previous: >>43137136QOTD: how many AAA batteries can you fit in your foreskin before it snaps like an old rubber band?• 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/
Lists of pharmacies:▶https://diyhrt.market▶https://transfemscience.org/▶https://pghrt.diy/▶https://estrannai.se Hormone Graph visualizer▶https://www.inhousepharmacy.vu/t-shipping.aspx - Has been popular in the US. Ships from Vanuatu to some countries.▶ euaibolitatgmaildotcom - Ships from EU to Worldwide.▶https://unitedpharmacies-uk.md/ (UK only) - Ships from HK.▶https://unitedpharmacies.md/ (US only) - Ships from HK.▶https://alldaychemist.com/ - Ships from India to some countries.▶https://shape-shifter.webnode.page/ - Ships from Turkey to Worldwide.▶https://stayhealthynow.co/ - Ships from Turkey to Worldwide▶https://amazing4health.com/ - Ships from Thailand to Worldwide.▶https://favskinhouse.com/ - Ships from Thailand to Worldwide.▶https://goodstuffstore.net/ - Ships from Thailand to Worldwide.▶https://otc-online-store.com/ - Ships from Russia to Worldwide.▶https://www.weborderpharmacy.md/ (US only) - Ships from India.▶https://www.weborderpharmacy-uk.md /(UK only) - Ships from India.▶https://aipctshop.com/ - Ships from India▶https://www.indiamart.com/ - Ships from India
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>>4322350167
>>43223501Does anyone nowadays recommend the powers method? It was all the rage when I was a repper in like 2020 but ppl have been less annoying about it for a while I’m just on diy mono rn cause I can’t rlly afford to be on pills Anyways ty for the hrtgen op
>>43224858>Does anyone nowadays recommend the powers method?i thinkso?>I’m just on diy mono rnwhats the difference desu
During my last set of bloods, my estradiol got taken twiceOne sample was measured with mass spectrometry and the other with Roche ECLIADoes anyone know which is more correct? The measurements were significantly differentAlso, does anyone know what the ideal free testosterone level is? Mine is 1.33% which ends up being .49 ng/dlI've been fairly low energy for a while and been experiencing genital pain so I wonder if that's relatedMy estradiol is fairly high (460 - 540 depending on measurement methodology) and so my SHBG is too, (125 nmol/L)My LH is also higher than I think it should be (2.3 mIU/mL) but I think I've read high estradiol can have a positive feedback effect on LHSimilarly, my DHT is a bit high at 11 ng/dl too but I'm not sure I've been having any masculinization but I'm constantly paranoid about itNot sure how it can be so high considering my T is pretty low and I think DHT is only supposed to be like 10% total T but its more like 33% for meSorry for the blogpost but I'm just nervous I'm screwing up my transition with my levels
>>43226398>high estradiol can have a positive feedback effect on LHOnly in cis women.How long have you been on hrt? If it has been longer than a month on that dose, your LH (and t) should be lower. I would increase my dose if I got labs like that but you are already pretty high.
>>43226599I've been on HRT for 15 monthsMy LH was suppressed about a year ago but I lowered my dose slightly and it went up and hasn't come downIt's strange because my FSH is properly lowRight now I take 5mg EV every 5 daysTo be clear my total T is 37 ng/dl which I thought was within an okay range?But yeah, with how high my E and SHBG already are I'm not sure if I can really increase my dose any more. Perhaps monotherapy is not for me?Bit worried that I'm some sort of genetic freak and my body just isn't compatible with HRT
>>43226631>37 ng/dlI calculated it wrong. As long as it is working and your t is suppressed, I wouldn't worry about not having textbook monotherapy suppression. You could try 4mg/4days or 3/3 if want to get LH down without upping your dose.
>>43226689Oh so is the LH due to the spikiness of EV? I wouldn't mind trying a different injection schedule. I would get a different ester if my insurance would cover itDoes LH even do anything when T is suppressed? Maybe I am worrying about it for no reason. I've asked my doctor about it and he says LH doesn't matter but I don't really trust him desu.
yeah
just syk inhouse is having a 50% off of their bica rn btw stock up https://www.inhousepharmacy.vu/p-2071-binarex-bicalutamide-50mg.aspx
bump
is 6mg EEn weekly enough for mono injections
What's a good starter dose for spirio and e? or should I take their alternatives?
I'm deep stealth and probably gonna hook up with a friend soon. I told him I'd take the pill so i probably cant get pregnant. Obviously can't just say and then never take it /show casual proof.How bad would it be if i'd actually take the pill with 0.03mg Ethinylestradiol and 2mg Dienogest on top of my regular hrt (oral E and prog) for a couple days? I'd think its so low dosed it wouldnt do much, maybe just reduce my regular dosage?
