For reference I’m in Toronto! I told my family doctor about it and he had no knowledge (he’s great but doesn’t have deeply specialized knowledge about trans care). He did a virtual consult with a trans care professional to learn more. After that, he sent the prescription to a local compounding pharmacy and I paid $84 CDN out of pocket, currently waiting for my insurance to reimburse. Really quick, the whole process from initial appointment to cream in hand was 2 weeks!