HRT

While Hormone Replacement Therapy (HRT) is one, and often considered the most, part of a transition, many transitioning people not only tolerate HRT, their body change significantly to even dramatically over months to years on it.

But some have issues if not problems with it as their body requires a very narrow range of hormone levels to work, meaning their estrogen levels can't go higher than their normal and their testosterone levels can't go much lower than their normal level.

If they change those levels outside the range, their body revolts from physical problems to mental problems, including excerbating some inherent problems, especially those prone to depression. This is true for estradoil in any form.

It's why some transitiong people have to find alternative routes, from surgeries to just living with what their body allows. So, don't judge someone who doesn't look like their transitioning and isn't on HRT, and don't tell them they're not real or serious about it because they're not on HRT.

They can't and you shouldn't.