damage or failure is highest). After 6 months, you should continue to do regular LFTs, but don't need to do them as often.I have been on bical for many years (since 2017) and am extremely happy with it, but people are WAY too blasé about the risk of liver damage or failure with this drug.Yeah, it's a tiny risk, but without monitoring LFTs, you're unlikely to be able to catch it early if it does occur.And in recent years, there have been cases of transwomen on bical sustaining liver damage (including at least one formal case report in the scientific literature), so it's definitely not a phenomenon that's limited to the cis male cancer patient population.
Help. My hair part is widening. I've switched to Een 6m/wk about 10-13 weeks ago. Previously I have taken 4 mg Estradiol + Spiro orally twice daily and Progesterone once daily. I haven't taken any bloodtests yet. Could my T be high? I also have more acne than usually but I still don't ejaculate much.
>>41664718are you still on prog
>>41664960no. I stopped because I couldn't afford it long term
Does spiro actually mess up breast growth? Im have 200mg estrogen implants but my E levels are always barely above 100pgml and im wondering if the spiro is also preventing it from going upWorth swapping to cypro?
>>41664718prog can do that to some people. its something related to backdoor DHT conversion. ideally if you wanted to keep taking prog you shouldve take it together with dutasteride or bicalutamide
>>41656496>I spoke to someone recently who said my needles are way too short (8 mm) and I'm not getting effective E and I'm basically just hurting myselfkek. don't ever take medical or life advice from that person again
>>41662088It's not even a little bit likely, don't worry. You're more likely to get run over by a runaway elephant
someone pleaseeee give me pio adviceeeee. i start soon and i still don't know how much to take/ if i need to change my diet
how bad is it if i use a vial 3 years after i got it also how much does heat destroy the vial
>>41667827bump for this anon
boomp
Alright some of my intrusive thoughts have come once again, i dont want to be a girl i just want to look more feminine and ive found some patches with this composition:>Norelgestromin 6 mg>Ethinylestradiol 0.6 mgwill it do anything significant if i put 1 every 2 weeks?Im 28yo and right now im trying to lose all my belly fat(1.65cm and 67kg right now) and grow some thighs and ass muscles, i dont mind if i get some small titties that someone could confuse with chest muscles but big breast are not my goal so i dont know if i could end up with them
>>41656852it’s fine, same effectiveness that’s just how long they bothered to test it to see if it’s still good
Has anyone had levels go up as they decreased their dose? I did also stop taking CPA and I've been lowering my dose since my SHBG was really high.6mg EV/5 days 12.5mg CPA/week 174pg/ml E SHBG unknown5mg EV/5 days no AA 223pg/ml >180nmol/L SHBG (test couldn't go higher)4mg EV/5 days no AA 270pg/ml E 141nmol/L SHBGStill wanna bring down SHBG a little more so trying 2.5mg EV/3.5 days instead.
>>41672207>Ethinylestradioldont use evra. its not good for you health. ethinylestradiol is dangerous. norelgestromin is derived from testosterone. go for regular HRT meds but in lower dose
>>41676402are they really that bad?thats the easiest method ive found because i dont want anyone to know im taking estrogen
>>41677049ethinylestradiol is the main reason people were afraid of blood clots while on hrt. that shit will eventually cause thrombosis. better stick to bio-identical estrogens
>>41649658Where can I learn to do subq injections?
>>41677049yes. very badgo for oestrogel and an antiandrogen. both in low dose. but even then you will probably grow a bit of boobs, its kind hard to prevent that bc even men that only take a DHT blocker can grow a bit of tissue there
>>41678651youtube tutorials. they're very easy. just pinch your skin in an area like around your navel or in your tight and insert the needle at a 45º angle
idk if this is the right thread for this buti was on diy injections for a long time with good levels, i ran out and had to go on pills (6mg) and spiro (100mg) for a handful of months. my testosterone levels spiked (i can't remember the exact number, probably like a quarter of the low end of cis male range). it's been high for at least like 3 or 4 months, I am on a nuclear dose of spiro right now, getting back on injections in a couple weeks.my question is, i have had laser and electrolysis, and i have noticed in the last couple months there seems to be very clear facial hair regrowth. it seems to be growing faster and there is more of it. is it possible that a few months of elevated testosterone has caused new growth or regrowth of facial hair? i am too broke for any more hair removal. fmstl.
>>41679301My guess would be that that could be the cause.
