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<head> <head>
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<title>DIY HRT Directory | Telehealth</title> <title>DIY HRT Directory | Telehealth</title>
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<h1>Telehealth</h1> <h1>Telehealth</h1>
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<h2>Telehealth</h2> <br> <h2>Telehealth</h2> <br>
<h4> Last updated May 2023 </a> <h4> Last updated May 2023 </a>
</h4> </h4>
<p>These are legitimate, regulated telehealth services for people in the USA who want access to prescribed HRT <p>These are legitimate, regulated telehealth services for people in the USA who want access to prescribed HRT
by a by a
medical professional. These methods of obtaining HRT are only available to people who are above the age of medical professional. These methods of obtaining HRT are only available to people who are above the age of
18 18
and residing in the USA (with the exception of GenderGP). </p> and residing in the USA (with the exception of GenderGP). </p>
<h6>Authors Note:</h6> <h6>Authors Note:</h6>
<p><i> <p><i>
</i> </i>
If your preferred provider doesn't cover the cost of medications, check out If your preferred provider doesn't cover the cost of medications, check out
<a href="https://www.goodrx.com/" target="_blank" rel="noopener noreferrer">goodrx.com</a>, <a href="https://www.goodrx.com/"
target="_blank"
rel="noopener noreferrer">goodrx.com</a>,
a completely free, no strings attached way to get coupons for prescription drugs. (Only available to people a completely free, no strings attached way to get coupons for prescription drugs. (Only available to people
residing in America.) <a href="https://costplusdrugs.com/medications/" target="_blank">Cost Plus Drugs</a> is also a good USA source residing in America.) <a
href="https://costplusdrugs.com/medications/" target="_blank">Cost Plus Drugs</a> is also a good USA source
for affordable, prescription medications that are shipped to you, with a doctor's prescription. for affordable, prescription medications that are shipped to you, with a doctor's prescription.
</p> </p>
<h5>QueerDoc • <a href="https://queerdoc.com/" target="_blank" rel="noopener noreferrer">queerdoc.com</a></h5> <h5>QueerDoc • <a href="https://queerdoc.com/" target="_blank" rel="noopener noreferrer">queerdoc.com</a></h5>
<p> <p>
QueerDoc is a new informed consent service that operates through an online telehealth model. It's only QueerDoc is a new informed consent service that operates through an online telehealth model. It's only
@ -82,7 +110,8 @@ states.
The cost does not include the cost of prescriptions. Also offers a once-payment surgery referral letter The cost does not include the cost of prescriptions. Also offers a once-payment surgery referral letter
service. service.
</p> </p>
<h5>TrueUClinic • <a href="https://trueuclinic.com/" target="_blank" rel="noopener noreferrer">trueuclinic.com</a> <h5>TrueUClinic • <a href="https://trueuclinic.com/" target="_blank"
rel="noopener noreferrer">trueuclinic.com</a>
</h5> </h5>
<p> <p>
The TrueUClinic offers a similar service. It's available in several states in the USA. Cost for the first The TrueUClinic offers a similar service. It's available in several states in the USA. Cost for the first
@ -97,7 +126,8 @@ the
cost is $120 a month, afterwards is $60/month. The medication will be shipped to your home.<br> cost is $120 a month, afterwards is $60/month. The medication will be shipped to your home.<br>
This is a very new company. Injections and antiandrogens cost extra. This is a very new company. Injections and antiandrogens cost extra.
</p> </p>
<h5>GenderGP • <a href="https://www.gendergp.com/" target="_blank" rel="noopener noreferrer">www.gendergp.com</a> <h5>GenderGP • <a href="https://www.gendergp.com/" target="_blank"
rel="noopener noreferrer">www.gendergp.com</a>
</h5> </h5>
<p> <p>
GenderGP is a virtual clinic service that serves people internationally, but is very popular in the UK. GenderGP is a virtual clinic service that serves people internationally, but is very popular in the UK.
@ -108,9 +138,10 @@ complicated than other virtual clinic services. They have been known to prescrib
low low
doses. doses.
</p> </p>
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<h2>Blood tests (transfem)</h2> <br> <h2>Blood tests (transfem)</h2> <br>
<h4> Last updated March 2022 </a> <h4> Last updated March 2022 </a>
</h4> </h4>
<h6>Most important: Aim for testosterone levels <50ng/dL and estradiol levels >100pg/mL</h6> <h6>Most important: Aim for testosterone levels <50ng/dL and estradiol levels >100pg/mL</h6>
<h6>Estradiol monotherapy</h6> <h6>Estradiol monotherapy</h6>
<p> <p>
Critical every time: E2, T<br> Critical every time: E2, T<br>
@ -92,9 +107,10 @@ cortisol, fasting glucose or A1C
<li>Health conditions or meds may necessitate extra tests - ask us</li> <li>Health conditions or meds may necessitate extra tests - ask us</li>
<li>I generally prefer bloods taken at trough, i.e. right before you'd normally take your next dose</li> <li>I generally prefer bloods taken at trough, i.e. right before you'd normally take your next dose</li>
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<h3>Injection Supplies</h3> <h3>Injection Supplies</h3>
@ -75,6 +97,7 @@
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<h2>Injection Supplies</h2> <br> <h2>Injection Supplies</h2> <br>
<h4> Last updated May 2023 <h4> Last updated May 2023
<p> <p>
Note: All the links for injection needles are for 1 inch needles intended for intramuscular injection. Please Note: All the links for injection needles are for 1 inch needles intended for intramuscular injection. Please
consider using 0.5 inch needles if you wish to inject subcutaneously. Please remember to dispose of needles in a sharps box or sturdy plastic container for safety. consider using 0.5 inch needles if you wish to inject subcutaneously. Please remember to dispose of needles in a sharps box or sturdy plastic container for safety.
We recommend 21 to 23 gauge needles for drawing instead of the standard 18g because it reduces vial coring.<br> We recommend 21 to 23 gauge needles for drawing instead of the standard 18g because it reduces vial coring.<br>
<div class="notes"> <div class="notes">
<h1>📝 Contents: </h1> <h1>📝 Contents: </h1>
<li><a href="injectionsupplies.html#usa">USA</a></li> <li><a href="injectionsupplies.html#usa">USA</a></li>
@ -57,77 +71,98 @@ We recommend 21 to 23 gauge needles for drawing instead of the standard 18g beca
<li><a href="injectionsupplies.html#france">France</a></li> <li><a href="injectionsupplies.html#france">France</a></li>
<br> <br>
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<a id="usa"></a> <a id="usa"></a>
<h5>USA</h5> <h5>USA</h5>
<p> <p>
100 pack of 1mL syringes:<br> 100 pack of 1mL syringes:<br>
<a href="https://www.amazon.com/1ml-Syringe-Sterile-Luer-Slip/dp/B07BQDRDC2/" target="_blank" rel="noopener noreferrer">https://www.amazon.com/1ml-Syringe-Sterile-Luer-Slip/dp/B07BQDRDC2/</a> <a href="https://www.amazon.com/1ml-Syringe-Sterile-Luer-Slip/dp/B07BQDRDC2/" target="_blank"
rel="noopener noreferrer">https://www.amazon.com/1ml-Syringe-Sterile-Luer-Slip/dp/B07BQDRDC2/</a>
<br><br> <br><br>
100 pack of 1 inch 25g injection needles:<br> 100 pack of 1 inch 25g injection needles:<br>
<a href="https://www.amazon.com/SHAOTONG-Luer-Lock-Accessories-100Pcs-25G-Long/dp/B09XPTJMF8/" target="_blank" rel="noopener noreferrer">https://www.amazon.com/Careach-100PCS-Syringe-Needles-Needle16G/dp/B0B5Z5GZ6Q</a> <a href="https://www.amazon.com/SHAOTONG-Luer-Lock-Accessories-100Pcs-25G-Long/dp/B09XPTJMF8/" target="_blank"
rel="noopener noreferrer">https://www.amazon.com/Careach-100PCS-Syringe-Needles-Needle16G/dp/B0B5Z5GZ6Q</a>
<br><br> <br><br>
100 pack of 1.5 inch 21g DRAWING needles <b>(don't inject with these!)</b>:<br> 100 pack of 1.5 inch 21g DRAWING needles <b>(don't inject with these!)</b>:<br>
<a href="https://www.amazon.com/Careach-100PCS-Syringe-Needles-Needle16G/dp/B0B5YZD3P4" target="_blank" rel="noopener noreferrer">https://www.amazon.com/Careach-100PCS-Syringe-Needles-Needle16G/dp/B0B5YZD3P4</a> <a href="https://www.amazon.com/Careach-100PCS-Syringe-Needles-Needle16G/dp/B0B5YZD3P4"
target="_blank" rel="noopener noreferrer">https://www.amazon.com/Careach-100PCS-Syringe-Needles-Needle16G/dp/B0B5YZD3P4</a>
<br><br> <br><br>
200 pack of alcohol prep pads:<br> 200 pack of alcohol prep pads:<br>
<a href="https://www.amazon.com/Dynarex-Alcohol-Prep-Sterile-Medium/dp/B005BFL0RQ/" target="_blank" rel="noopener noreferrer">https://www.amazon.com/Dynarex-Alcohol-Prep-Sterile-Medium/dp/B005BFL0RQ/</a> <a href="https://www.amazon.com/Dynarex-Alcohol-Prep-Sterile-Medium/dp/B005BFL0RQ/" target="_blank"
rel="noopener noreferrer">https://www.amazon.com/Dynarex-Alcohol-Prep-Sterile-Medium/dp/B005BFL0RQ/</a>
