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Rylie 🏳️‍⚧️🏳️‍🌈✊

So @siege got any last minute links for a girl going in for her first informed consent Endo visit? I've read your recent "best estrogen and aa" doc (as well as the prog one though I know that's not for months, and some transfem science) but I wasn't sure if you had any other write-ups I hadn't read.

(Mildly anxious in case it wasn't clear 😅)

@Specialist_Being_677 Best i can advise is avoid confrontation, just show understanding and awareness. You're trying to balance being a good patient in their mind for a first impression and not fighting them while gathering as much info as you can in terms of your options now and in the future. Remain pleasant and bright eyed, just enquire what regimen options they offer and at what points.

Some endos will only offer one pathway and thats it, others will have one they prefer with other options to pivot to if its not working well down the line, and sometimes people will offer you several option to start. They will have a starter regimen to put you on - importantly just avoid agreeing or telling them in anyway that you want to "go slow" or youll be put on a low dose. Starter dose its likely going to be estradiol pills or patches (or gel if its available in your country).

They should guide you through the process. Hopefully it should all be smooth. Accept whatever their initial starter regimen to show willing, and if theres things that need changing that can be done at your next appointment as they up your regimen doses - and you will at that point have blood test results showing what their starter regimen is doing as well as you can talk about how its feeling/side effects so thats the point you have more ability to influence what your regimen medication is.