>>41649658I think I managed to dehondose myself, are my new levels ok? Estradiol - 342.1093 pg/mLFSH - <0.30 U/lFree Androgen Index - 1.4Luteinising Hormone - 0.7 U/lProgesterone - 31.1315 ng/dLProlactin - 423 mIU/lSHBG - 731.5 µg/dLTestosterone - 31.1494 ng/dLI'm on 5 mg Estradiol Enanthate (40 mg/ml) from Astrovials, I inject subq every 7 days. Test was taken taken 1 day before my next injection.
>>41677149>>41678662i think i can get my hands in this gel (picrel) and pills of flutamide of 250gis this a good combination?what would the doses be if i just want a really slow change overtime?>but even then you will probably grow a bit of boobsdo you think they can pass them as chest muscles? im going to gym and i guess i could use that excuse if possible
>>41680815i believe oestraclin is the same thing as oestrogel, just different brands/names. trans women usually use 3 to 5 pumps daily, usually 4 to 5 + an antiandrogen. so you would use like 2 pumps? maybe 1 but i dont know if just 1 pump would do anything at all. probably yes but idk i dont have much experience with HRT for non trans people.i dont have much knowledge about flutamide either. the AAs i know more about are spiro, bicalutamide and ciproterone acetate. you would need to do a bit more of research yourself about flutamide, because i dont know much about it sorry
>>41680939oh i just found i can get pills of bicalutamide of 50mgshould i take half or even a 1/4 of a pill? would it be diary / weekly?
>>416808152 pumps per day, divided in 1 pump per 12hrs prolly?that and AA would give you the minimal E levels to be considered a "transition">>41680998i'd advise against bica unless you can get your blood levels checked regularly. been scared of it due to the load it puts on the liver. liver toxicity is no joke.honestly id just take the normal route and just try to deal with the breasts either by binding them, or mastec. not like they will grow too big anyway. its either boobs, masculinization or the third secret thing (osteoporosis)
>>41649658im really scared to inject, is there not some $100 autoinjector to do it for me? i dont care between IM and subq unless someone swears one is better
>>41680939>>41681170so which AA would you recommend (the less risky one i guess) and what dosage? i found spiro pills of 100g too
>>41681566either CPA or bica. choosing an AA is kinda just choosing your poison. bica should be safe if you take proper precautions regarding its hepatotoxicity (blood tests are a must), and CPA is very potent, even at 12.5mg/day, but you really shouldnt use it as a long term solution. i picked CPA cuz i knew id make the switch to EEn monotherapy eventually. maybe search around a bit for someone with true partial feminization therapy, cuz its a little bit off the beaten path yk
>>41682022girl this is so complicatedjust a final question would using the gel alone without AA do anything significant to my body?i just want an slightly androgynous lookanyways i appreciate your help
>>41682337nta, but CPA is very strong. i used to take it like 3x 12.5mg a week a few months back and my T was around 20ng/dL (but thats after i took 12.5mg daily for a month and a half, then i decreased my dosage). you could try that with the gel. only two pumps of gel without AA wouldnt do much. your E would be slightly higher than a cis man but still low and your T would be high.look at OP pic guide. bottom right, the 8* panel. i have no idea if that works, but you could take a deeper look into that.,or just take the full HRT because after a while thats what you will want to do lmao
>>41682337yeah sorry. we dont really have good methods for a good inbetween state. most of our therapy methods assumes one wants full masculinization/feminization cuz it's easier for our bodies to conform and just play along. you probably wont have huge changes with only gel - i actually took E w/o AA for a while cuz i was scared of taking CPA, but the only changes i noticed were smell and mental behavior. all the other bodily changes came once i started CPA and had the full transition going.i mean, fuck it. try it out, why not. i'm on hrt rn, even though i'm not a girl, cuz i want to be androgynous as well. that and i hate what puberty did to me lol. diy's great cuz you get to decide what you want with your body - even if they come with some caveats (hated boobs at first, but they kinda help with my body shape ngl, i am going for a more muscular look after all, and the added contour to my sunken chest helps tons with dysphoria)
>>41682687>>41682786haha yeah i wish this could be easier i still want to be a boy but a pretty/feminine one, slowing aging would be a plus too, i also want to grow my ass, hips and maybe less body hairtoned body is my goalill try gel alone for a bit, maybe my body react differently if not ill take small doses of AAanyways thank you both for your help
>>41649658i ordered estrogen from somewhere and they cancelled my order :(
Is open gate labs trustworthy? I'm thinking of getting my enanthate from them
>>41649658hi hrtgen! i kinda fucked up so i gotta know:how high of E is too high?my trough level is around 450 w/ undecylate in castor oilobvs there's no clinical reference but also immediately after getting that bloodwork drawn (but before getting the results) i injected what was left of the vial which was 10% more than my usual dose (0.5ml)i was planning on taking some boron because im estrone cycling starting tomorrow, is it risky to lower my SHBG? am i gonna turn into trans goku? should i skip the estrone cycling?? am i gonna die??????