<br><br>USA needles sources from Amazon may have disclaimers about not being suitible for human use, but these are <br><br>USA needles sources from Amazon may have disclaimers about not being suitible for human use, but these are
just to skirt around the rules Amazon has against selling medical supplies. All needles are guaranteed to be safe for human injection use.</a> just to skirt around the rules Amazon has against selling medical supplies. All needles are guaranteed to be safe for human injection use.</a>
</p> </p>
<a id="canada"></a> <a id="canada"></a>
<h5>Canada</h5> <h5>Canada</h5>
<p> <p>
200 pack of 1mL syringes:<br> 200 pack of 1mL syringes:<br>
<a href="https://c6.ca/collections/syringes-blood-draw/products/1ml-sol-m%E2%84%A2-syringe-luer-lock" target="_blank" rel="noopener noreferrer">https://c6.ca/collections/syringes-blood-draw/products/1ml-sol-m%E2%84%A2-syringe-luer-lock</a> <a href="https://c6.ca/collections/syringes-blood-draw/products/1ml-sol-m%E2%84%A2-syringe-luer-lock" target="_blank"
rel="noopener noreferrer">https://c6.ca/collections/syringes-blood-draw/products/1ml-sol-m%E2%84%A2-syringe-luer-lock</a>
<br><br> <br><br>
100 pack of 1.5 inch 22g needles for drawing out liquid (not recommended for injecting):<br> 100 pack of 1.5 inch 22g needles for drawing out liquid (not recommended for injecting):<br>
<a href="https://c6.ca/products/22g-x-1-1-2-sol-m%E2%84%A2-hypodermic-needle-100-per-box" target="_blank" rel="noopener noreferrer">https://c6.ca/products/22g-x-1-1-2-sol-m%E2%84%A2-hypodermic-needle-100-per-box</a> <a href="https://c6.ca/products/22g-x-1-1-2-sol-m%E2%84%A2-hypodermic-needle-100-per-box"
target="_blank" rel="noopener noreferrer">https://c6.ca/products/22g-x-1-1-2-sol-m%E2%84%A2-hypodermic-needle-100-per-box</a>
<br><br> <br><br>
100 pack of 1 inch 25g needles for injecting:<br> 100 pack of 1 inch 25g needles for injecting:<br>
<a href="https://c6.ca/products/25g-x-1-sol-m%E2%84%A2-hypodermic-needle-100-per-box" target="_blank" rel="noopener noreferrer">https://c6.ca/products/25g-x-1-sol-m%E2%84%A2-hypodermic-needle-100-per-box</a> <a href="https://c6.ca/products/25g-x-1-sol-m%E2%84%A2-hypodermic-needle-100-per-box"
target="_blank" rel="noopener noreferrer">https://c6.ca/products/25g-x-1-sol-m%E2%84%A2-hypodermic-needle-100-per-box</a>
<br><br> <br><br>
200 pack of alcohol prep pads for sanitizing top of your vial/injection site:<br> 200 pack of alcohol prep pads for sanitizing top of your vial/injection site:<br>
<a href="https://c6.ca/products/kasel-antiseptic-prep-pads" target="_blank" rel="noopener noreferrer">https://c6.ca/products/kasel-antiseptic-prep-pads</a> <a href="https://c6.ca/products/kasel-antiseptic-prep-pads" target="_blank" rel="noopener noreferrer">https://c6.ca/products/kasel-antiseptic-prep-pads</a>
<br><br> <br><br>
Optional: 50 pack of bandages:<br> Optional: 50 pack of bandages:<br>
<a href="https://c6.ca/products/curity-fabric-bandages-various-sizes" target="_blank" rel="noopener noreferrer">https://c6.ca/products/curity-fabric-bandages-various-sizes</a> <a href="https://c6.ca/products/curity-fabric-bandages-various-sizes"
target="_blank" rel="noopener noreferrer">https://c6.ca/products/curity-fabric-bandages-various-sizes</a>
<p> <br><b>Alternate sources:</b><br> <p> <br><b>Alternate sources:</b><br>
200 pack of 1mL syringes:<br> 200 pack of 1mL syringes:<br>
<a href="https://lifesupply.ca/bd-309659-slip-tip-sterile-plastic-syringe-1cc-bx-200/" target="_blank" rel="noopener noreferrer">https://lifesupply.ca/bd-309659-slip-tip-sterile-plastic-syringe-1cc-bx-200/</a> <a href="https://lifesupply.ca/bd-309659-slip-tip-sterile-plastic-syringe-1cc-bx-200/" target="_blank"
rel="noopener noreferrer">https://lifesupply.ca/bd-309659-slip-tip-sterile-plastic-syringe-1cc-bx-200/</a>
<br><br> <br><br>
100 pack of 1.5 inch 20g needles for drawing out liquid (not recommended for injecting):<br> 100 pack of 1.5 inch 20g needles for drawing out liquid (not recommended for injecting):<br>
<a href="https://lifesupply.ca/bd-305176-precisionglide-conventional-needle-sterile-regular-bevel-20g-x-33mm-1-5-100-bx-box/" target="_blank" rel="noopener noreferrer">https://lifesupply.ca/bd-305176-precisionglide-conventional-needle-sterile-regular-bevel-20g-x-33mm-1-5-100-bx-box/</a> <a href="https://lifesupply.ca/bd-305176-precisionglide-conventional-needle-sterile-regular-bevel-20g-x-33mm-1-5-100-bx-box/"
target="_blank" rel="noopener noreferrer">https://lifesupply.ca/bd-305176-precisionglide-conventional-needle-sterile-regular-bevel-20g-x-33mm-1-5-100-bx-box/</a>
<br><br> <br><br>
100 pack of 1 inch 25g needles for injecting:<br> 100 pack of 1 inch 25g needles for injecting:<br>
<a href="https://lifesupply.ca/bd-305125-precisionglide-sterile-conventional-needle-blue-regular-wall-25g-x-25mm-1-100-bx/" target="_blank" rel="noopener noreferrer">https://lifesupply.ca/bd-305125-precisionglide-sterile-conventional-needle-blue-regular-wall-25g-x-25mm-1-100-bx/</a> <a href="https://lifesupply.ca/bd-305125-precisionglide-sterile-conventional-needle-blue-regular-wall-25g-x-25mm-1-100-bx/"
target="_blank" rel="noopener noreferrer">https://lifesupply.ca/bd-305125-precisionglide-sterile-conventional-needle-blue-regular-wall-25g-x-25mm-1-100-bx/</a>
<br><br> <br><br>
200 pack of alcohol prep pads for sanitizing top of your vial/injection site:<br> 200 pack of alcohol prep pads for sanitizing top of your vial/injection site:<br>
<a href="https://lifesupply.ca/bd-326910-alcohol-swab-bx-100/" target="_blank" rel="noopener noreferrer">https://lifesupply.ca/bd-326910-alcohol-swab-bx-100/</a> <a href="https://lifesupply.ca/bd-326910-alcohol-swab-bx-100/" target="_blank" rel="noopener noreferrer">https://lifesupply.ca/bd-326910-alcohol-swab-bx-100/</a>
<br><br> <br><br>
Optional: 50 pack of bandages:<br> Optional: 50 pack of bandages:<br>
<a href="https://lifesupply.ca/amg-018-600-medpro-sterilized-adhesive-plastic-bandages-3-4-x-3-100-bx/" target="_blank" rel="noopener noreferrer">https://lifesupply.ca/amg-018-600-medpro-sterilized-adhesive-plastic-bandages-3-4-x-3-100-bx/</a> <a href="https://lifesupply.ca/amg-018-600-medpro-sterilized-adhesive-plastic-bandages-3-4-x-3-100-bx/"
target="_blank" rel="noopener noreferrer">https://lifesupply.ca/amg-018-600-medpro-sterilized-adhesive-plastic-bandages-3-4-x-3-100-bx/</a>
</p> </p>
</p> </p>
<a id="australia"></a> <a id="australia"></a>
<h5>Australia</h5> <h5>Australia</h5>
<p> <p>
100 pack of 1mL syringes (either link is fine):<br> 100 pack of 1mL syringes (either link is fine):<br>
<a href="https://www.medshop.com.au/products/bd-syringes" target="_blank" rel="noopener noreferrer">https://www.medshop.com.au/products/bd-syringes</a><br> <a href="https://www.medshop.com.au/products/bd-syringes" target="_blank" rel="noopener noreferrer">https://www.medshop.com.au/products/bd-syringes</a><br>
<a href="https://www.medshop.com.au/products/terumo-hypodermic-syringe" target="_blank" rel="noopener noreferrer">https://www.medshop.com.au/products/terumo-hypodermic-syringe</a><br> <a href="https://www.medshop.com.au/products/terumo-hypodermic-syringe" target="_blank"
rel="noopener noreferrer">https://www.medshop.com.au/products/terumo-hypodermic-syringe</a><br>
(choose 1mL luer lock or luer slip syringes) (choose 1mL luer lock or luer slip syringes)
<br><br> <br><br>
100 pack of 1.5 inch 21g needles for drawing out liquid (not recommended for injecting):<br> 100 pack of 1.5 inch 21g needles for drawing out liquid (not recommended for injecting):<br>
<a href="https://www.medshop.com.au/products/terumo-agani-hypodermic-needle?variant=30252754894946" target="_blank" rel="noopener noreferrer">https://www.medshop.com.au/products/terumo-agani-hypodermic-needle?variant=30252754894946</a> <a href="https://www.medshop.com.au/products/terumo-agani-hypodermic-needle?variant=30252754894946"
target="_blank" rel="noopener noreferrer">https://www.medshop.com.au/products/terumo-agani-hypodermic-needle?variant=30252754894946</a>
<br><br> <br><br>
100 pack of 1 inch 25g needles for injecting:<br> 100 pack of 1 inch 25g needles for injecting:<br>
<a href="https://www.medshop.com.au/products/terumo-agani-hypodermic-needle?variant=30252755189858" target="_blank" rel="noopener noreferrer">https://www.medshop.com.au/products/terumo-agani-hypodermic-needle?variant=30252755189858</a> <a href="https://www.medshop.com.au/products/terumo-agani-hypodermic-needle?variant=30252755189858"
target="_blank" rel="noopener noreferrer">https://www.medshop.com.au/products/terumo-agani-hypodermic-needle?variant=30252755189858</a>
<br><br> <br><br>
200 pack of alcohol prep pads for sanitizing top of your vial/injection site:<br> 200 pack of alcohol prep pads for sanitizing top of your vial/injection site:<br>
