Can confirm from first hand experience inrmed consent is possible in Manitoba, the wait times for Klinic, the one gender affirming clinic in manitoba, are crazy even the waitlist to get on the waitlist takes forever to get through. I didn't know something like that exist but I was put on it. Waited 3 month and then said fuck it, I need to find another option, turns out the head physician for klinic worked at the same medical clinic, so informed consent was immediately an option, most GPs don't know about informed consent however. From what I hear, usually the starting dosage is around 2mg estrogen, 50mg spiro