Some Good Advice

To all pre- and early-HRT (Hormone Replacement Therapy) women,

Do yourself the biggest favor of your life, take HRT under the care of a trans-experienced physician or endrochronologist who will recommend if not require routine blood tests, every 4-6 months to start and annually after that. It can and will save your life.

But more importantly monitor your phsical and mental health once you start for several reasons, but mostly because these are powerful drugs, especially on younger people, but while less so with older people, the side effects can be worse from age.

The reason is that despite all the personal stories and experiences you hear, read or know of others who are transitioning or have transitioned, your reaction and result will be different, which is a result of your genetic makeup.

This is because Spironolactone depresses the body's metabolism which is in part why you gain weight and fat and lose muscle. You should find a way to stay fit for your body type and age, which means changing to exercise which uses muscles than builds them, to use up the fat your body will want to add.

This is also because Spironolactone can excerbate feeling excessively tired if they struggle to maintain any reasonable level of activity or fitness. And it will be harder to come back to your former health and fitness. This is why you should monitor you overall energy and activity level.

This is because Estradiol will have a range of mental and emotional effects on the individual. This is good for the positive effects and key if you are susceptible to depression when and where Estradiol can excerbate depression or other mental or emotional conditions.

The effects Estradiol will take time, slowly affecting the person where weeks or months later it become obvious and it will take time to recover once you reduce the dosage or stop altogether, which is what you should consider doing to avoid worsening effects.

This is why you need to monitor both your body and your mind. It doesn't matter what your goal is with your transition, it's not worth trashing your physical and mental health and fitness in the process. The physician should prioritize your transition in order as your life, your health, your fitness and then your transition.

Without the first three, a transition won't succeed. You may get through it but what and who will you be then, less healthly, less fit and with what kind of life? You have time with your transition to get through it with your health, fitness and the life you want to live into the future.

Take care of yourself first, HRT can and should fit into it. It's your life, make it worth it.