<a href="https://www.medshop.com.au/products/sentry-alcohol-swabs" target="_blank" rel="noopener noreferrer">https://www.medshop.com.au/products/sentry-alcohol-swabs</a> <a href="https://www.medshop.com.au/products/sentry-alcohol-swabs" target="_blank" rel="noopener noreferrer">https://www.medshop.com.au/products/sentry-alcohol-swabs</a>
<br><br> <br><br>
Optional: 50 pack of bandages:<br> Optional: 50 pack of bandages:<br>
<a href="https://www.medshop.com.au/products/bsn-medical-coverplast-standard" target="_blank" rel="noopener noreferrer">https://www.medshop.com.au/products/bsn-medical-coverplast-standard</a> <a href="https://www.medshop.com.au/products/bsn-medical-coverplast-standard" target="_blank"
rel="noopener noreferrer">https://www.medshop.com.au/products/bsn-medical-coverplast-standard</a>
</p> </p>
<a id="uk"></a> <a id="uk"></a>
<h5>UK</h5> <h5>UK</h5>
<p> <p>
@ -135,30 +170,39 @@ Optional: 50 pack of bandages:<br>
<a href="https://www.exchangesupplies.org/shopdisp_UX1L.php" target="_blank" rel="noopener noreferrer">https://www.exchangesupplies.org/shopdisp_UX1L.php</a> <a href="https://www.exchangesupplies.org/shopdisp_UX1L.php" target="_blank" rel="noopener noreferrer">https://www.exchangesupplies.org/shopdisp_UX1L.php</a>
<br><br> <br><br>
100 pack of 1.5 inch 22g needles for drawing out liquid (not recommended for injecting):<br> 100 pack of 1.5 inch 22g needles for drawing out liquid (not recommended for injecting):<br>
<a href="https://www.exchangesupplies.org/shopdisp_terumo_agani_black_22_gauge_38mm_needle.php" target="_blank" rel="noopener noreferrer">https://www.exchangesupplies.org/shopdisp_terumo_agani_black_22_gauge_38mm_needle.php</a> <a href="https://www.exchangesupplies.org/shopdisp_terumo_agani_black_22_gauge_38mm_needle.php" target="_blank"
rel="noopener noreferrer">https://www.exchangesupplies.org/shopdisp_terumo_agani_black_22_gauge_38mm_needle.php</a>
<br><br> <br><br>
100 pack of 1 inch 25g needles for injecting:<br> 100 pack of 1 inch 25g needles for injecting:<br>
<a href="https://www.exchangesupplies.org/shopdisp_orange_total_dose_25mm_low_dead_space_needle.php" target="_blank" rel="noopener noreferrer">https://www.exchangesupplies.org/shopdisp_orange_total_dose_25mm_low_dead_space_needle.php</a> <a href="https://www.exchangesupplies.org/shopdisp_orange_total_dose_25mm_low_dead_space_needle.php"
target="_blank" rel="noopener noreferrer">https://www.exchangesupplies.org/shopdisp_orange_total_dose_25mm_low_dead_space_needle.php</a>
<br><br> <br><br>
100 pack of alcohol prep pads for sanitizing top of your vial/injection site:<br> 100 pack of alcohol prep pads for sanitizing top of your vial/injection site:<br>
<a href="https://www.exchangesupplies.org/shopdisp_pre_injection_alcohol_swabs.php" target="_blank" rel="noopener noreferrer">https://www.exchangesupplies.org/shopdisp_pre_injection_alcohol_swabs.php</a> <a href="https://www.exchangesupplies.org/shopdisp_pre_injection_alcohol_swabs.php" target="_blank"
rel="noopener noreferrer">https://www.exchangesupplies.org/shopdisp_pre_injection_alcohol_swabs.php</a>
<br><br> <br><br>
Bandages can be found at any pharmacy/grocery store and many online stores like Amazon (optional):<br> Bandages can be found at any pharmacy/grocery store and many online stores like Amazon (optional):<br>
<a href="https://www.amazon.co.uk/Band-Aid-Comfort-Flex-Adhesive-Bandages-Plastic-60Ct-Family/dp/B005N4PAOY/" target="_blank" rel="noopener noreferrer">https://www.amazon.co.uk/Band-Aid-Comfort-Flex-Adhesive-Bandages-Plastic-60Ct-Family/dp/B005N4PAOY/</a> <a href="https://www.amazon.co.uk/Band-Aid-Comfort-Flex-Adhesive-Bandages-Plastic-60Ct-Family/dp/B005N4PAOY/"
target="_blank" rel="noopener noreferrer">https://www.amazon.co.uk/Band-Aid-Comfort-Flex-Adhesive-Bandages-Plastic-60Ct-Family/dp/B005N4PAOY/</a>
(60 count) (60 count)
</p> </p>
<a id="sweden"></a> <a id="sweden"></a>
<h5>Sweden</h5> <h5>Sweden</h5>
<p> <p>
100 pack of 1mL luer slip syringes:<br> 100 pack of 1mL luer slip syringes:<br>
<a href="https://www.med24.se/sjukskoeterskeartiklar/sprutor/kd-ject-iii-spruta-3-k-1ml-ls-centrisk-grad-0-01ml-100-st" target="_blank" rel="noopener noreferrer">https://www.med24.se/sjukskoeterskeartiklar/sprutor/kd-ject-iii-spruta-3-k-1ml-ls-centrisk-grad-0-01ml-100-st</a> <a href="https://www.med24.se/sjukskoeterskeartiklar/sprutor/kd-ject-iii-spruta-3-k-1ml-ls-centrisk-grad-0-01ml-100-st"
target="_blank" rel="noopener noreferrer">https://www.med24.se/sjukskoeterskeartiklar/sprutor/kd-ject-iii-spruta-3-k-1ml-ls-centrisk-grad-0-01ml-100-st</a>
<br><br> <br><br>
100 pack of 1.5 inch 21g needles for drawing out liquid (not recommended for injecting):<br> 100 pack of 1.5 inch 21g needles for drawing out liquid (not recommended for injecting):<br>
<a href="https://www.med24.se/sjukskoeterskeartiklar/kanyler/kd-fine-kanyler-21g-x-1-0-80x40-mm-groen-100-st" target="_blank" rel="noopener noreferrer">https://www.med24.se/sjukskoeterskeartiklar/kanyler/kd-fine-kanyler-21g-x-1-0-80x40-mm-groen-100-st</a> <a href="https://www.med24.se/sjukskoeterskeartiklar/kanyler/kd-fine-kanyler-21g-x-1-0-80x40-mm-groen-100-st"
target="_blank" rel="noopener noreferrer">https://www.med24.se/sjukskoeterskeartiklar/kanyler/kd-fine-kanyler-21g-x-1-0-80x40-mm-groen-100-st</a>
<br><br> <br><br>
100 pack of 1 inch 25g needles for injecting:<br> 100 pack of 1 inch 25g needles for injecting:<br>
<a href="https://www.med24.se/sjukskoeterskeartiklar/kanyler/kd-fine-kanyler-25g-x-1-0-50x25mm-orange-100-st" target="_blank" rel="noopener noreferrer">https://www.med24.se/sjukskoeterskeartiklar/kanyler/kd-fine-kanyler-25g-x-1-0-50x25mm-orange-100-st</a> <a href="https://www.med24.se/sjukskoeterskeartiklar/kanyler/kd-fine-kanyler-25g-x-1-0-50x25mm-orange-100-st"
target="_blank" rel="noopener noreferrer">https://www.med24.se/sjukskoeterskeartiklar/kanyler/kd-fine-kanyler-25g-x-1-0-50x25mm-orange-100-st</a>
</p> </p>
<a id="france"></a> <a id="france"></a>
<h5>France</h5> <h5>France</h5>
<p> <p>
@ -166,11 +210,12 @@ You can reach out to
<a href="https://safe.asso.fr/index.php/rdr-a-distance" target="_blank" rel="noopener noreferrer">https://safe.asso.fr/index.php/rdr-a-distance</a> <a href="https://safe.asso.fr/index.php/rdr-a-distance" target="_blank" rel="noopener noreferrer">https://safe.asso.fr/index.php/rdr-a-distance</a>
for help with finding supplies. This service was established for harm reduction by providing safe and sterile for help with finding supplies. This service was established for harm reduction by providing safe and sterile
drug use equipment, but their services overlap with HRT injections - meaning they will provide supplies free of drug use equipment, but their services overlap with HRT injections - meaning they will provide supplies free of
charge. <br><br> Reach out at <a href="cdn-cgi/l/email-protection.html" class="__cf_email__" data-cfemail="10737f7e6471736450637176753e7163637f3e7662">[email&#160;protected]</a> or 01 4009 0445 charge. <br><br> Reach out at <a href="cdn-cgi/l/email-protection.html" class="__cf_email__" data-cfemail="076468697366647347746661622966747468296175">[email&#160;protected]</a> or 01 4009 0445
<br><br> <br><br>
</p> </p>
<footer> <footer>
<a href="cdn-cgi/l/email-protection.html#761e04021f181019360604190219181b171f1a5815191b" target="_blank" rel="noopener noreferrer">Get in touch: <span class="__cf_email__" data-cfemail="731b01071a1d151c3303011c071c1d1e121a1f5d101c1e">[email&#160;protected]</span> </a> <a href="cdn-cgi/l/email-protection.html#bdd5cfc9d4d3dbd2fdcdcfd2c9d2d3d0dcd4d193ded2d0" target="_blank" rel="noopener noreferrer">Get in touch: <span class="__cf_email__" data-cfemail="d7bfa5a3beb9b1b897a7a5b8a3b8b9bab6bebbf9b4b8ba">[email&#160;protected]</span> </a>
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@ -3,24 +3,28 @@
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<title>DIY HRT Directory | Transfem Guide</title> <title>DIY HRT Directory | Transfem Guide</title>
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<h1> Transfem Guide </h1> <h1> Transfem Guide </h1>
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<h2> Transfeminine DIY HRT: the Ultimate Guide</h2><br> <h2> Transfeminine DIY HRT: the Ultimate Guide</h2><br>
<h4> Last updated February 2024 <h4> Last updated February 2024
</h4> </h4>
<div class="notes"> <div class="notes">
<h1>📝 Contents: </h1> <h1>📝 Contents: </h1>
<ul class="ul-marginless"> <ul class="ul-marginless">
@ -67,6 +81,7 @@
</ul> </ul>
<br> <br>
</div> </div>
<a id="what_is_hrt"></a> <a id="what_is_hrt"></a>
<h5> What is HRT? </h5> <h5> What is HRT? </h5>
<p> <p>
@ -89,6 +104,8 @@ other than estradiol (E2), so the rest are not relevant for this guide to discus
by your body into esterone (E1) and estriol (E3), and these are optional blood tests that you can get, but aren't by your body into esterone (E1) and estriol (E3), and these are optional blood tests that you can get, but aren't
necessary. necessary.