>>41683310you are fine
>>41683356thanks!!!
>>41682980they said theyd give me a refund but now theyre not getting back to me what do
>>41683736you must be unlucky as fuck, first time I've heard of this shit
>>41683013i am thinking of getting some cypionate from them but im also worried if they're good
>>41649658how do i consistently do IM injections? i can do them and im not really afraid of needles, i just have anxiety/jittery hands and the need to kinda stab it in w motion instead of resting it on the skin sorta then plunging it in makes it really difficult to do regularly, does anyone have tips? doing it in vastus lateralis btw
>>41683755i ordered from opengatelabs and they said they had to cancel my order due to a “clerical error”they gave me two optionsoption 1, full refund via cryptooption 2, coupon code worth 110% of my original order that i can use to buy something else, as well as no 10% tax on my next order if i understood it correctlyi messaged saying i choose option 2 and now its been an hour and a half and they still havent gotten back to me ;-;>you must be unlucky as fuckyep, sounds about right
>>41683802>hour and a halfyou should wait a bit, i doubt they'll just leave out out to dry
>>41683824well originally i asked them a question about something and they messaged me back in like 5 minutes. idk what the difference is now.im just worried. probably overreacting.
>>41683776you can insert it slowly desu. the insert it like you're throwing a dart is to make it the most painless way possible, but even just inserting it without doing that it wont hurt and it will work fine as long as you're entering the muscle
is there any reason that my T would go up after an orchi? before my orchi and after I’ve been injecting 5mg/wk of EV and 100 mg of prog. noticed an increase in erections post op and labs showed an increase in T from 15 to 24
>>41683824ok now its been 4 hours what now
>>41684773it's a friday lmao, you might have to wait until monday or tuesday retard. if you aren't like 18 years old you should be really embarrassed of being like this
Has anyone ordered from estrapen and got any shipping confirmations yet?
>>41684962damn cant i be a little worried and needy over a delay in starting hrt, over a few extra days of masculinization? a delay that happened seemingly for no reason and through no fault of my own?what if my 130+ $ worth of crypto just goes down the draini have literally nothing else to think about, of course im obsessing over this
>>41685842you're being modest, there are a few years worth of masculinization worth worrying about They're good people at opengatelabs, recently they've seemed to have a lot of issues behind the scenes so I'm not surprised stuff like this is happening but be patient, they're offering a good service for a small niche and they aren't going to do you wrong
>>41685883>there are a few years worth of masculinization worth worrying aboutwhat do you mean exactly?>They're good people at opengatelabs, recently they've seemed to have a lot of issues behind the scenes so I'm not surprised stuff like this is happening but be patient, they're offering a good service for a small niche and they aren't going to do you wrongi know i knowi’m just scared. i don’t wanna have to wait any more
i need an advice for my regiment,i've been on 12.5 cypro+ two gel pumps (1.5 mg e) for almost two years now and for a while i've been suffering a lot from mental health issues and mood swings. I was going to go to a psychiatrist but i just realized that my application times fluctuate quite a bit and the absorbed amount is probably also not consistent day to day.SO - should i switch to pills since i would be able to consistently take them at exact time. I've always thought that pills are just much worse in quality so i stuck with gel but if it fixes my mental and helps me avoid hondosing myself (just now realized i was at a 1/4 of the optimal dose). Also I cant switch to injections since i wouldnt be able to get them so yeah what do i do
>>41686591you should be at least at 4 gels pumps. 2 pumps is a starter dosage
>>41686591either your increase your gel dosage to like 4-6 pumps or you go to pills. some people do get good results with pills. i believe you should take something from 4 to 6mg if you're doing estradiol valerate pills, either orally (can convert to estrona and pills + CPA can cause problems on your liver) or sublingually (bypass the liver but the half-life is smaller, so you need to split the pills as much as you can, like at least 3 times a day). if you change to 17betaestradiol you take i believe 3mg sublingually? im not so sure about that last one sorry but i think that works well
So is monotherapy alone good? When would you want an AA? I know there's a slew of other things, but I feel it's safe to disregard them since I'm not biohacking or anything. My guess would be an endocrinologist who specializes in this stuff would be good, right?
