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Previous thread: >>20901620

• Help, advice, guidance on meds and dosages
• HRT related medical experiences and research
• Availability and pricing of medications
• Rational and scientific discussion

-{ Links }-

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: http://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/path_handbook/
▶ FtM HRT: http://www.ftmguide.org/ttypes.html
>>
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>>20980149

-{ Online pharmacy list }-

https://www.inhousepharmacy.vu/t-shipping.aspx has been popular in the US. Ships from Vanuatu to some countries.
http://eu-aibolit.com - Ships from EU to Worldwide
https://aphrodites.shop - Very popular. Ships from Portugal to Worldwide.
https://unitedpharmacies-uk.md (UK only) - Ships from HK.
https://unitedpharmacies.md (US only) - Ships from HK.
https://unitedpharmacies.nl (NL only) - Ships from HK.
https://alldaychemist.com - Ships from India to some countries.
http://lena.kiev.ua/ev/ - Very popular for injections. Ships from Ukraine to Worldwide.
https://sshifter.puzl.com - Ships from Turkey to Worldwide.
https://stayhealtynow.com - Ships from Turkey to Worldwide
https://amazon4health.com - Ships from Thailand to Worldwide.
https://favskinhouse.com - Ships from Thailand to Worldwide.
https://otokonokopharma.com - Ships from Brazil to Worldwide.
https://pilloid.com - Ships from Russia to Worldwide.
https://otc-online-store.com - Ships from Russia to Worldwide.
https://rupills.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://hrt.cafe for more detailed product spreadsheets, price comparison and supplier information.
>>
>>20980155
>rupills
Hopefully.
>>
>>20980549
i dont think they are coming back, it can probably be removed soon

otc-online-store and buy-pharm are ok, but they werent as cheap and professional as rupills
>>
>Question for hrt femboys.

How are you coping with tits if you got any? Are they small enough to not worry about them? Are they a huge burden? How do you dress to work around it?
>>
>>20980597
taking advantage of my country's healthcare system (Canada) to get free top surgery.
>>
>>20980597
binder
>>
hello all, here's an invite for the 4chan hrtgen server
>https://discord.gg/v4wsKfDQ
>>
>>20980149
Is lactating a cause for worry? I was on 5mg/every 3 days of estradiol valerate and 12.5mg/day of cypro. I lowered it cause of the lactation to 4.4mg/every 3 days of estradiol valerate and 12.5mg/every 2 our of 3 days of cypro. Despite being on this for the past month, I'm still lactating when it's cold in my apartment. I plan to lower it further to 4mg/every 3 days of estradiol valerate and 12.5mg/every other day of cypro.
I'm mostly worried about a cypro brain tumor developing. I do get a headache 4-5 times per week, especially after my cypro dosage, but it also coincides with when I'm fasting or didn't eat much that day. Should I be worried?
>>
>>20981352
u can lower cypro dose to 6.25/daily, it's preferable to 12.5mg/2-days, as the spike in levels is what matters. if your e levels are more than or equal to about 200pg/ml u don't have to take an AA, or just take a low dose, as those e levels suppresses t by ~90%.
also, you do need ok t levels to be fully healthy too as super low t lvls have side effects too.
headaches, in terms of hormones, can also be caused via low e levels... although, usually that's right before the next dose.
>>
>>20980149
I've got my first shipment of cypro coming in soon, switching off of my prescribed spiro and planning on starting at 12.5/day, but I'm concerned about my estradiol dosages, sublingual. I'm on 2mg/day and I'm not too sure about when to increase it. I saw a post the other day saying that waiting longer to increase your dosage is better for development, so I'm thinking of going to 3mg/day at 3 months and 4mg at 6 months, does this sound good or was I fed hondose? What did your early regimens look like? I'm a day away from finishing 4 weeks hrt.
>>
do i need to test progesterone when im getting blood work? i take 200mg up the butt
>>
>>20980149
>taking finasteride and e sublingual at 8mg/day
>18 months hrt
>e at literal male levels
why how what? what the fuck why? what? what the fuck?
>>
>>20982813
How are you getting your E? DIY or through a phamracy?
>>20982485
It could be useful, but if it'd be very expensive, then I'd skip out on it.
>>
Which shops ship to Europe and accept crypto?
>>
>>20982832
>How are you getting your E? DIY or through a phamracy?
irl pharmacy
>>
>>20982908
Try switching to injections and see how that goes. How are you storing the pills? Room temperature, not in the bathroom, etc?
>>
>>20982974
the problem i have currently is in my country there's no pure estrogen injections, only estrogen and prog together, and im not sure how that works, like, dosage-wise and if it's riskier, ive no idea
i might order from one of those diy places and see idk
i usually store the pills next to my bed, they come in those little aluminum tablet packages.
>>
>>20982813
Do you take them all at once? You should be splitting them up or you'll have like 14h of low levels, maybe that's when it was measured? Still, with 8mg you should be around 150pg/ml even at trough.
>>
>>20983166
I think we've talked in your thread before. Did you ever look into ordering through Lena?
>>
>>20983198
i usually take 4 in the afternoon and 4 at night, i guess i could split it up further but idk if that would help