</p> </p>
<a id="what_does_it_do"></a> <a id="what_does_it_do"></a>
<h5> What does it do? </h5> <h5> What does it do? </h5>
<p> <p>
@ -96,11 +113,15 @@ HRT will give a myriad of changes. Here is a chart showing all of the changes yo
typical onset times and when effects reach their maximum. <br> typical onset times and when effects reach their maximum. <br>
Keep in mind that all forms of HRT will likely make you infertile, possibly irreversibly. Consider sperm banking if this is a concern. Keep in mind that all forms of HRT will likely make you infertile, possibly irreversibly. Consider sperm banking if this is a concern.
<br> <br>
<img src="images/content/YEEDF9Z.png" class="contentImage" /> <img src="images/content/YEEDF9Z.png" class="contentImage" />
</p> </p>
<br><br> <br><br>
<a id="options"></a> <a id="options"></a>
<h1> Accessing Prescribed HRT vs DIY: </h1> <h1> Accessing Prescribed HRT vs DIY: </h1>
<h6> Prescribed HRT: </h6> <h6> Prescribed HRT: </h6>
<p> <p>
If you are in the <b>US</b>: you can try informed consent (Planned Parenthood locations offer this service), or If you are in the <b>US</b>: you can try informed consent (Planned Parenthood locations offer this service), or
@ -110,17 +131,20 @@ that's it.
<br><br> <br><br>
<b>You have to be 18+ to access informed consent services in the USA.</b> <b>You have to be 18+ to access informed consent services in the USA.</b>
Here is a community-compiled <b>worldwide</b> map that shows clinics offering informed consent: Here is a community-compiled <b>worldwide</b> map that shows clinics offering informed consent:
<a href="https://www.google.com/maps/d/u/1/viewer?mid=1DxyOTw8dI8n96BHFF2JVUMK7bXsRKtzA&ll=26.19982757169323%2C-113.38234069999999&z=3" target="_blank">Erin's Informed Consent Map</a> <a href="https://www.google.com/maps/d/u/1/viewer?mid=1DxyOTw8dI8n96BHFF2JVUMK7bXsRKtzA&ll=26.19982757169323%2C-113.38234069999999&z=3"
target="_blank">Erin's Informed Consent Map</a>
with particular focus on clinics in the USA. with particular focus on clinics in the USA.
Many new mobile apps and telehealth services in the USA also offer informed consent access to HRT, see this short document for a full list for all current app/telehealth HRT services in the USA: Many new mobile apps and telehealth services in the USA also offer informed consent access to HRT, see this short document for a full list for all current app/telehealth HRT services in the USA:
<a href="apps.html">diyhrt.wiki/apps</a>.<br> <a href="apps.html">diyhrt.wiki/apps</a>.<br>
To save on prescribed HRT in the USA, try <a href="https://goodrx.com" target="_blank">goodrx.com</a> for To save on prescribed HRT in the USA, try <a href="https://goodrx.com" target="_blank">goodrx.com</a> for
free free
coupons to use at participating pharmacies. There are no strings attached to this service! <a href="https://costplusdrugs.com/medications/" target="_blank">Cost Plus Drugs</a> is also a good source coupons to use at participating pharmacies. There are no strings attached to this service! <a
href="https://costplusdrugs.com/medications/" target="_blank">Cost Plus Drugs</a> is also a good source
for affordable medications delivered to you by mail if you have a doctor's prescription. for affordable medications delivered to you by mail if you have a doctor's prescription.
<br><br> <br><br>
<b>You have to be 18+ to access informed consent services in Australia.</b> <b>You have to be 18+ to access informed consent services in Australia.</b>
<a href="https://www.healthdirect.gov.au/australian-health-services/20134143/dr-jonathan-garth-hayes---endocrinologist/services/st-leonards-2065-66-pacific-highway" target="_blank">Dr Johnathan Hayes (click here)</a> is an Endocrinologist in St. Leonards that offers <a href="https://www.healthdirect.gov.au/australian-health-services/20134143/dr-jonathan-garth-hayes---endocrinologist/services/st-leonards-2065-66-pacific-highway"
target="_blank">Dr Johnathan Hayes (click here)</a> is an Endocrinologist in St. Leonards that offers
Informed consent. Informed consent.
<br><br> <br><br>
If you are in the <b>UK</b>: GenderGP (if you can afford it) is a private healthcare service aiding transgender If you are in the <b>UK</b>: GenderGP (if you can afford it) is a private healthcare service aiding transgender
@ -130,6 +154,7 @@ expensive.
<br><br> <br><br>
<i>Beyond this point, this guide will focus exclusively on how to safely dose, source, and administer DIY HRT.</i> <i>Beyond this point, this guide will focus exclusively on how to safely dose, source, and administer DIY HRT.</i>
</p> </p>
<h6>DIY:</h6> <h6>DIY:</h6>
<p> <p>
DIY HRT refers to any HRT that is obtained without a prescription. DIY HRT refers to any HRT that is obtained without a prescription.
@ -175,6 +200,7 @@ It is <b>highly</b> recommended to always try to order from non-homebrew sources
unfeasible to order from pharmaceutical grade sources. <b>Pharmaceutical grade HRT is always safer</b>, and we highly recommend you choose unfeasible to order from pharmaceutical grade sources. <b>Pharmaceutical grade HRT is always safer</b>, and we highly recommend you choose
to buy from these sources. 90%+ of trans feminine people who are on DIY HRT order from pharmaceutical grade sources. to buy from these sources. 90%+ of trans feminine people who are on DIY HRT order from pharmaceutical grade sources.
</p> </p>
<a id="what_methods"></a> <a id="what_methods"></a>
<h5>What forms of estradiol are there?</h5> <h5>What forms of estradiol are there?</h5>
<p> <p>
@ -189,6 +215,7 @@ rough estimates for DIY sourced HRT.
at at
least several months worth at once to offset the shipping costs.</i> least several months worth at once to offset the shipping costs.</i>
</p> </p>
<h6>Pills - $20-$40 per month ($240-480 per year)</h6> <h6>Pills - $20-$40 per month ($240-480 per year)</h6>
<p> <p>
By far the most popular and well known, pills are the easiest to come by if you choose to DIY. By far the most popular and well known, pills are the easiest to come by if you choose to DIY.
@ -212,6 +239,7 @@ Pills also tend to be quite convenient to take. Also very easy to acquire if you
Oral intake is simply swallowing your pills. Usually twice per day in ~12 hour intervals. Oral intake is simply swallowing your pills. Usually twice per day in ~12 hour intervals.
Results in more stable levels versus sublingual/buccal administration. Results in more stable levels versus sublingual/buccal administration.
<br><br> <br><br>
<b>Sublingual/Buccal pills:</b> <b>Sublingual/Buccal pills:</b>
<br> <br>
Sublingual intake refers to placing a tablet under the tongue and letting it dissolve, and buccal intake Sublingual intake refers to placing a tablet under the tongue and letting it dissolve, and buccal intake
@ -223,6 +251,8 @@ are interchangeable and have essentially the same results.
Sublingual/Buccal administration causes higher peak levels of estradiol in the blood that quickly dissipate. Sublingual/Buccal administration causes higher peak levels of estradiol in the blood that quickly dissipate.
Because of this, it is recommended that sublingual administration be three (or more) times a day, in 8 hour Because of this, it is recommended that sublingual administration be three (or more) times a day, in 8 hour
intervals. intervals.
<h6>Transdermal - $30-$45 per month ($360-540 per year)(patches)</h6> <h6>Transdermal - $30-$45 per month ($360-540 per year)(patches)</h6>
<p> <p>
Transdermal (estradiol applied to the skin) comes in forms like gels, patches, solutions, etc. Transdermal (estradiol applied to the skin) comes in forms like gels, patches, solutions, etc.
@ -246,6 +276,8 @@ applied to the skin, usually in an eyedropper style bottle.
the the
bloodstream and the difficulty of accurate dosing. bloodstream and the difficulty of accurate dosing.
</p> </p>
<h6>Injections - $100-$200 per year</h6> <h6>Injections - $100-$200 per year</h6>
<p> <p>
There are certain esters estradiol is commonly compounded in. Estradiol is esterified in order to last There are certain esters estradiol is commonly compounded in. Estradiol is esterified in order to last
@ -284,6 +316,8 @@ Detailed information on estradiol injection dosing will be found later in this g
Valerate is typically prescribed by doctors, with cypionate being occasionally prescribed. Cypionate and Valerate is typically prescribed by doctors, with cypionate being occasionally prescribed. Cypionate and
Enanthate are most commonly found sold by homebrew estrogen sellers. Enanthate are most commonly found sold by homebrew estrogen sellers.
</p> </p>
<h6>Pellets - N/A</h6> <h6>Pellets - N/A</h6>
<p> <p>
Estradiol pellets are implanted into the body (usually the butt) and slowly release estrogen into your body over the course of many months. Estradiol pellets are implanted into the body (usually the butt) and slowly release estrogen into your body over the course of many months.