>>43234293Just say you are sterile retard
>>43234481And have a whole 'emotional' conversation about how that must suck for me and all? explain reason for why? how i found out etc? Simpler to just swallow a pill that cost a couple bucks. I just wanna get fucked.
has anyone here used hrt implants before??? where do you get them
I haven't been able to consistently afford HRT for close to 2 years now, I wanna kill myself. Would taking E without blockers be a good idea anyways? I can probably afford 2-4mg of E a day.
>>43233794If you can afford cipro instead of spiro just go for cipro in moderate quantities so it doesn't nuke your mood.
>>43234293men are stupid just take a sugar pill>>43234696just ask your doctor? youre obviously going to need a surgeon of some sort to put it in, and unless youre actually in the extreme third world its highly dubious that youll find a back alley doc to do the procedure so diy is probably out the window>>43233482impossible to say for certain, but >99% chance its fine. just start on that and get a blood test a few months in and see what your levels are. youll see even in this thread that nonas are getting wildly different results on the standard levels, but the vast vast majority of people will get sufficient t suppression at 6mg/7d>>43226938nta but skimmed your post. levels seem fine. lh is mostly not a problem if your t is being sufficiently suppressed, which it seems like it is. still strange that its happening, are the e2 levels you gave in pg/ml? if so you can try lowering to the 200-300 range, but i dont think this is strictly necessary. lowk kinda guesswork without having more detailed info.>>43224858what is your understanding of the powers method? being genuine not combative, would be helpful to know which specific regimen youre talking about. the one that most people talk about is essentially just monotherapy except you start with bica and add prog like 6 months in. theres some other regimens he does with pills for estrone or pio for fat redistribution, but i assume that wasnt what you were talking about. most of it is probably bunk but if you want to follow it i dont think its actively harmful.
>>43235469oral e? youre probably gonna get shit results but its not gonna kill you or anything. are you logistically able to get injections, ignoring the financial aspects? idk your specific situation but if you are physically able to like order and receive vials and needles, that changes the picture a lot compared to if eg you dont have a mailing address or you live in a country that the big homebrewers dont ship to
>>43235671>oral e?Yeah, pills. they're about 7$ for 28 2mg pills here. I'm just not sure if it'd be better than nothing. >are you logistically able to get injections, ignoring the financial aspects? Ignoring the financial aspects probably yes? Tho I haven't tried myself I have heard that Otokonoko packages will make it through customs (somehow, having dealt with them in the past I have no clue how that could be). I am in Argentina I suppose it's important information...But the financial aspects are significant, and taking that into account I could only really afford veterinary E injections, my gf has been able to get her hands on those for a couple of months, not entirely sure if we could afford them for both of us, and frankly I'm not entirely sure what the quality of E for animals is.
>>43235706do you have a discord to continue this off board?
>>43235998Sure, it's [spoiler] colasteam [/spoiler] I really appreciate the interest and your help.
oh
How important is getting blood tests? I've been on E for half a year and never did one. Is it too late to start?
>>43237034no such thing as too late for a blood test lolbut yes do one now to make sure youre not hondosing yourself or otherwise fucking up your levels. minimum check e2 and t to make sure your sex hormones are right. if you can afford it also consider checking fsh lh shbg. depending on particular medication youre taking may want to check ast alt potassium prolactin dht albumin cholesterol whatevergoal is to make sure everything looks good. if everything looks fine then just keep doing what youre doing and retest every year or so. if something is fucked up (most commonly unsuppressed t) adjust your regimen and retest after ~3 monthsif you cant afford a test its not the end of the world to skip it, as long as you arent masculinizing and you dont feel your kidneys shutting down or something youll probably be fine. if you can afford it though you absolutely should test just in case, since presumably youre gonna be on hrt for a very long time so you wanna get it right
>>43223501Is it bad if you miss 1-2 days of progesterone (rectal)? Currently on the gain part of weight cycling (after cutting) but forgot my prog at home. I don’t want weight to go to shitty places again
>>43235631Yeah levels are in pg/mlI would like to lower my dose but last time I did that I went to 4mg/5days and my T shot up a lotIdk if I have hyperactive androgen production or what but it's pretty frustratingAre you saying you would like some more info? I'm unsure what else I could really provide or what that would change for you
>>43235472I read cipro hits libido more? Or are you talking about general mood. Idk what I'm doing. I just read spiro is more common.
