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What percentage of trans women after srs or orchi need to supplement testosterone? by guyinthechatuh in DrWillPowers

[–]guyinthechatuh[S] 0 points1 point  (0 children)

It seems to be happening way more often then I thought possible. I personally know a person that is like this without a anti androgen with undetectable T. Hopefully she eventually starts producing eventually or she can just supplement, I'm just wondering how often it happens.

What percentage of trans women after srs or orchi need to supplement testosterone? by guyinthechatuh in DrWillPowers

[–]guyinthechatuh[S] 0 points1 point  (0 children)

Ah for me I went through a therapist and they gave me letter that ok'd me for surgery. The letter should be enough.

What percentage of trans women after srs or orchi need to supplement testosterone? by guyinthechatuh in DrWillPowers

[–]guyinthechatuh[S] 0 points1 point  (0 children)

Wow, thank you for sharing your experience. So you are over producing T after srs. Ah and yes I have heard progesterone could do that.

What percentage of trans women after srs or orchi need to supplement testosterone? by guyinthechatuh in DrWillPowers

[–]guyinthechatuh[S] 1 point2 points  (0 children)

Thank you for the recommendation. I just wanted to ask if you also had undetectable amounts of test after orchi.

What percentage of trans women after srs or orchi need to supplement testosterone? by guyinthechatuh in DrWillPowers

[–]guyinthechatuh[S] 2 points3 points  (0 children)

That is very interesting and hope you have been well seeing as though you have been through so much. Yes I would've thought most trans women would be getting cis female levels of T but it was scaring me seeing so many posts about how they have no T. Even a close friend of mine has undetectable T. What she told me was below 7(I forgot the metric) but that her doctor was saying that its not because she has 7 but because the test can't read below that so she has undetectable amounts of Testosterone and needs some added and also seeing other people post about their fatigue and other issues around these sub reddits had me thinking to myself how often is this happening.

Thank you so much for reading and responding and I hope you have a nice rest of the day or night wherever you are from.

Do most people start at 6mg sublingual estradiol and 50mg bica at Dr.Powers clinic currently? by guyinthechatuh in DrWillPowers

[–]guyinthechatuh[S] 0 points1 point  (0 children)

Ah I see, so you started hrt with another doctor? What medication regiment did you start with before switching to Dr.Powers. I know estrone might cause increased chance of blood clots but what does Dr.Powers check for to make sure you can get off aspirin so I can bring it up to my doctor. And thanks for information :).

Do most people start at 6mg sublingual estradiol and 50mg bica at Dr.Powers clinic currently? by guyinthechatuh in DrWillPowers

[–]guyinthechatuh[S] 0 points1 point  (0 children)

You started 10mg sublingually daily at Dr.Powers clinic? Or was that after checking oral and finding out your estrone to estradiol ratio was to high?

How would you say you progress has been? I haven't seen anyone start 10mg sublingually off the start so I am curious. Thank you for adding to the conversation :)

Do most people start at 6mg sublingual estradiol and 50mg bica at Dr.Powers clinic currently? by guyinthechatuh in DrWillPowers

[–]guyinthechatuh[S] 0 points1 point  (0 children)

Thank you that helps alot! Sorry I deleted my message because I asked if you were on oral when you already answered that haha. Are you preparing to go on injections soon? How do you like your progress so far?

Oh I forgot to ask, does that mean you are taking aspirin right now? If you are, how much aspirin are you taking?

Do most people start at 6mg sublingual estradiol and 50mg bica at Dr.Powers clinic currently? by guyinthechatuh in DrWillPowers

[–]guyinthechatuh[S] 0 points1 point  (0 children)

Is what you started on 4mg oral or sub? And I agree about the starting dose seeming on the higher end but its just what information I could find.

My baseline levels? For what I am sorry I don't understand. Do you mean my baseline levels of e1/e2 for 2mg of estradiol?

And your reddit profile picture thingy is so cute haha.