@ -298,12 +332,15 @@ about missing a dose.
They last about 3-6 months. Most doctors that offer pellets compound them to give a patient They last about 3-6 months. Most doctors that offer pellets compound them to give a patient
quite a high dosage of estradiol. quite a high dosage of estradiol.
</p> </p>
<a id="antiandrogens"></a> <a id="antiandrogens"></a>
<h5>What are the different types of antiandrogens?</h5> <h5>What are the different types of antiandrogens?</h5>
<div class="notes"> <div class="notes">
<h1>⚠️ Note:</h1> <h1>⚠️ Note:</h1>
<p>All of these should be swallowed unless stated otherwise.</p> <p>All of these should be swallowed unless stated otherwise.</p>
</div> </div>
<h6>Spironolactone (AKA Spiro) - $10-20 per month</h6> <h6>Spironolactone (AKA Spiro) - $10-20 per month</h6>
<p> <p>
Spironolactone is a weak antiandrogen, albeit quite safe. Spironolactone is a weak antiandrogen, albeit quite safe.
@ -321,6 +358,7 @@ you
can almost certainly stop taking spiro at that point. The estradiol is doing most of the work of suppressing can almost certainly stop taking spiro at that point. The estradiol is doing most of the work of suppressing
your T.</i> your T.</i>
</p> </p>
<h6>Cyproterone acetate (AKA Cyproterone, Cypro) - $5-20 per month</h6> <h6>Cyproterone acetate (AKA Cyproterone, Cypro) - $5-20 per month</h6>
<p> <p>
Cyproterone is a very effective antiandrogen when combined with estrogen. Cyproterone is a very effective antiandrogen when combined with estrogen.
@ -331,6 +369,7 @@ Keeping under a certain dosage is important, especially considering that cyprote
dosages dosages
4-8 times that of recommended dosages for transfeminine individuals (get a pill cutter!). 4-8 times that of recommended dosages for transfeminine individuals (get a pill cutter!).
</p> </p>
<h6>Bicalutamide (AKA Bica) - $15-40 per month</h6> <h6>Bicalutamide (AKA Bica) - $15-40 per month</h6>
<p> <p>
Bicalutamide is a very effective antiandrogen, moreso when paired with estrogen. It works in a unique way by Bicalutamide is a very effective antiandrogen, moreso when paired with estrogen. It works in a unique way by
@ -350,6 +389,7 @@ over 59 years of age. Despite this, it's likely that trans women still face a mu
<br><br> <br><br>
It's strongly recommended to get liver function tests every 3 months if you take bicalutamide. It's strongly recommended to get liver function tests every 3 months if you take bicalutamide.
</p> </p>
<h6>GNRH Agonists - $270 per year (For Busrelin)</h6> <h6>GNRH Agonists - $270 per year (For Busrelin)</h6>
<p> <p>
Extremely safe and effective antiandrogens that prevent your testes from producing testosterone. Commonly referred to as puberty blockers, they work just as well at blocking T for people who have gone through a full AMAB/testosterone puberty. Extremely safe and effective antiandrogens that prevent your testes from producing testosterone. Commonly referred to as puberty blockers, they work just as well at blocking T for people who have gone through a full AMAB/testosterone puberty.
@ -358,6 +398,7 @@ Unfortunately the most powerful forms are not available from DIY sources due to
<br><br> <br><br>
An GNRH agonist called buserelin can be found DIY, but its administration method can be quite annoying (sprayed into the nostrils 3 times a day). An GNRH agonist called buserelin can be found DIY, but its administration method can be quite annoying (sprayed into the nostrils 3 times a day).
</p><br> </p><br>
<h6>Estradiol Monotherapy - $100-$200 per year</h6> <h6>Estradiol Monotherapy - $100-$200 per year</h6>
<p> <p>
Monotherapy means to only use one type of medication. As such, estradiol monotherapy means using only high doses of estradiol Monotherapy means to only use one type of medication. As such, estradiol monotherapy means using only high doses of estradiol
@ -375,6 +416,7 @@ blood clotting, and we recommend you do not try this.
<br><br> <br><br>
The vast majority of people on a decent estradiol injection monotherapy regimen (only taking estrogen, no The vast majority of people on a decent estradiol injection monotherapy regimen (only taking estrogen, no
antiandrogen) are able to suppress testosterone levels adequately without needing to take antiandrogens. antiandrogen) are able to suppress testosterone levels adequately without needing to take antiandrogens.
</p> </p>
<a id="side_effects_risks"></a> <a id="side_effects_risks"></a>
<h5>Side Effects/risks:</h5> <h5>Side Effects/risks:</h5>
@ -394,6 +436,7 @@ you take estrogen with your antiandrogens.</p>
<p> All recommended tests mentioned in this section can be tested from blood samples taken during a regular <p> All recommended tests mentioned in this section can be tested from blood samples taken during a regular
blood blood
test. You don't have to get fancy expensive tests. </p> test. You don't have to get fancy expensive tests. </p>
<h6>Estradiol</h6> <h6>Estradiol</h6>
<p> <p>
<b>All forms of estrogen will increase your risk of blood clots</b> (thromboembolism), including serious <b>All forms of estrogen will increase your risk of blood clots</b> (thromboembolism), including serious
@ -413,6 +456,7 @@ However, because of the higher levels of estradiol in your blood that other meth
(transdermal, injections, etc.), the unique risks of oral estradiol aren't particularly relevant in (transdermal, injections, etc.), the unique risks of oral estradiol aren't particularly relevant in
practice. practice.
</p> </p>
<h6>Spironolactone:</h6> <h6>Spironolactone:</h6>
<p> <p>
The main reason I recommend against spironolactone is because spiro is a very weak antiandrogen. There are The main reason I recommend against spironolactone is because spiro is a very weak antiandrogen. There are
@ -434,6 +478,7 @@ tested regularly if you take spironolactone, as spiro can cause your body to ret
<br> <br>
For the vast majority of people though, this is not a relevant concern. For the vast majority of people though, this is not a relevant concern.
</p> </p>
<h6>Cyproterone acetate:</h6> <h6>Cyproterone acetate:</h6>
<p> <p>
Extremely high doses of cyproterone, mostly found above 50mg/day and 100mg/day can cause a myriad of Extremely high doses of cyproterone, mostly found above 50mg/day and 100mg/day can cause a myriad of
@ -454,6 +499,7 @@ at these doses, ideally you should still get prolactin (PRL) and B12 tested to m
healthy healthy
range. These risks are cumulative (risks gradually get higher the longer you stay on cyproterone). range. These risks are cumulative (risks gradually get higher the longer you stay on cyproterone).
</p> </p>
<h6>Bicalutamide:</h6> <h6>Bicalutamide:</h6>
<p> <p>
Due to dysphoria, some transfeminine people do not want to experience a higher libido and an easier time Due to dysphoria, some transfeminine people do not want to experience a higher libido and an easier time
@ -482,6 +528,7 @@ not seem to be cumulative after a period of time with no symptoms.
Despite these possible side effects, the absolute risk of any severe outcomes occurring on bicalutamide is Despite these possible side effects, the absolute risk of any severe outcomes occurring on bicalutamide is
extremely low. With the added benefit that bica has essentially no common side effects like spiro or cypro. extremely low. With the added benefit that bica has essentially no common side effects like spiro or cypro.
</p> </p>
<h6>GNRH Agonists:</h6> <h6>GNRH Agonists:</h6>
<p> <p>
If you have already gone through an AMAB/testosterone puberty, you will experience a temporary flareup of If you have already gone through an AMAB/testosterone puberty, you will experience a temporary flareup of
@ -494,8 +541,10 @@ More information on blood testing will be found later in this guide in the <a hr
<br><br> <br><br>
<i><b>Hormone therapy in general is very safe and effective as long as you take a reasonable dose.</b></i> <i><b>Hormone therapy in general is very safe and effective as long as you take a reasonable dose.</b></i>
</p> </p>
<a id="dosing"></a> <a id="dosing"></a>
<h5>Dosing:</h5> <h5>Dosing:</h5>
<h7>Note on HRT dosing:</h7> <h7>Note on HRT dosing:</h7>
<p><b><i> For regimens with antiandrogens:</b><br> <p><b><i> For regimens with antiandrogens:</b><br>
There is usually no reason to start HRT on a lower than normal dose of antiandrogen, you should go directly There is usually no reason to start HRT on a lower than normal dose of antiandrogen, you should go directly
@ -516,12 +565,15 @@ your dose. Despite the lack of clinical data and evidence, there's no real harm
to to
experiment if you wish. experiment if you wish.