>>41688054monotherapy means that only taking estradiol in a way that you're able to keep your levels at above 200pg/mL it will supress the testosterone production without the need of an AA. the easiest way to achieve this is by injections. so usually you will take an AA if you're taking pills, gel, patches, etc because it is very hard and expensive to keep your E2 at =>200pg/mL all the time
>>41688164oh, ok. So then what ester would be good? I'm thinking something with a long half life, because sharps do be a little pricey. And also I would be very glad to not need to poke myself often
>>41688187Enanthate is your best choice, you could inject every 10 days
Got my een from Astro Vials a few days ago, gave my first shot of 0.18ml (which should be 8mg but their website says 7mg, not sure which one is it). I plan to follow that dosage every 10 days but I was wondering if I should do a weekly dose instead? What do you all recommend?
>>41688676its prolly 40mg/ml right? so 0,18ml is 7,2mg. with een its about good dose for either every 10 days or weekly, idk if you dont want to inject too often then go with 10 days(picrel is from hrtcafe)
>>41688676Don't sweat too hard about the starting dose as long as it's sane. You should have no issue if you get blood tests to know where your levels at. And use that to adjust dosage accordingly
>>41688187enanthate is a very good option bc of its half life
>>41687875is splitting 17beta sublingual only twice a day ok?or should i do mores? i feel fine and usually push 10mg a day
loading dose of 7mg should be fine for a 4mg/week EEn regimen right? got a small time window for blood work (4 weeks after first injection), just wanna make sure my levels are stable before that deadline
>>41649823>>41650885bump for this anon
I just had my 8th injection and this time it hurt a bit more than usually (doing SubQ), and then there was a drop of blood, and i got super scared (i have fear of blood, when i think of that situation it gives me panic attack just bcuz that drop), and now i know its prolly nothing to worry about but stillHow possible is it that my whole dose went into a vein? Would that be VERY bad if it did?
>>41691471I wouldn't worry about it, a pinprick of blood is to be expected. The chance you randomly hit a vein is fairly low. And also what's the chance you actually inject into it purely from random chance? I'd say the chance is low.
buuump
My levels on EV are pretty weird, 630 midcycle and 60 at trough. I want to switch to EC or EEn for stability. Any reasons I should prefer one over the other?
>>41693189EEn and EC are very equivalent afaik. i think EEn are more common so easier to getbtw, EV ideally should be taken every 5 days, how often do you take a new dose?
>>41693557I've been taking 5 mg every 7 days...
>>41694491it has too short of a half life for you to be waiting a week between injections
>>41694491>>41694516yeah that's the thing with valerate. It has a real short half life so the dose is low and you need to do it reeal often
>>41694574to clarify I mean you need to dose it low so you aren't going and peaking at unnecessarily high levels of estradiol
Buying six months worth of 1mg finasteride from AllDayChemist. Any advice or experience with this, DIYsisters? I'm a Norwood stage 2, 23 years old, been on HRT about 18 months. As I understand it, it can take 18-24 months to actually see changes with fin, so you just have to believe it'll work and keep taking it...?
how do i stockpile if i'm too stupid and nervous to order raws
>>41649690Why are we not linking Astrovials here? They saved my life.
>>41695305because voix celeste and opengates are just better
>>41695234I mean I don't think that's bad. As long as customs doesn't seize it because I know that customs in the USA might seize a package if it has too much medication in it I don't know what it is specifically.>>41695270What would you be stockpiling? As long as you can store it correctly I'd just get as much as I want.
>>41695234dutasteride is better than finasteride, so unless you can't take dutasteride for some reason i dont see why would you use finasteride. they're roughly the same price.also HRT + dht blocker wont necessary give you a great regrowth. it can help, some people did get it, but the only drug that 100% gives you a regrowth is minoxidil. unless you did blood tests and it showed that your DHT wasnt that low with just HRT, i would believe that topical minoxidil may work better for you (the problem being, if you take minoxidil you will need to keep taking it forever, otherwise the hair regrowth your had will disappear again)
>>41694516>>41694574>>41694745ty. i guess getting prescribed 5 mg EV weekly was just a WPATH moment. thankfully my prescriber is open to deviating from it.
>>41649658hey could anyone help me out with this study? its for my clinical pharmacology class (its worth 80% of my grade, please help a girl out), its about pioglitazone and its effects on metabolic diseases (specifically looking at certain markers like cholesterol, triglycerides and glucose/HbA1C), if anyone here can answer the form it would be very much appreciated, you don't need to have taken pio to respond: https://forms.gle/VQLyPuw9eZARXLFW9
>>41698677If you would want to suggest anything my suggestion would be to use a lower dose and use that more often or try looking at a longer lasting ester. That'd come with the upside of not having to use it super often
>>41698747yeah, i like having a single injection day and not having to keep track of it, so i'm thinking of switching to the esther and maybe dose and keeping the weekly schedule.