>>20983246
yea im that same anon
im looking into ordering from there or one of those weird pharmacies that deliver internationally, might go w it
>>
>>20982848
Anyone? I wanna order hrt already, but pharmacies that ship to Europe don't seem to offer payment through means I have access to
>>
>>20983308
Try Aphrodite's or Shapeshifter, hrt.cafe should have a list of places that accepts bitcoin.
>>
>>20983287
Also you are sure you're right about your levels, people have confused pg/ml with pmol/L before or even pg/dL. It would actually be weird if you're not getting anything from 8mg E per day, even if you were to swallow them.
>>
>>20983477
it might be worth doing another test, but here's exactly what it said:
estradiol: 1,8 ng/dl or 18 pg/ml
estrone: 3,1 ng/dl or 31 pg/ml
progesterone: 57 ng/dl or 570 pg/ml
(i was taking bica at the time so my testosterone is probably not this high anymore but)
testosterone: 345 ng/dl or 3450 pg/ml
free testosterone: 2.3 ng/dl or 23 pg/ml
>>
>I can't set shipping to inpost parcel
Why? I won't be able to accept it if it is through courier
>>
at some point will I be able to stop taking bica? so after I halve my dose once I have ideal t levels, how much longer until I can just... stop taking bica and just dose E
>>
Is there a big difference between swallowing/sublingual?
>>
>>20983862
You can do E monotherapy injections and rectal prog without any bica
>>
>>20983871
Sublingual wastes less of the pill (95% is wasted on swallowing vs 80% on sublingual) and you get less estrone with sublingual.
>>
anyone ever use dragon ordnance for androgens? wanna cop some test enanthate and some anavar
>>
>>20983879
sidenote - when should I swap from aa to e monotherapy? Or could you at least recommend a source where I can read about how I should progress with my dosages over time
>>
>>20983904
Is estrone important?
And do you just chew the pill and let it dissolve without swallowing saliva?
sry for dumb questions
>>
>>20983958
the /r/DrWillPowers subreddit has a ink to his powerpoint that should go over that. He's also coming out with V7 very soon.
>>20983997
Estrone is speculated to be important for early breast development since it's the dominant estrogen in early cis female puberty. Chewing up the pill isn't sublingual, sublingual is putting the pill under your tongue and letting it dissolve.
>>
>>20984037
Thank you very much!
>>
>>20984037
>sublingual is putting the pill under your tongue and letting it dissolve.
yeah but OP pic says EV pills may need to be crushed first tho
>>
>>20984037
Isn't powers like, retarded?
>>
>>20984116
That makes it easier to dissolve, but you don't do it by chewing. You do it by putting it on a plate, crushing them with something, then putting the powder under your tongue.
>>20984128
No one really bothers to try and update an outdated method for hrt but Dr. Powers. He found his method through patient observation and not being scared to deviate from the norm.
>>
>>20984128
He's not very scientific but still extremely based for what he does.
>>
If Bicalutamide is fucking up my liver, should I just switch to spiro/another AA?
>>
>>20984201
I'd try E monotherapy injections. Avoids any AA and avoids any first pass through the liver stuff.
>>
>>20984162
Sounds about the same as crushing the pill between your teeth and putting the crumbs under your tongue
Anyways, thanks!
>>
It is OK for me to continue using aloe vera gels on my face as they are rich in b6?
>>
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What do I need to do to look like this when I'm 45?
>>
Any way I can pay for literally any order from any of these sites if I don't have burger bank account? Will PayPal work with my own shithole country currency (PLN)?
>>
if someone has used estrogen with a SERM and then stops use of the SERM, is their breast growth now limited?
>>
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Would 2x 100mcg weekly patches be enough for monotherapy if at least one of the patches was applied on the scrotum?
>>
>>20980149
Are the effects of HRT purely physical? And if they're not, would anyone be willing to tell me what the mental changes are like? Or maybe some sauce on where to find anecdotes on this.
>>
>>20987446
Most people say they cry more easily after going on HRT. The mental relief from no longer repressing can be lovely, I used to dissociate a lot and no longer on HRT.
>>
>>20987189
https://transfemscience.org/articles/genital-e2-patches/
>>
>>20987473
> I used to dissociate a lot and no longer on HRT.
Cuz of the HRT? Is that why you quit them, or was it other stuff as well?
I seriously doubt I'll get much 'mental relief' from no longer repressing, because; A: I don't repress the fact that I am female at all(apart from the fact that socially I obviously 'am male'[if I looked female, that would be a mental effect caused by physical change), and B: I practically have no hope(a slither), that I will pass, and that I will have to settle for being a feminine man(/femboi), which I don't mind at all, because even if I passed, the only thing that really changed was the preception of other people that were to be directed toward me, I'd still just be a man on estrogen.
Plus I like physical exercise and strength training so twinkmax sounds like it's going to keep me entertained.(I fucking refuse to bodybuild atm, trying to sculp my masculine body for aesthetics I R K S me. Also don't get me started on test-maxxing.) ty4reedbl0g
>>
>>20987473
also crying more easily (or just more, or more intense) sounds amazing
>>
>>20987814
You need to read my post again lol, I'm still on HRT. I'm not here to convince you to get on hrt, do what you want with your body, it's your body. I'm just sharing my own experiences with it.
>>
hey all I started my first dose 1 week ago... I'm scared shitless of family finding out. Realistically how much time do I have before the changes start becoming noticeable? I am planning moving out but I got no money and no job so I am talking to a social worker and a few lgbt center about helping me with housing. I am so scared that my transphobic mom and other hardcore catholic family members find out. Back in high school they found out I was doing "gay" stuff like putting dildoes up my ass and they forced me to see some priest dude who tried to brainwash me that what I was doing is wrong and that I'd be going to hell for it, I pretended to hear him but I never came out about being trans to anybody and stayed in the closet since then. I don't want that shit to happen again so I'm moving out.