</i></p> </i></p>
<a id="antiandrogen_dosing"></a> <a id="antiandrogen_dosing"></a>
<h6>Antiandrogen + estradiol dosing:</h6> <h6>Antiandrogen + estradiol dosing:</h6>
<br> <br>
<i>The following example regimens use typical doses of estradiol on the higher end of what would be <i>The following example regimens use typical doses of estradiol on the higher end of what would be
considered a considered a
moderate dose. Adjust accordingly if you have access to blood testing (see blood testing section above).</i> moderate dose. Adjust accordingly if you have access to blood testing (see blood testing section above).</i>
<br><br> <br><br>
<h7>Cyproterone acetate:</h7> <h7>Cyproterone acetate:</h7>
<p><i><b>If you take cyproterone, you will need a pill cutter!</b> (Pill cutters are sold at any pharmacy over <p><i><b>If you take cyproterone, you will need a pill cutter!</b> (Pill cutters are sold at any pharmacy over
@ -533,15 +585,19 @@ if testosterone is not adequately suppressed instead.</i>
<b>Oral estradiol:</b></p> <b>Oral estradiol:</b></p>
<li>6.25-12.5mg cyproterone acetate taken once a day</li> <li>6.25-12.5mg cyproterone acetate taken once a day</li>
<li>3mg estradiol swallowed twice per day (total of 6mg daily)</li> <li>3mg estradiol swallowed twice per day (total of 6mg daily)</li>
<p><b>Sublingual estradiol:</b></p> <p><b>Sublingual estradiol:</b></p>
<li> 6.25-12.5mg cyproterone acetate taken once a day</li> <li> 6.25-12.5mg cyproterone acetate taken once a day</li>
<li> 1mg estradiol taken sublingually/buccally three times a day (total of 3mg/day)</li> <li> 1mg estradiol taken sublingually/buccally three times a day (total of 3mg/day)</li>
<p><b>Estradiol Patches:</b></p> <p><b>Estradiol Patches:</b></p>
<li>6.25-12.5mg cyproterone acetate taken once a day</li> <li>6.25-12.5mg cyproterone acetate taken once a day</li>
<li>200μg estradiol patch, changed weekly</li> <li>200μg estradiol patch, changed weekly</li>
<p><b>Estradiol gel:</b></p> <p><b>Estradiol gel:</b></p>
<li>6.25-12.5mg cyproterone acetate taken once a day</li> <li>6.25-12.5mg cyproterone acetate taken once a day</li>
<li>4mg of estradiol gel applied to the skin daily</li> <li>4mg of estradiol gel applied to the skin daily</li>
<br><br> <br><br>
<h7>Bicalutamide:</h7> <h7>Bicalutamide:</h7>
<p><i> <p><i>
@ -549,18 +605,24 @@ Reminder! Bicalutamide may cause blood testosterone levels to increase slightly,
adequately blocked, your testosterone levels on a blood test will likely show quite high levels. Bicalutamide also has a long half life, which means it doesn't really matter what time you take it every day, as long as you take it adequately blocked, your testosterone levels on a blood test will likely show quite high levels. Bicalutamide also has a long half life, which means it doesn't really matter what time you take it every day, as long as you take it
every day. 50mg is almost always enough to ensure adequate testosterone suppression when combined with estradiol. every day. 50mg is almost always enough to ensure adequate testosterone suppression when combined with estradiol.
</i></p> </i></p>
<p><b>Oral estradiol:</b></p> <p><b>Oral estradiol:</b></p>
<li>50mg bicalutamide taken once a day</li> <li>50mg bicalutamide taken once a day</li>
<li>3mg estradiol swallowed twice per day (total of 6mg daily)</li> <li>3mg estradiol swallowed twice per day (total of 6mg daily)</li>
<p><b>Sublingual estradiol:</b></p> <p><b>Sublingual estradiol:</b></p>
<li>50mg bicalutamide taken once a day</li> <li>50mg bicalutamide taken once a day</li>
<li>1mg estradiol taken sublingually/buccally three times a day (total of 3mg/day)</li> <li>1mg estradiol taken sublingually/buccally three times a day (total of 3mg/day)</li>
<p><b>Estradiol Patches:</b></p> <p><b>Estradiol Patches:</b></p>
<li>50mg bicalutamide taken once a day</li> <li>50mg bicalutamide taken once a day</li>
<li>200μg estradiol patch, changed weekly</li> <li>200μg estradiol patch, changed weekly</li>
<p><b>Estradiol gel:</b></p> <p><b>Estradiol gel:</b></p>
<li>50mg bicalutamide taken once a day</li> <li>50mg bicalutamide taken once a day</li>
<li>4mg of estradiol gel applied to the skin daily</li> <li>4mg of estradiol gel applied to the skin daily</li>
<br><br> <br><br>
<h7>Buserelin:</h7> <h7>Buserelin:</h7>
<p><i>Buserelin (sometimes sold as the brand name 'Suprefact') has a short half life, so it should be <p><i>Buserelin (sometimes sold as the brand name 'Suprefact') has a short half life, so it should be
@ -572,18 +634,24 @@ bicalutamide for the first three weeks on buserelin.
Buserelin comes in a bottle that dispenses a set amount of medicine with each spray (300μg per spray in Buserelin comes in a bottle that dispenses a set amount of medicine with each spray (300μg per spray in
these these
examples).</p></i> examples).</p></i>
<p><b>Oral estradiol:</b></p> <p><b>Oral estradiol:</b></p>
<li>300μg Buserelin sprayed into the nostrils three times per day (total of 900 μg/day)</li> <li>300μg Buserelin sprayed into the nostrils three times per day (total of 900 μg/day)</li>
<li>3mg estradiol swallowed twice per day (total of 6mg daily)</li> <li>3mg estradiol swallowed twice per day (total of 6mg daily)</li>
<p><b>Sublingual estradiol:</b></p> <p><b>Sublingual estradiol:</b></p>
<li>300μg Buserelin sprayed into the nostrils three times per day (total of 900 μg/day)</li> <li>300μg Buserelin sprayed into the nostrils three times per day (total of 900 μg/day)</li>
<li>1mg estradiol taken sublingually/buccally three times a day (total of 3mg/day)</li> <li>1mg estradiol taken sublingually/buccally three times a day (total of 3mg/day)</li>
<p><b>Estradiol Patches:</b></p> <p><b>Estradiol Patches:</b></p>
<li>300μg Buserelin sprayed into the nostrils three times per day (total of 900 μg/day)</li> <li>300μg Buserelin sprayed into the nostrils three times per day (total of 900 μg/day)</li>
<li>200μg estradiol patch, changed weekly</li> <li>200μg estradiol patch, changed weekly</li>
<p><b>Estradiol gel:</b></p> <p><b>Estradiol gel:</b></p>
<li>300μg Buserelin sprayed into the nostrils three times per day (total of 900 μg/day)</li> <li>300μg Buserelin sprayed into the nostrils three times per day (total of 900 μg/day)</li>
<li>4mg of estradiol gel applied to the skin daily</li> <li>4mg of estradiol gel applied to the skin daily</li>
<br><br> <br><br>
<a id="injection_dosing"></a> <a id="injection_dosing"></a>
<h6>Injection Monotherapy dosing/Accurate injection dosing:</h6> <h6>Injection Monotherapy dosing/Accurate injection dosing:</h6>
@ -615,6 +683,7 @@ The formula to calculate how much liquid to inject is: <b>(amount you want to in
the the
vial) = amount to inject per dose in mL</b> vial) = amount to inject per dose in mL</b>
</p> </p>
<h7> Examples:</h7> <h7> Examples:</h7>
<li>If you wanted to inject 4mg, and you have a 40mg/mL vial,<br> <li>If you wanted to inject 4mg, and you have a 40mg/mL vial,<br>
4 ÷ 40 = 0.1<br> 4 ÷ 40 = 0.1<br>
@ -646,6 +715,7 @@ vial) = amount to inject per dose in mL</b>
0.5mL per injection 0.5mL per injection
</li> </li>
<p>Not too complicated now, hopefully!</p> <p>Not too complicated now, hopefully!</p>
<h7> How to perform an E injection:</h7> <h7> How to perform an E injection:</h7>
<p><i>Note: Be sure to dispose of your needle tips inside of a hard plastic container or a sharps bin to prevent injury!</i></p> <p><i>Note: Be sure to dispose of your needle tips inside of a hard plastic container or a sharps bin to prevent injury!</i></p>
<p> <p>
@ -691,7 +761,8 @@ Recommended needle lengths are as follows:<br>
here are a few decent ones:</b> here are a few decent ones:</b>
</p> </p>
<li><b>Guide by Plume:</b><br> <li><b>Guide by Plume:</b><br>
<a href="https://members.getplume.co/support/solutions/articles/72000544742-all-about-injections#Injection-video-tutorials " target="_blank">https://members.getplume.co/support/solutions/articles/72000544742-all-about-injections#Injection-video-tutorials </a><br> <a href="https://members.getplume.co/support/solutions/articles/72000544742-all-about-injections#Injection-video-tutorials "
target="_blank">https://members.getplume.co/support/solutions/articles/72000544742-all-about-injections#Injection-video-tutorials </a><br>
Extremely detailed video guides on both IM and subq injections, with the downside that they are split into Extremely detailed video guides on both IM and subq injections, with the downside that they are split into
multiple long videos. Slightly less professional but shorter guide videos are below: multiple long videos. Slightly less professional but shorter guide videos are below:
</li> </li>
@ -699,14 +770,20 @@ multiple long videos. Slightly less professional but shorter guide videos are be
<li><b>Subcutaneous:</b><br> <li><b>Subcutaneous:</b><br>
<a href="https://www.youtube.com/watch?v=APSPbpqefKw" target="_blank">https://www.youtube.com/watch?v=APSPbpqefKw </a><br> <a href="https://www.youtube.com/watch?v=APSPbpqefKw" target="_blank">https://www.youtube.com/watch?v=APSPbpqefKw </a><br>
<div class="video-container"> <div class="video-container">
<iframe width="560" height="315" src="https://www.youtube-nocookie.com/embed/APSPbpqefKw" title="YouTube video player" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen></iframe> <iframe width="560" height="315" src="https://www.youtube-nocookie.com/embed/APSPbpqefKw"
title="YouTube video player" frameborder="0"
allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture"
allowfullscreen></iframe>
</div> </div>
</li> </li>
<br> <br>
<li><b>Intramuscular:</b><br> <li><b>Intramuscular:</b><br>
<a href="https://www.youtube.com/watch?v=W5GAyZzDpNU" target="_blank">https://www.youtube.com/watch?v=W5GAyZzDpNU</a><br> <a href="https://www.youtube.com/watch?v=W5GAyZzDpNU" target="_blank">https://www.youtube.com/watch?v=W5GAyZzDpNU</a><br>
<div class="video-container"> <div class="video-container">
<iframe width="560" height="315" src="https://www.youtube-nocookie.com/embed/W5GAyZzDpNU" title="YouTube video player" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen></iframe> <iframe width="560" height="315" src="https://www.youtube-nocookie.com/embed/W5GAyZzDpNU"
title="YouTube video player" frameborder="0"
allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture"
allowfullscreen></iframe>
</div> </div>
</li> </li>
<br> <br>
@ -714,6 +791,7 @@ multiple long videos. Slightly less professional but shorter guide videos are be
<b> Note that around 0.1mL of fluid will be lost with each injection due to needle dead space.</a></b> <b> Note that around 0.1mL of fluid will be lost with each injection due to needle dead space.</a></b>
<img src="images/content/rqaGsfa.png" class="contentImage" /> <img src="images/content/rqaGsfa.png" class="contentImage" />
</p> </p>
<a id="blood_testing"></a> <a id="blood_testing"></a>
<h5>Blood Testing:</h5> <h5>Blood Testing:</h5>
<h6>$50-$150 per test, depending on source</h6> <h6>$50-$150 per test, depending on source</h6>
@ -756,9 +834,12 @@ suppressed at the lowest point of your injection cycle.