>>41698797switching the esther*
>>41698797go for EEn. take it weekly. it will be fine
when's the best time to start fatmaxxing? im three and a half weeks on 2mg sublingual estrofem twice a day, 12.5mg cypro once a day. im gonna switch to 1.5mg gynokadin gel twice a day and 12.5 cypro a day next week. should i fatmaxx now or wait til i get a blood? i have one scheduled on jan7
>>41698866get on pio to fatmaxx
>>41698866you just started hrt one month ago? if so wait at least 6 months or even more desu, like one year before trying that. i dont think the fat redistribution has started for you already
>>41698866I concur with >>41698911 this anon
>>41698911so even if my levels are roughtl right in jan i should wait a bit longer for the fat redistro to actually start? im super skinny rn like 17bmi
Can I just do injections or do i need something like Bica?
>>41698949start eating more please
>>41698949yeah you should get to a healthy BMI. Not even for weight cycling or anything.
>>41698949just eat and exercise enough so you sit at a good bmi for now. odds are you arent gonna fatten up quickly if you start fatmaxxing now, assuming you are either starving yourself rn, or just have a fast metabolism. fatmaxxing is way easier once you have a gym routine figured out
>>41698285>What would you be stockpiling?if not raws then idk
>>41698965if you're doing injections in the right way you won't need any antiandrogen
>>41699960what does "in the right way" mean
>>41699975right dosage. if you're able to keep your E2 at around or above 200pg/mL your T production will be supressed without the need of an antiandrogen
>>41698949get into a healthy bmi anyway. but no fat redistribution in a female way only begin to starts at around 6mo mark, but usually you will only start to see more results around and after 1y mark
is 0.25ml of 5mg/100ml EV a hondose? I'm taking it weekly and trying to get it bumped up to a 5 day or biweekly doseshould i be adding anything else?
Will hrt alone make my upper body muscles go away while I stay active, or do I need to atrophy them through inactivity? The numbers I found online were 5% reduction in muscle mass after a year, which sounds like nothing.
>>41649658so hrt gen how would someone go about sourcing topical testosterone cream
>>41558217blood results back. taking 12.5mg cpa 2x weekly and 0.5mg estradiol 3x a day now.undetectable testosterone, 61pg/mL estradiol 4.5 hours after dosing. with a reasonable assumption on t=1h estradiol it integrates to average something like 110pg/mL throughout the day. i'm pleased with the T suppression and am happy with E2 levels for purposes of enby experiments. don't know about my SHBG or E2:E1 though
night bump
Taking bica without testing my blood :3
has anyone had experience with DashPCT? they took my payment but IP banned me, but also sent me a order email that is opaque about if they sent an order or are just telling me my total because its all broken englishcan i rely on them coming in? or should i start organizing other leads?
>>41707558Can't you get sudden death syndrome from bica?
>>41708569huh?
>>41708301i ordered from dashpct a few times before i got a prescription for hrt, they all came reliably, tho this was in like 2022-2023 so they might have changedone time my parcel did get seized but i emailed dashpct and they sent a replacement for free
pg7
Just started DIY recently and I ordered Spiro in bulk because it was cheapest and now I'm realizing I'm a fucking retard and didn't think about how I would want to test out how it works on my body first and now I kind of wanna switch because Spiro fucking sucks but I have so much of it. I can probably just find someone in my local trans community to give it to though desu. Just annoying. Also sucks how Spiro is like, the cheapest option I'm sick of basically pissing myself everyday
>>416496582 months hrttoday i noticed that i smell like a male how cooked am i ???
hi hrtgen.I've been on 4mg e oral and 100mg spiro for 6 months and my levels are barely at the male minimum range, just upped to 6mg e sublingual (i'm not even sure im doing that right) and 200 spiro is that going to help or should I rope
>>41712061you will probably have higher levels. take the pills every 8 hours if posible. i would suggest changing spiro for another AA. or even better if you're able to get injections so you do monotherapy
guys I got a script for 3mg estradiol valerate every 5 days, is this a hondose?