Is anybody in the same situation? Any advice? I got no one else to talk to...
>>
>>20988297
depends on a variety of factors but potentially never
>>
>>20988297
>Realistically how much time do I have before the changes start becoming noticeable?
depends, but breasts may be visible in say 3-6mo... tho that's without a sweater or a sports bra (maybe a tight undershirt would work initially too).
for skin, it only takes a few months, but u can play that off as better skin care routine (exfoliation, etc).
those are really the most noticeable effects, other than say, smelling differently.

>Any advice?
Find a job, find a friend who has a place, or find both. Go to a job fair, apply for online jobs, try temp agencies, etc.
You could always use a couch surfing app if things get desperate.
Talk to the lgbt center people, and use those resources.
>>
>>20988501
>>20988348

Okay thank you so much. My social anxiety is so bad I can't work in social settings but I'll try to get some help from the center.
>>
is it possible to overdose from estrogen? some drugs if you do a lot they get really weird, like the cough medicines, i was wondering if i could start tripping if i took enough estrogen
>>
>>20980149
Shout out to that one time when they had contestants drink horse piss and horse jizz on Fear Factor and it ended up getting the show cancelled
>>
>>20989481
You might get stuff like hot flashes and such. Mostly it's just a long term risk for DVT if you do it continually.
>>
>>20989481
No, it won't get you high otherwise pregnant women would be high during most of the pregnancy.
>>
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If I start HRT before losing weight will it help keep my boobs from going away?