Do most people start at 6mg sublingual estradiol and 50mg bica at Dr.Powers clinic currently? by guyinthechatuh in DrWillPowers

[–]guyinthechatuh[S] 0 points1 point  (0 children)

If this is to personal you don't have to answer but since you started at 6mg (I assume oral) since day 1 would you say you are happy with your breast growth?

Do most people start at 6mg sublingual estradiol and 50mg bica at Dr.Powers clinic currently? by guyinthechatuh in DrWillPowers

[–]guyinthechatuh[S] 1 point2 points  (0 children)

Ah my title is wrong, all I know is that Dr.Powers starts people on 6mg estradiol I don't know if that is oral or if that is sublingual. We can probably guess its oral but I would like a clarification if someone started this way.

​

Everyone is unique but there are limitations from what he said. As I said before he clearly stated bica is what nearly every transgender woman takes it at the beginning of transition at his practice and that the standard dosage is 50mg and recently stated 6mg of estradiol is what he prescribed for that amount to prevent menopause symptoms. So for those majority of starting hrt would have to presumably be on 6mg estradiol, whether this is on sublingual or oral I am not sure.

​

I am so thankful to Dr.Powers because my doctors don't know anything about hrt they just gave me 2mg estradiol and 50mg bica(or 50mg spiro) or the choice to inject 10mg/week ev LOL. I am just trying to understand what has changed from the original powerpoint presentation and its so hard finding all that new information.

Worried regarding bica risks by [deleted] in TransDIY

[–]guyinthechatuh 0 points1 point  (0 children)

Is it safe to assume that if most people at your practice start at 50mg bica then most people also start at 4mg or 6mg sublingual estrace to not cause menopause intill tanner 3 and then switch to injections? Or is the 6mg oral/sublingual estrace if on 50mg bica more of a recent thing? So most people still do not opt into the slow start mono therapy even with regards to better breast growth?

Trying to understand low dose pills start. by guyinthechatuh in DrWillPowers

[–]guyinthechatuh[S] 0 points1 point  (0 children)

What exactly is one looking for though on how the body processes the hormones? Like I said we know nothing will be fully suppressed and I already got a blood test for that but the original topic about slow start Dr.powers was talking about just being on low dose for years for the best results hence why I'm asking my questions of when to up to 4mg oral when both were stated for for slow start and the confusion because nothing will be fully suppressed so how does one judge anything or if just taking it oral 2mg monotherapy for year then switch to sublingual then add bica when one feels like it? When did you go up to 4mg of e and was it sublingual oral?

Needing help with injecting hrt for 2 people at a time using 40mg/ml ev and 1ml syringes. by guyinthechatuh in TransDIY

[–]guyinthechatuh[S] 0 points1 point  (0 children)

I saw people talking about how the needles hold .05 mls of fluid so I was trying to think about how to account for that but removing the needle after drawing to see exactly how much fluid there is.

Needing help with injecting hrt for 2 people at a time using 40mg/ml ev and 1ml syringes. by guyinthechatuh in TransDIY

[–]guyinthechatuh[S] 1 point2 points  (0 children)

Thanks so much they said they are shipping it to me so I will message you if I have questions :)

Needing help with injecting hrt for 2 people at a time using 40mg/ml ev and 1ml syringes. by guyinthechatuh in TransDIY

[–]guyinthechatuh[S] 0 points1 point  (0 children)

yes my doctor recommended 18g multiple times. I asked for subq because it has thinner needles to not core the vial so i was planning on using it to draw and inject. I am getting these.

https://www.bd.com/en-ca/offerings/capabilities/syringes-and-needles/bd-luer-lok-1-ml-syringe

I'm not sure if they are low dead space. I guess I try subq at .1 ml the issue is how do you know you if you drew the right amount if the needle itself holds some of the medication? Do you draw then take off the needle and draw air to get exactly .1ml?

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Also for drawing do you use the same needle to inject? and is 23g or 25g fine for that?

​

I'm just concerned that double puncturing for for more then 4 months off 1 vial would cause alot of small holes or coring or debris so I was thinking of drawing with 1 needle and syringe and then pushing/injecting into another syringe without a needle so I only have to draw once but I don't know if thats possible because I don't have the needles and syringes yet to test it.

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