>>41714237i think it would be better 3mg every 4 days or 4mg every 5 days
>>41714439my endo refuses to go any higher. the sim has it around 250 pg/ml so we’ll see what happens
>>41714478yeah i mean i wouldnt call it a hondose. but it could be slightly higher. but its not hondose
>>41708301My ISP flags dashpct as malicious website, chance youre not banned. Use mullvad browser, it has its own DNS service which bypasses that of your ISP s.
Is dutasteride (+estradiol) good as an AA?
>>41716290duta blocks the conversion of T into DHT, but not the T itself. you should get spiro, bica or CPA. dutasteride is interesting if even with your T supressed you still have signs of DHT activity like body hair growth, hair loss, etc
doing diy so I have no access to bloodwork, is 8mg of een every week ok ?
>>41717784i think thats too much. the usual doses are around 5mg per week, sometimes 4 or 6 depending on the person
What is pioglitazone
>>41718830diabetes drug that apparently can help with gaining weight and female pattern fat redistribution
how to get pio without a script? do online pharmas sell it
>>41719269yes
does anyone here know if it's it's safe to take cyclo-progynova with 2 types of pills in it? is it the same as the regular one? it costs half as much as the normal one and the only difference is that the second half of pills have 0.5 mg of Norgestrel added on top of the 2 mg Estradiol.Also - I'll be taking 2 pills a day, should I take 2 normal pills for every two weeks and then 2 Norgestrel ones every two weeks or should I just take one of each every day?my captcha was TRNYr lol
IT SAYS PIO GIVES YOU BLADDER CANCER AND HEART PROBLEMS SHOULD I TAKE IT???? DO YOU TAKE IT FOREVER???? IDK HELP PLS
>>41649658anyone have any tips for weight loss on Semaglutide/ozempic while also taking HRT?My current plan is to start taking it for about 2-3 months, and lose a bunch of weight and then stop and start taking progesterone.Does this work?
>>41720170stop eating fatass
>>41720175that's why i'm taking ozempic genius
what's the best cypionate enanthate undecylate valerate ahhhhh help idk what to order
As an closeted autist with (currently) no income of their own, with heavily right wing parents, what should I do to get HRT? Just wait until I get a job and try DIY?
>>41720328planned parenthood if you're in a good state the U.S and have no insurance, they gave me financial assistance and the appointments, including bloods, were less than $20, with prescription coupons the drugs were also very cheap, best option for someone with low funds but they kinda hondosefailing that there are some mutual aid networks that provide free hrt, you'd have to dig for one but they're at least mildly easy to find, I've seen one linked on here (dont remember the name) and found one for myself on twt (but she's on hiatus) they can be inconsistent with actually delivering or low quality but it's free you've just gotta buy needles
>>41719994yes, but dont take the brown pills. just the EV ones.
>>41720390Not anon but what about some of the telehealth ones like plume or queerdoc, who is best at dosing?
>>41720869that sucks. i hoped i;d be able to take them to to save money. it'd cost the same to just take normal ones instead of throwing half the pills away
for those lucky enough to have ever gotten through the waiting lists:how much of a hondose does the NHS usually give? (both in terms of blocking T, and in terms of providing E)does it vary by GIC/region/doctor/etc, or is it fairly consistent?
>>41720201enanthate is a very good esther, you can take your injections once a week/every 10 days then
>>41720201een is most stable levels. wont lie it barely matters though. if you're picking might as well do een
>>41720927ehh, most i've heard is hearsay abt those brown pills giving your coarser hair and oily skin. i wouldnt risk it though. it's also a progestin, but that isnt a concern for some.for some reason, it is cheaper to buy those and throw away the brown ones, instead of buying progynova here, where i live. dunno why tho
>>41720927>>41722367i used to take cicloprimogyna. the brown ones are made with a progestin synthetized from testosterone. so its not nice for us to take it. desu where i live just throwing those away it was still cheaper than buying primogyna/progynova. you could search for "climene" too, its similar to cicloprimogyna but you can take all the pills in that box, but its a more expensive too
>>41722434are there any other good pill alts besides progynova?
>>41722447in my country (brazil) we have primogyna/cicloprimogyna/climene made from estradiol valerate pills (primogyna is the brand name here, its the same thing as progynova) and natifa made of 17betaestradiol pills. natifa you can only take sublinguallytry to search for alternatives where you live, either search for Estradiol Valerate pills or 17betaestradiol pills. do not take ethinylestradiol pills, they are dangerous for your body
after a year and a half of taking 200mg of spiro a day I quit cold turkey and switched back to cypro. Is this causing a testosterone rebound? I’ve woken up with morning wood 3 days in a row but my cum is still clear.