t. fat fuck
>>
>>20983946
googled them and they seem very sus
>>
hello, do I have to worry about taking hrt through TSA? taking a flight in about a week or so, I wouldn't think the vial of EEn itself will be an issue, mainly concerned about the needles. how have you all gotten your stuff through TSA? worst case I could just not bring any and buy some when I get there I guess
>>
>>20989797
i've flown internationally (and went through TSA) with a vial of EV and a set of needles/syringes before, no problem. just make sure they all go together, as they require that.
>>
>>20987446
>would anyone be willing to tell me what the mental changes are like
threw my cellphone against the wall and broke it 5 days after starting hrt 0/10 would not recommend stay manly man macho dude
in all seriousness, hormones influence your mood obviously so there's that.
>>
So what's the consensus on restarting breast growth after fucking up the regimen in the beginning?
I basically did like 2 months on pills, then 10 months on gel, then two years on injections with little to show for it. Is it like permanently fucked up or can something still be done?
Also how the fuck does my euro ass get EV pills anymore, jesus christ, aphrodites is always out of stock.
>>
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>>20980149
just tried my first order from otc after rupills shut down
received payment instructions by email, told me to send money via some WU-like sites. none worked, ended up paying with bitcoin. you can also pay with yandex money if you are in russia/have a friend from there
says russian post will be used but ill give seems feedback on that after i get the package
what a shame for rupills really. was a good supplier
>>
>>20992945
>what a shame for rupills really. was a good supplier
a damn shame honestly, was my favourite for a long time. i also went back to otc, they were my favourite before i found rupills. buy-pharm is also okay-ish, but i trust otc more. pilloid the other russian is just so so, their prices arent too impressive unfortunately.
>>
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>>20992979
desu the whole process was kinda sketch. i wanted to go through some third party payment processor in case i get scammed so i could get my money back, no way to do that with btc
^important because im trying to sneak in one last big order before the new rules on shipping in eu that will mean all packages need import tax and to be checked at the border, effective july 1st
i didnt have time to do a test order
what payment option do you use for otc?
>>
I just got my blood test results back and they said my bilirubin is a tiny bit high and my prolactin is high. I'm taking 4mg estro, 50mg cypro (now reduced to 25mg since my balls have shrunk enough). My doctor wants me to go off HRT for a month so they can get baseline prolactin to make sure I don't have some kind of tumour, but I'm pretty sure raised prolactin is just a thing cypro does. Should I put myself through the menopause just for a blood test, or is it nothing to worry about?
>>
>>20993231
>what payment option do you use for otc?
i used eth this time, but usually i prefer ltc or xmr. i just had some eth in my wallet so didnt care. i love crypto, always use it when i can.

>^important because im trying to sneak in one last big order before the new rules on shipping in eu that will mean all packages need import tax and to be checked at the border, effective july 1st
that sounds bad. what if its marked as a gift? may raise suspicions though idk
>>
>>20993231
>new rules on shipping in eu that will mean all packages need import tax and to be checked at the border, effective july 1st
oh my fucking GOD jesus fuck i hate existence so much
>>
>>20993571
Does this also apply to the UK oorrrr?
>>
>>20993639
Zero idea, I'm german. Fuck this entire continent to hell though, UK included.
>>
>>20993769
Agreed, I fucking hate living here but it's my only option.
>>
Is it important to take your AA sublingually? or is swallowing fine?
>>
>>20993796
Like if they hate us and don't want to pay for shit, can they like, let us fend for ourselves at least? Like what the fuck am I supposed to do if I don't have the mental fortitude needed for a year of jumping through dehumanizing bureaucratic hoops like a fucking circus animal and now can't buy my hrt from normal people? Neck myself?
>>
>>20993231
>^important because im trying to sneak in one last big order before the new rules on shipping in eu that will mean all packages need import tax and to be checked at the border, effective july 1st
i didnt have time to do a test order
I looked up the new law and found about the VAT, but nothing about checking. Source? If this is true this is so fucked I'm really scared rn
>>
if it helps, paying vat doesnt necessarily mean eveyr package ever will be opened.
>>
>>20993863
>I looked up the new law and found about the VAT, but nothing about checking. Source?
Same, also requesting source.
Not because I don't believe you, I just want to know how fucked I am.
Fuck these fucking nanny states honestly.
>>
>>20993859
That's essentially what they'd like, for us to just fade away or die in a corner somewhere. I do take some satisfaction from the fact that my mere existence is offensive to them though. I'm fueled by pure spite at this point.
>>
>>20993915
Yeah i dont care about politics but can the government please fuck off. What are we doing if this is true, just suffer?
>>
>>20993936
Does the US accept illegal immigrants from Germany? Asking for a friend.
>>
>>20994027
Not unless your surname is Lopez.
>>
hi guys, I have a query, I was on 6mg transdermal E pills but I'm trying to switch to patches, what kind of patch usage would I be looking at to carry on from 6mg pills/day?
>>
>>20994264
there is no such thing as transdermal pills so im confused
https://transfemscience.org/articles/e2-equivalent-doses/#table-of-comparable-estradiol-dosages