yeah i think im just not gonna get a blood test till gas prices go way down and it becomes a convenience or maybe i go out of state for something else. im really not worried everything tells me t is very sufficiently suppressed @ 5.2 mg een/7dunless someone knows if pp does fsh/lg/shbg/dht and the cost w medicaid is under $100 i cant really justify spending the money
if anyone here uses undecylate can you please tell me your experience in this thread -> >>43239823
Accidentally pushed the needle too far (i think a bit more than a inch) injecting intramuscular EEn in my thighA drop of black blood went and i think it was a bit diluted, no pain or burn otherwiseI should wait one or two days before confirming that it leaked to inject again, right? (Ofc not same spot)
>>43237468no, i just mean that its hard to give specific advice without knowing more about you. like, if i were your doctor id want your whole chart to be able to narrow it down more (other endocrine issues, drug interactions, lifestyle factors, etc) but obviously im not asking you to dump your entire medical history over a shitposting boardif lowering your dose spikes your t then i wouldnt chance it, highly unlikely the elevated lh will be a problem if you have t suppressed, so decreasing dose would have more harm than benefit probablydo you know what your trough levels were at 4mg/5d? if your e was >200 and your t was >50 then yea you might just have abnormal t production. if your e was significantly lower then you could maybe consider switching to een to reduce spikiness but idk. mostly spitballing here, again without your specific medical info you should take most of this as just brainstorming and not medical advice (not that you should take medical advice from random nonas online in the first place)
>>43241316yes
>>43241316wdym black blood??
>>43223501What's the cheapest way to get CPA in the US? I'll go through all the links, but I saw Inhouse's price and oof.I just need about a year's supply
>>43242696Oh yeah I seeI just check and my trough levels when I was on 4mg/5days were T: 95, E: 221, and DHT: 16Guess I'm just a freak :(Any idea if abnormal has any implications for transitioning other than just requiring higher E to suppress?I dont blindly take medical advice from here, dont worryI just like to gather ideas from different places to give me a starting place to look at medical papers and stuff like that
>>43246571not a lot of research unfortunately so hard to say what implications are. powers was posting some shit about some kind of genotype difference but he frequently is a bit of a crank so take with a massive grain of saltit could imply you should do a lower e2 dose + aas, but frankly <500 is all fine mostly so id just maintain courseyou have very interesting levels though, when i was on ev 4mg/5d several years ago my trough was ~190 e2 and ~25 t. wonder if you just are slower to metabolize…i would love to see what your kidneys look likein a not creepy way
Could I do like 4mg EE injection every 2 weeks? My troughs were always higher than the simulator by like 100pg/mL on 5mg EV a week when I got a blood test off hrt entirely my base E levels were 66pg/mL. Think my troughs will be high enough?
bloods came back.Regimen is 8.4mg EEn weekly, test was taken at trough. about two months ago whilst I was taking cypro my prolactin was elevated at 'less than 2000 miu/l', so like keep that in mind, and also I quit cypro two months prior to this test.Estradiol - 331 pg/ml Testosterone - 25 ng/dlProlactin - 21 ng/ml is my E too high? is the prolactin ok?
>>43223501how much less estrogen do you need to take if you do injections + AA?does the type of estradiol matter? does it matter if AA or gnrh?on average what % of dose do you need to reduce?should it be the same as having orchi done?there is basically no discussion over this, any info is appreciated ty
>>43223501to detrans do i just stop taking hrt? i dont need t back or anything right it should just be a few months of being weaker and thats it?
hi guys >_< us tranner here; considering DIY but !!! how do you guys get ur levels tested ?
>>43252460i’ll post ass if someone answers
>>43248952levels are fine. would like to see prolactin levels lower personally but youre still within safe range
>>43244282venous blood, the one with no oxygen>>43249459wdym taking less e, what do you even want?if ur e lvls are high (200+pg/ml) you're gonna nuke most T, adding AA is gonna take off the rest until you get to the desired low, which is indeed the same as having had orchi>>43252435yes, stop hrt and your t should come back by itself>>43252460on a lab? in the hospital? some pharmacies? internet? ig you can just vibedose if you can't pay for them too
>>43252460you go to your local doctor and request blood lab tests for sexual hormonese and t free and bound, LH, FSH and SHBGReally the only ones that matter for routine checks are e and t the rest are nice to have >>43252435yeenjoy the menopause >>43249459check your current levels and compare to those of cis women, adjust accordingly, I can't tell you exact amounts>>43248903ye, should be fine
no online pharmacy ships to my country is it over
>>43253615You're going to be really hard pressed to find a doc who will order anything beyond e and t totals and cmtp/hfp, let alone serum e or t levels or FSH as an adult.