I'm seriously reconsidering getting back on HRT after detransitioning for about 2 years, simply for the fact I want to be a twink/effiminate guy again. I'm out of the loop though with regards to ordering shit for the UK, has much changed or can I still get vials of Estradiol Enanthate?
what does hrt feel like anons?im really scared that ill somehow feel worse on it or perform worse at my job. i do very much want all the intended effects but im really afraid of something going wrong
What gauge needles do you use for drawing from vials and what do you use for subcutaneous injections? Same needle for both or two different gauges?
>>4172617122ga for draw, 25ga for shot
>>41726395What length? If I'm going for subcutaneous, should I get 5/8 inch ones? I can't remember if you need to angle the injection with the shorter needles.
>>41725826Idk if its placebo but since the first day i inject it i feel very clam and have different reactions to pains
Calm********
>>41725826depends on what you are expecting. it felt like weight being lifted off my shoulders, but i got a little erratic. suddenly i was attracting attention and making a fool of myself in situations where i'd usually just shut up and fade in the background - which is nice, dont get me wrong. but ngl most of it is placebo, e.g "if i believe it will change my behavior, i will end up changing my behavior without realizing it" yk? you'll slowly change, but change comes for us all, and you'll sleep better knowing you have control over your changes, instead of letting the world slowly degrade you.
is 14mg of EEn every 14 days good for monotherapy?
>>41519927>Coinbase made me wait so long that the 120$ of crypto i bought is now 99$>Voix Céleste is closing up shop for the year and I have no idea where i'd get a vial of E from if they do
>>41725826>or perform worse at my job.This was an oddly specific fear of mine as well but I think I'm performing better on the job after taking hrtI'm more afraid of running out and having to do my job on no hormones
>>4172769310mg should be enough
pg6
i bought thisi know i get get needles off amazondo i need anything else?
What is the vendor with the fastest shipping that could get me bica within a week or two? I usually buy from open gate but they told me they won't have any available for about a month and I need some sooner than that. I live in the US.
>>41729841sterile alcohol wipesbandaids
hiiii I have quick question, I'm coming up on a year on hrt and was wondering when I should add prog to my routine. I've seen lotta conflicting things floating around.
>>41727545>>41727666i see, thank you anons>>41728133thats reassuring to hear. im just a very nasty combination of a workaholic and a hypochondriac and the combination manifests in me feeling terrified of something going wrong and my health and thus being able to work less effectivelyand well, what sucks is that it is a rational (even if overblown) fear because i do rely on my job to like, not starve
>>41679301snoqualmie pass?
>>41730347What kinda needles do i need?i was gonna get these and i know they say "insulin" but im sure it can deliver the right dosage of E
>>41731514yup, those are good
>>41731554ty goat
imma be real i have no idea how to read/interoperate this. how fucked am i? havent got the t test result back yet. im confused
>>41730366theres no right answer for that, what people recommend is to not start prog too early, like in your first months. at 9 months, one year mark etc you're fine to start taking it>>41732048everything seems fine. with 313pg/mL of estradiol your T must be supressed as well
>>41732065>T must be supressed as wellim pretty sure it will be, i aint got no balls. well i hope so ig
>>41732065ty nona
Does relugolix as an anti androgen have any significant risks? I see OpenGate sells it and I'm interested in buying
>>41649658I’m doing hrt mono therapy, 40mg/ml 0.18 injections every week, I got my blood tested one day after injecting and the results came back at 800pg/ml, does this mean I absorb more than usual or smth?? I’m assuming I should bring down the dosage…
>>41649658Newfag to this general but somewhat curious about the prospect. Is it true that HRT makes you infertile?
>>41733300you should do blood tests at through (one day or a few hours before your next dose). not right after you inject, because your levels will always be very high that moment
I ordered enanthate from OpenGate and I’m a bit confused about how much estrogen to draw for a standard dose. Their website says 4mg, but how do I interpret mg into ml on the needle? The website also says the vial is 10mL 40mg/mL, but I don’t understand what that means…I tried to ask Chatgpt to do the math or convert it and it gave me a really weird answer
>>41733494every mL is 40mg, and your vial contains 10mL. that means a 4mg dose is 0.1mL, but keep in mind the waste space in your needles/syringe means you have to draw a little more than that (i would draw like 0.12-0.13 for 4mg). but i also think 4mg is a low dose, i would aim more for 6mg (so you would draw 0.16-0.17mL)
>>41733315yes. there are people who say its posible to revert that after detransitioning, but i dont think its a 100% right
pg8 bump
p9 bump
>>41733315it is the same deal as men that take steroids - HRT will shut down your testes and if they're shut down for a long time, it may also take a long time for them to fully recoverhowever i've only ever heard of people eventually regaining fertility. many cases of people that assumed they were infertile and end up having kids.
starting prog is based on tanner stage, right? which tanner stage should i wait for, and what signs should i look for to figure out if i’m there?