<h6>The most essential component of transfeminine HRT is to get total testosterone (T) below 50ng/dL and <h6>The most essential component of transfeminine HRT is to get total testosterone (T) below 50ng/dL and
estradiol estradiol
(E2) above 100pg/mL </h6> (E2) above 100pg/mL </h6>
<p><br> <p><br>
For a complete list of recommended blood tests to get, see <a href="bloodtests.html">diyhrt.wiki/bloodtests</a>. For a complete list of recommended blood tests to get, see <a href="bloodtests.html">diyhrt.wiki/bloodtests</a>.
</p> </p>
<a id="sources"></a> <a id="sources"></a>
<h5>Sources:</h5> <h5>Sources:</h5>
CAUTION: Sources not listed on here or hrt.coffee are risky. Be sure to do your CAUTION: Sources not listed on here or hrt.coffee are risky. Be sure to do your
@ -773,26 +854,33 @@ research on HRT sources not listed here before ordering.
buy buy
those medications at any local pharmacy without a prescription⁷. The exception would be injections.</i><br> those medications at any local pharmacy without a prescription⁷. The exception would be injections.</i><br>
</p> </p>
<h6>International Sourcing (Non-homebrew/pharmaceutical grade):</h6> <h6>International Sourcing (Non-homebrew/pharmaceutical grade):</h6>
<p>There are simply too many to list, see <a href="https://hrt.coffee/" target="_blank" rel="noopener noreferrer">hrt.coffee</a> <p>There are simply too many to list, see <a href="https://hrt.coffee/" target="_blank"
rel="noopener noreferrer">hrt.coffee</a>
for a full list of sources:</p> for a full list of sources:</p>
<li><b>Estradiol pills</b> - <a href="https://hrt.coffee/pills/" target="_blank" rel="noopener noreferrer">hrt.coffee/pills</a> <li><b>Estradiol pills</b> - <a href="https://hrt.coffee/pills/" target="_blank"
rel="noopener noreferrer">hrt.coffee/pills</a>
</li> </li>
<li><b>Estradiol patches</b> - <a href="https://hrt.coffee/patches/" target="_blank" rel="noopener noreferrer">hrt.coffee/patches</a> <li><b>Estradiol patches</b> - <a href="https://hrt.coffee/patches/" target="_blank" rel="noopener noreferrer">hrt.coffee/patches</a>
</li> </li>
<li><b>Estradiol gel</b> - <a href="https://hrt.coffee/gel/" target="_blank" rel="noopener noreferrer">hrt.coffee/gel</a> <li><b>Estradiol gel</b> - <a href="https://hrt.coffee/gel/" target="_blank" rel="noopener noreferrer">hrt.coffee/gel</a>
</li> </li>
<br> <br>
<li><b>Cyproterone Acetate</b> - <a href="https://hrt.coffee/cypro/" target="_blank" rel="noopener noreferrer">hrt.coffee/cypro</a></li> <li><b>Cyproterone Acetate</b> - <a href="https://hrt.coffee/cypro/" target="_blank"
rel="noopener noreferrer">hrt.coffee/cypro</a></li>
<li><b>Bicalutamide</b> - <a href="https://hrt.coffee/bicalutamide/" target="_blank" rel="noopener noreferrer">hrt.coffee/bicalutamide</a> <li><b>Bicalutamide</b> - <a href="https://hrt.coffee/bicalutamide/" target="_blank" rel="noopener noreferrer">hrt.coffee/bicalutamide</a>
</li> </li>
<li><b>Buserelin</b> - <a href="https://hrt.coffee/gnrh/" target="_blank" rel="noopener noreferrer">hrt.coffee/gnrh</a> <li><b>Buserelin</b> - <a href="https://hrt.coffee/gnrh/" target="_blank" rel="noopener noreferrer">hrt.coffee/gnrh</a>
</li> </li>
<li><b>Spironolactone</b> - <a href="https://hrt.coffee/spironolactone/" target="_blank" rel="noopener noreferrer">hrt.coffee/spironolactone</a> <li><b>Spironolactone</b> - <a href="https://hrt.coffee/spironolactone/" target="_blank" rel="noopener noreferrer">hrt.coffee/spironolactone</a>
</li> </li>
<p>Delivery from Russian sites may take longer than other sources (4-8 weeks).</p> <p>Delivery from Russian sites may take longer than other sources (4-8 weeks).</p>
<h6>Homebrew Sourcing:</h6> <h6>Homebrew Sourcing:</h6>
<br> <br>
<h7>Otokonoko Pharmaceuticals • <a href="https://otkph.com" target="_blank" rel="noopener noreferrer">otkph.com</a></h7> <h7>Otokonoko Pharmaceuticals • <a href="https://otkph.com" target="_blank" rel="noopener noreferrer">otkph.com</a></h7>
<p> <p>
<b> Ships Internationally from Brazil </b> - $20 USD international shipping<br> <b> Ships Internationally from Brazil </b> - $20 USD international shipping<br>
@ -801,6 +889,7 @@ Otokonoko Pharmaceuticals is run by a trans woman in Brazil. She sells homebrewe
including transdermal gels, estradiol pills, bicalutamide, among other HRT medications. including transdermal gels, estradiol pills, bicalutamide, among other HRT medications.
</p> </p>
<br> <br>
<h7>Vanna Pharma • <a href="https://vannapharma.net/estrogens/" target="_blank" rel="noopener noreferrer">vannapharma.net</a> <h7>Vanna Pharma • <a href="https://vannapharma.net/estrogens/" target="_blank" rel="noopener noreferrer">vannapharma.net</a>
</h7> </h7>
<p> <p>
@ -816,6 +905,7 @@ shipping. Avoid using their recommended dosages are they are too high for most p
<b>May 2023 update: we are aware of some new homebrew sources that have popped up recently. We are monitoring their quality and <b>May 2023 update: we are aware of some new homebrew sources that have popped up recently. We are monitoring their quality and
safety and shipping process, and may add them to the source list when we feel that they meet our quality standards.</b><br> safety and shipping process, and may add them to the source list when we feel that they meet our quality standards.</b><br>
</p> </p>
<a id="FAQ"></a> <a id="FAQ"></a>
<h5>Frequently Asked Questions:</h5> <h5>Frequently Asked Questions:</h5>
<h6>Why do you recommend such low estradiol dosages/levels?</h6> <h6>Why do you recommend such low estradiol dosages/levels?</h6>
@ -900,7 +990,8 @@ If you are paranoid, you can get your DHT tested with a blood test to see if it'
would be considered would be considered
high) high)
<br> <br>
One can add in 0.5mg daily dutasteride (<a href="https://hrt.coffee/dutasteride" target="_blank" rel="noopener noreferrer">hrt.coffee/dutasteride</a>) to block One can add in 0.5mg daily dutasteride (<a href="https://hrt.coffee/dutasteride" target="_blank"
rel="noopener noreferrer">hrt.coffee/dutasteride</a>) to block
DHT. DHT.
</p> </p>
<h6>Is this illegal?</h6> <h6>Is this illegal?</h6>
@ -989,6 +1080,7 @@ antiandrogen. Below are some more tailored HRT regimens for those who have had a
<li>2mg every 7 days</li> <li>2mg every 7 days</li>
<p>Estradiol enanthate</p> <p>Estradiol enanthate</p>
<li>3mg every 10 days</li> <li>3mg every 10 days</li>
<br><br><br><br> <br><br><br><br>
<div class="notes"> <div class="notes">
<h1>📢 Footnotes:</h1> <h1>📢 Footnotes:</h1>
@ -1011,9 +1103,10 @@ Estradiol Enanthate (EEn): 8mg every 10 days (0.20mL, assuming a 40mg/mL vial)
<p>⁷ Mexico, China, Brazil, among others.</p> <p>⁷ Mexico, China, Brazil, among others.</p>
</div> </div>
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<h2>DIY Testosterone: the Ultimate Guide</h2> <br> <h2>DIY Testosterone: the Ultimate Guide</h2> <br>
<h4> Last updated May 2023 </a> <h4> Last updated May 2023 </a>
</h4> </h4>
<div class="notes"> <div class="notes">
<h1>📝 Contents: </h1> <h1>📝 Contents: </h1>
<li><a href="transmasc.html#what_is_testosterone">What is testosterone?</a></li> <li><a href="transmasc.html#what_is_testosterone">What is testosterone?</a></li>
@ -57,6 +70,8 @@
<li><a href="transmasc.html#FAQ">Frequently Asked Questions</a></li> <li><a href="transmasc.html#FAQ">Frequently Asked Questions</a></li>
<br> <br>
</div> </div>
<a id="what_is_testosterone"></a> <a id="what_is_testosterone"></a>
<h5> What is HRT? </h5> <h5> What is HRT? </h5>
<p> <p>
@ -65,6 +80,8 @@ Testosterone (T) is an anabolic steroid and sex hormone found in those assigned
Since we were not assigned male at birth, we only produce a small amount in our bodies naturally, and produce Since we were not assigned male at birth, we only produce a small amount in our bodies naturally, and produce
estrogens instead. estrogens instead.
</p> </p>
<a id="what_does_it_do"></a> <a id="what_does_it_do"></a>
<h5> What does it do? </h5> <h5> What does it do? </h5>
<p> <p>
@ -80,9 +97,12 @@ Anabolic effects include increased muscle mass and strength, increased bone dens
The androgenic and anabolic effects of testosterone are about equal. You won't necessarily have high levels of The androgenic and anabolic effects of testosterone are about equal. You won't necessarily have high levels of
strength nor gain significant muscle mass, especially if you don't exercise regularly. Your mileage may vary. strength nor gain significant muscle mass, especially if you don't exercise regularly. Your mileage may vary.
