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Advice for 3 years on hrt, looking for options
#11

(12-02-2026, 02:02 PM)TheScrungler Wrote:  I would put on 40kg if it would mean i could look like you in a heartbeat!! I just don't think my body look good heavier Sad I wish it did. maybe I'll try putting on 5kg and report back.

I'll try searching that way, thanks.

Awww, thank you. Hug

I have certainly lucked out on fat distribution. Yea try it, you haven't been on HRT for long, three years does only a fraction of ther changes you'll get. You can bet that a lot will happen during first ten years which is about the time it takes to renew all soft tissues. And of course the slow body changes will continue for the rest of your life. Nothing is too late or lost, its the opposite. I've been on HRT for less than five years and I'm two decades older that you, you'll be still getting slow gradual changes by the time my body is pushing daisies. Big Grin

You should take time to read about how adipogenesis works, about the genes and protein chains involved in that work. I could soon repost the material I have on about use of Pioglitazone for boosting feminising effects of HRT. There's a ton of information to absorb and you're in very advantageous situation, its great timing to make the best out of the body changes you'll go through.
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#12

Hello TheScrungler,

Welcome to the forum!  Wink

In regards to your unhappiness with breast development, have you had your bloodwork checked recently to ensure your hormone levels are at a good point? If you had to, how would you feel about switching to a different form of HRT such as estradiol injections?

I was on mirtazapine for depression years ago. It also increased my appetite. I didn't like that side-effect so I went cold turkey on it. It's good to hear it's working for your mental health.
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#13

(12-02-2026, 08:21 PM)flamesabers Wrote:  Hello TheScrungler,

Welcome to the forum!  Wink

In regards to your unhappiness with breast development, have you had your bloodwork checked recently to ensure your hormone levels are at a good point? If you had to, how would you feel about switching to a different form of HRT such as estradiol injections?

I was on mirtazapine for depression years ago. It also increased my appetite. I didn't like that side-effect so I went cold turkey on it. It's good to hear it's working for your mental health.
Nice to meet you!
These were my most recent blood test results, taken 09/09/25. They look fine to me, but I'll share it here incase something  stands out.
 I'll probably get them tested again soon. 

I would be willing to try swapping to injections, but my current doctor doesn't like prescribing injections because she feels they don't add a meaningful benefit for the cost. In Aus, I can only get the weekly injections too, and I've heard the quality control is not high. So I'd have to go grey market, and I haven't thought itd have a big enough impact for the effort.. Do you think it would?


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#14

welcome to the forum <3 i'm not an expert, i'm just beginning my path on hrt, but i've read many times that the balance between estrogen and progesterone plays a lot into how the breasts form and develop. but i'm not going to give any advice on that, since there are a LOT of opinions on when to start progesterone, and what effect does it have, and i simply can't say anything coming from experience or deep knowledge. best to read and ask different opinions and try to figure out what works in your case.

regarding the search function, it's pretty bad when it comes to what it can find, and also time-limited. i use regular search engines (like google or whatever) like this: "site:breastnexum.com acorns" -> first hit is Tanya's thread. and that's not time limited either, so it's a lot more useful than the inbuilt function.
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#15

Go on injections the first moment you can, its called the gold standard in HRT for a reason. Go for EV obiweekly, or EEn once a week and get your levels high enough. WPATH and other such protocols use too low levels to have an impact on a lot of people. This I think is one of the main reasons why many trans women fail to achieve decent body changes. SImply put, too little estrogens or inefficient methods of admin.

Injections and implant absolutely win everything else. There is no contest there. Its obvious.

Another is lack of a good blocker, but you were on Cypro if I remember correctly, that's good and tiny amount is enough to suppress T so that's not a problem.

Getting on prog early and boofing it is the best way to deal with it. The schoos of thought when to start are just that, opinions and ideas without a definitive proof of one system fitting all. I started quite early and I haven't regretted it. People often hesitate or their doctors just do not prescribe good enough HRT, the slow ramp up which takes ages and is barely efficient islargely unnecessary. Also many doctors are citing old studies based on non bioidentical HRT which is a totally different beast than what almost everybody is on these days.
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#16

Hello TheScrungler,

I think you're right about your bloodwork.

As far as switching to injections, for me, it wasn't until I switched to injections  that I started to get more noticeable results (compared to when I was on oral E). I agree that injections are regarded as the gold standard for HRT. 

Could you specify more on your doctor's reluctance to prescribing injections? (in regards to "not adding a meaningful benefit for the cost"). Is she referring to the monetary cost or something else?

What options would you have for injections? Estradiol Valerate? I'm currently on estradiol cypionate and I do injections weekly (originally I started with biweekly).
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#17

It's alright to revert to herbal if there are problems with pharma just don't use both at the same time. 
Personally when I started pharma and went on the pill I was very, very dissapointed, only when I went onto Evra patches things seemed to kick into overdrive for me but although I had amazing results on patches I did after a while develop an allergic reaction to those patches. (Picture attached) im now back onto pm hoping that I can use patches again sometime in the future. MOST important is to have your doctor check your hormone levels and monitor you, even if you self medicate its very, very important to be honest with your doctor and receive proper medical support. I'm writing this as a general thing not aimed at you or anybody but for those who do. I'm one of those, my doc f-king hates me, but hey
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#18

(13-02-2026, 03:53 PM)flamesabers Wrote:  Hello TheScrungler,

I think you're right about your bloodwork.

As far as switching to injections, for me, it wasn't until I switched to injections  that I started to get more noticeable results (compared to when I was on oral E). I agree that injections are regarded as the gold standard for HRT. 

Could you specify more on your doctor's reluctance to prescribing injections? (in regards to "not adding a meaningful benefit for the cost"). Is she referring to the monetary cost or something else?

What options would you have for injections? Estradiol Valerate? I'm currently on estradiol cypionate and I do injections weekly (originally I started with biweekly).
I believe my doctor's reluctance to prescribing injections is based on her personal experience, and nothing else. if you don't mind me asking, what results did you notice? the biggest fear for me is simply the risk associated with needles. When did you swap? 
I'm considering swapping to the slow release pellet to circumnavigate this. Was learning to inject yourself weekly a pain?

EV is the only injections available here via doctors, but I've heard the quality can vary so I could get it via grey market instead? unsure! would love thoughts
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#19

For me, the most measurable result of being on injections was reaching cis female hormone levels. I also had a bit more feminization with my facial features. (Prior to starting on any form of HRT, I was on PM for about 9 years, which helped to trigger some breast development. I stopped PM once I started taking HRT). 

I switched to injections on December 15, 2022. 

Learning to inject myself wasn't a pain. I went to a local clinic, and one of the nurses taught me how to do injections. (I didn't have any prior experience with injecting with medication).

So long as you get your injections from reputable sources, I'm a bit puzzled why quality of the product would be an issue. I never used EV, I've only been on estradiol cypionate (here in the US) and I never had issues with quality of the product.
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#20

No herbal stuff will ever replace what NBE boosted conventional HRT can do. That's just nonsense, especially about plant estrogens,nothing comes close and often comes with issues of its own.

If there's any trouble getting prescirptions, just go DIY, there are sources for arranging that. If you can pick from the top shelf, don't bother with stuff which wont do much anything.
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