>>41649658is there a meaningful difference between injections and every other method if your levels end up good?t. sublingual
>>41649658Pornhub has the tranny flag on it's logo and it is giving me more tranny video recommendations than usual. Is it some holiday for you people or something?
>>41649658i have progesterone pills but im afraid to start taking them, like more afraid than i was to start injecting EV. do i really have to put one of these up my ass every night? seems so tiresome. also, ive been on EV mono for almost 3 years now, have i waited too long/is it over for me wrt effects of P?
>>41738801>is there a meaningful difference between injections and every other method if your levels end up good?injections are less effort/intrusive to your life and dont come with the side effects of AAsalso, "end up good" can mean a lot of things. Depending on the carrier oil and the dosing schedule, your blood levels will vary over the course of your dose cycle reaching higher highs and lower lows than the near flat levels that daily pills give. Anecdotally, I've noticed that my boobs hurt significantly more between 18-48hr post-injection when the levels are highest.Also, pure speculation from me but I figure injections are more consistent. 5mg injected is 5mg injected, but how much of the "sublingual" is actually getting trapped in saliva and being taken orally as the pill dissolves?
>>41738801i believe it’s better for the liver or kidneys or something, since they don’t have to be filtered through there. it’s also much easier (maybe even only possible) to do mono by injection, so you save yourself the side effects of anti-androgens. i’m not an expert though, so any more knowledgeable trannies feel free to expand/correct me
Where can I get hrt in hungary?
>>41739776try to find some lgbt friendly hungarian communities online and ask around. just make burner discord account, join a bunch of channels that dont seem too chuddy, even some weird "FEMBOY MAGYAR" whatever the fuck will do, copypaste something about "hey guys how do you get HRT in this country". if ur lucky there's going to be someone who can tell you which doctors to talk to
>>41739981>>41739776oh i probably should clarify since i felt like you already innately knew this, but the reason im telling you to ask on discord of all placesgoing to a random psychiatrist/endocrinologist in hungary or any eastern european country about trans issues is kinda pointless, you will probably just have doctors shrug at you and say they cant help, maybe even have someone be mean to you if you get unlucky. im bulgarian but i assume the attitude towards trans healthcare is much the same there if not worse, i literally just talked to some transwoman online off a bulgarian discord and she gave me a list of doctors that can help and since said doctors had nothing publicly posted about trans stuff i just blindly trusted her and it turned out to be all true. its just something a doctor in eastern europe is not going to advertise openly so word of mouth is really ur best bet.
>>41740325>>41739981Thank you, this was actually helpful
>>41649658Aight!Waited too fucking long to start (26 yo, just kill me at this rate)What's a good way to get bloodwork done without having to go to a hospital? I live in the middle of godforsaken nowhere and if I had my blood tests done at the local clinics I'd dissolve into an anxious wreck before setting foot in the place, but I'm also terrified of overdosing/hondosing, so I don't want to just start shotgunning E and potentially fucking everything up. Is there some kind of mail-in bloodtesting you can do? Or like an at-home kit?
is raloxifene the only SERM i can take to avoid chest growth?
endo is being a prick about bica, but is offering gnrh agonists. is this worth it?>diyim getting it free if prescribed and am poor
>>41738877>but how much of the "sublingual" is actually getting trapped in saliva and being taken orally as the pill dissolves?little of it, enough of it absorbs to make the spikes i have very noticeable and the levels after the spikes just fine.
>>41745001its listed as an effective antiandrogen on op guide and ive seen it been prescribed in some places, but i dont know much about it nona sorry
>>41745001>is this worth it?>im getting it freeyes
>>41744715https://en.wikipedia.org/wiki/Template:Tissue-specific_estrogenic_and_antiestrogenic_activity_of_SERMs
>>41743228>terrified of overdosinghave you done the barest modicum of research or are you utterly illiterate you braying ass
>>41743228ehh dont overthink abt dosage too much. way better to start small than to not start at all. a while back we had someone that was on an absurd dosage of E for months cuz she got the dosage wrong initially, and nothing rlly happened. perfection is the enemy of progress or something like that; get the basics down and you'll have 6-12 weeks to build up courage to go to a clinic