as for estrogen, we need darkweb vendors lol
>>
How the hell do I get rid of this little bubble? Ive tried a bunch of random shit but cant get it to go away... I dont think its harmful but it probably isnt ideal?
>>
>>20994673
its not a big deal i always have them. you're not doing IV, i just let the tiny bubble assist in pushing out the rest of the liquid.
>>
what are conjugated estrogens? are they useful for HRT or just a shitty method just as contraceptives?
>>
>>20994634
Oh shit I meant sublingual, not transdermal!
>>
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>>20993639
>>20993769
>>20993863
>>20993915
https://ec.europa.eu/taxation_customs/individuals/buying-goods-services-online-personal-use/buying-goods/buying-goods-online-coming-from-a-noneu-union-country_en
only thing i could find. the times i have ordered stuff above 22 euros i had to go to customs to get it, packages under that got in my mail directly. needs more research though...
>>
>>20996598
https://ec.europa.eu/taxation_customs/business/vat/modernising-vat-cross-border-ecommerce_en
this too about the new rules
>>
>>20985624
Anyone? I'm hopeless and don't get how I can pay for it
>>
>>20997091
yes you can usually order with a magnitude of payment options like paypal, western union, even crypto (which you can buy with paypal), or any visa/mastercard card
>>
I'm pretty autistic, please bear with me.

Okay, so I've been on diy hrt for nearly 11 months, and I haven't been putting much thought into it. I'm thinking I might've goofed. Is it okay that I've been just taking spiro & progy this whole time? Should I switch to something else? Can I just take them indefinitely?
>>
>>20997313
lmao
switch to bica and transdermal/injection E
your breast growth MIGHT be fucked already but better late than never when it comes to proper medication
>>
>>20997313
so you're only taking prog and spiro? any e?
what tanner stage u at?

>>20997346
why injections? u don't know which tanner stage they're at.
>>
>>20997346
Alright, thank you.
>transdermal
That's patches, right? Do you have recommendations? I doubt I could handle injections.
>>
>>20997313
Why are you only taking AA's?
>>
>>20997313
by progy do you mean progesterone or progynova?

just write out the name of your medication and your daily doses.
>>
>>20997667
Ah sorry, I'm taking progynova. Didn't intend to confuse; I hadn't heard the other referenced as that before. I'm taking this along with spiractin. My daily dose is: 100mg 2mg in the morning, 50mg mid day, 100mg 2mg at night. Also, I believe I'm at tanner 3 due to the bud spreading out.
>>
how suicide is it to go from 6mg oral to 10mg estradiol enanthate every 14 days, while still taking 2mg oral daily. at 10 months hrt?
>>
>>20997866
Why take 2mg oral in addition to your injections dosage? The addition Dr Powers uses it for is when the person has been on injections for years.
>>
>>20997890
idk keep estrone for titties?
>>
>>20997906
Estrone is important for early breast growth until Tanner 3. If you're not tanner 3 yet, you shouldn't be on injections yet, and if you are tanner 3 and going to take injections, you don't need the oral pill anymore.
>>
>>20997925
i suck at reading tanner charts so idk what my tits are at. i think they might be 3 but idk.
>>
>>20997931
Is there breast tissue besides the breast bud?
>>
>>20997936
like fatty tissue?
>>
>>20997953
Just breast tissue, you've felt titties other than yours right? Is there any tissue that feels like that that's besides the breast bud?
>>
>>20997966
yeah i mean it feels like a boob under the nipple part.

https://unsee dot cc/album#c0x0x0GNAafybnvs
>>
>>20998035
Yeah those are definitely tanner 3. Switch to injections, you don't need the oral pills in addition to the injections until years from now.
>>
>>20998114
alright tyvm for the help with that. well i'll switch over in a month and a half when i run out of oral pills. I'll also be doing Intramuscular injections in my arms. if that means anything.
>>
>>20998114
>you don't need the oral pills in addition to the injections until years from now.
they likely won't need it, unless growth stalls, because ERb and prog/prolactin receptors do most of the work post tanner 3.
although, sometimes, growth does stall and you need more ductal growth, and therefor more ERa expression; thus more estrone.
>>
>>20998114
>>20998262
well now thats squared away. would it be good to actually do 10mg/14 days or do otokonoko's recommended 15mg/14 days for monotherapy. because i do plan on dropping my anti androgen when i run out which is cypro. i should have about 3 months of cypro left after i switch to injections.
>>
>>20999239
goal is a trough value of ~200pg/ml, bcs at those lvls t is suppressed by ~90% at your trough (more for non-trough lvls).
see chart, 10mg/14days EE follows this.
additional reading:
https://transfemscience.org/articles/estradiol-enanthate-homebrew/
>>
>>21000052
further, you can alter you dosage afterwards based on labs (tested at your trough, ofc, or as close to your next dose as possible)
>>
>>21000052
funny i actually meant to post that chart. with my post but forgot but yeah i guess i'll read it
>>
>>21000077
okay yeah that makes logic. just wish tests were cheaper lmao.
>>
Has anybody ordered from united pharmacies uk recently? How long did your order take to arrive?
I'm moving in 3 weeks time and idk if I could order it to where I currently am



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