</p> </p>
<a id="what_methods"></a> <a id="what_methods"></a>
<h5> What kind of methods can I get T in? </h5> <h5> What kind of methods can I get T in? </h5>
<p>There are multiple ways, each with their drawbacks, pros, and levels of ease in terms of obtaining them.</p> <p>There are multiple ways, each with their drawbacks, pros, and levels of ease in terms of obtaining them.</p>
<h6>Injections</h6> <h6>Injections</h6>
<p> <p>
By far the most popular and well known method, injections are by far the easiest to come by if you choose to DIY. By far the most popular and well known method, injections are by far the easiest to come by if you choose to DIY.
@ -101,6 +121,7 @@ Cypionate's half life is about 8 days when injected.<br>
Enanthate's half life is slightly shorter. Treat it similarly to cypionate. This means that for most people, Enanthate's half life is slightly shorter. Treat it similarly to cypionate. This means that for most people,
it's best to inject weekly for ideal hormone levels. it's best to inject weekly for ideal hormone levels.
</p> </p>
<h6>Gels</h6> <h6>Gels</h6>
<p> <p>
This is harder to find in concentrations required to suppress estrogen on the grey/black market. Also quite This is harder to find in concentrations required to suppress estrogen on the grey/black market. Also quite
@ -109,6 +130,7 @@ prescribed T. Currently only some UK sources offer gel, so DIY gel is infeasible
<br><br> <br><br>
These come in packets or in a pump. These come in packets or in a pump.
</p> </p>
<h6>Pellets</h6> <h6>Pellets</h6>
<p> <p>
Not available from DIY sources (obviously), but are very effective if you can find a doctor that offers this form of testosterone. Not available from DIY sources (obviously), but are very effective if you can find a doctor that offers this form of testosterone.
@ -117,6 +139,8 @@ These are experimental in terms of dosages compared to the other tried and true
surgically implanted if your insurance covers it (or you are very wealthy). They let out a small dose of T each day and you don't have to surgically implanted if your insurance covers it (or you are very wealthy). They let out a small dose of T each day and you don't have to
worry about missing a dose. They last about 3-6 months. worry about missing a dose. They last about 3-6 months.
</p> </p>
<h5 id="sourcing_dosing">Sourcing/Dosing:</h5> <h5 id="sourcing_dosing">Sourcing/Dosing:</h5>
<p> <p>
Ideally, you would be on T through legal means. However, you may not have the privilege, so this guide Ideally, you would be on T through legal means. However, you may not have the privilege, so this guide
@ -124,6 +148,7 @@ may be of better use for you.
<br><br> <br><br>
Regardless, if you are willing to attempt DIY, it is a preferable option to not being on T for many. Regardless, if you are willing to attempt DIY, it is a preferable option to not being on T for many.
</p> </p>
<h6>Legal access to T:</h6> <h6>Legal access to T:</h6>
<p> <p>
If you are in the <b>US</b>: you can try informed consent (Planned Parenthood locations offer this service), or If you are in the <b>US</b>: you can try informed consent (Planned Parenthood locations offer this service), or
@ -133,13 +158,15 @@ that's it.
<br><br> <br><br>
<b>You have to be 18+ to access informed consent services in the USA and across the world. Informed consent services are harder to find outside of the United States.</b> <b>You have to be 18+ to access informed consent services in the USA and across the world. Informed consent services are harder to find outside of the United States.</b>
Here is a community-compiled <b>worldwide</b> map that shows clinics offering informed consent: Here is a community-compiled <b>worldwide</b> map that shows clinics offering informed consent:
<a href="https://www.google.com/maps/d/u/1/viewer?mid=1DxyOTw8dI8n96BHFF2JVUMK7bXsRKtzA&ll=26.19982757169323%2C-113.38234069999999&z=3" target="_blank">Erin's Informed Consent Map</a> <a href="https://www.google.com/maps/d/u/1/viewer?mid=1DxyOTw8dI8n96BHFF2JVUMK7bXsRKtzA&ll=26.19982757169323%2C-113.38234069999999&z=3"
target="_blank">Erin's Informed Consent Map</a>
with particular focus on clinics in the USA. with particular focus on clinics in the USA.
Many new mobile apps and telehealth services in the USA also offer informed consent access to HRT, see this short document for a full list for ALL current app/telehealth HRT services in the USA: Many new mobile apps and telehealth services in the USA also offer informed consent access to HRT, see this short document for a full list for ALL current app/telehealth HRT services in the USA:
<a href="apps.html">diyhrt.wiki/apps</a>.<br> <a href="apps.html">diyhrt.wiki/apps</a>.<br>
To save on prescribed HRT in the USA, try <a href="https://goodrx.com" target="_blank">goodrx.com</a> for To save on prescribed HRT in the USA, try <a href="https://goodrx.com" target="_blank">goodrx.com</a> for
free free
coupons to use at participating pharmacies. There are no strings attached to this service! <a href="https://costplusdrugs.com/medications/" target="_blank">Cost Plus Drugs</a> is also a good source coupons to use at participating pharmacies. There are no strings attached to this service! <a
href="https://costplusdrugs.com/medications/" target="_blank">Cost Plus Drugs</a> is also a good source
for for
affordable medications if you have a doctor's prescription. affordable medications if you have a doctor's prescription.
<br><br> <br><br>
@ -148,6 +175,7 @@ people in getting on HRT. It uses a model similar to informed consent and asks a
Unfortunately, they have a bit of a reputation for giving rather undesirable dosing regimens and not following clinical guidelines, and can be quite Unfortunately, they have a bit of a reputation for giving rather undesirable dosing regimens and not following clinical guidelines, and can be quite
expensive. expensive.
</p> </p>
<h6>DIY:</h6> <h6>DIY:</h6>
<p> <p>
If you don't want to be on waitlists, have to prove your transness while allowing your body to feminize, or are If you don't want to be on waitlists, have to prove your transness while allowing your body to feminize, or are
@ -208,7 +236,9 @@ If you wanted to inject 50mg and you have a 300mg/mL vial, <br>
50 ÷ 300 ≈ 0.17<br> 50 ÷ 300 ≈ 0.17<br>
0.17mL per injection 0.17mL per injection
</li> </li>
<p>Not too complicated now, hopefully!</p> <p>Not too complicated now, hopefully!</p>
<h6>How to perform a T injection</h6> <h6>How to perform a T injection</h6>
<p> <p>
Needles can be bought from any pharmacy over the counter in most countries without a prescription (you may have Needles can be bought from any pharmacy over the counter in most countries without a prescription (you may have
@ -234,29 +264,41 @@ Recommended needle lengths are as follows:
There are many online videos and guides for how to administer an intramuscular or subcutaneous injection, here There are many online videos and guides for how to administer an intramuscular or subcutaneous injection, here
are a few decent ones: are a few decent ones:
</p> </p>
<h7>Guide by Plume:</h7> <h7>Guide by Plume:</h7>
<p><a href="https://members.getplume.co/support/solutions/articles/72000544742-all-about-injections#Injection-video-tutorials" target="_blank">https://members.getplume.co/support/solutions/articles/72000544742-all-about-injections#Injection-video-tutorials</a></p> <p><a href="https://members.getplume.co/support/solutions/articles/72000544742-all-about-injections#Injection-video-tutorials" target="_blank">https://members.getplume.co/support/solutions/articles/72000544742-all-about-injections#Injection-video-tutorials</a></p>
<p>Extremely detailed video guides on both IM and subq injections, with the downside that they are split into <p>Extremely detailed video guides on both IM and subq injections, with the downside that they are split into
multiple long videos. Slightly less professional but shorter guide videos are below:</p> multiple long videos. Slightly less professional but shorter guide videos are below:</p>
<h7>Subcutaneous:</h7> <h7>Subcutaneous:</h7>
<p><a href="https://www.youtube.com/watch?v=APSPbpqefKw" target="_blank">https://www.youtube.com/watch?v=APSPbpqefKw </a></p> <p><a href="https://www.youtube.com/watch?v=APSPbpqefKw"
target="_blank">https://www.youtube.com/watch?v=APSPbpqefKw </a></p>
<div class="video-container"> <div class="video-container">
<iframe width="560" height="315" src="https://www.youtube-nocookie.com/embed/APSPbpqefKw" title="YouTube video player" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen></iframe> <iframe width="560" height="315" src="https://www.youtube-nocookie.com/embed/APSPbpqefKw"
title="YouTube video player" frameborder="0"
allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture"
allowfullscreen></iframe>
</div> </div>
<br> <br>
<h7>Intramuscular:</h7> <h7>Intramuscular:</h7>
<p><a href="https://www.youtube.com/watch?v=W5GAyZzDpNU" target="_blank">https://www.youtube.com/watch?v=W5GAyZzDpNU</a></p> <p><a href="https://www.youtube.com/watch?v=W5GAyZzDpNU"
target="_blank">https://www.youtube.com/watch?v=W5GAyZzDpNU</a></p>
<div class="video-container"> <div class="video-container">
<iframe width="560" height="315" src="https://www.youtube-nocookie.com/embed/W5GAyZzDpNU" title="YouTube video player" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen></iframe> <iframe width="560" height="315" src="https://www.youtube-nocookie.com/embed/W5GAyZzDpNU"
title="YouTube video player" frameborder="0"
allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture"
allowfullscreen></iframe>
</div> </div>
<br> <br>
<p>Be sure to dispose of your needle tips inside of a hard plastic container or a sharps bin to prevent injury.</p> <p>Be sure to dispose of your needle tips inside of a hard plastic container or a sharps bin to prevent injury.</p>
<a id="blood_testing"></a> <a id="blood_testing"></a>
<h6>Blood Testing</h6> <h6>Blood Testing</h6>
<p>Regular blood testing every ~3 months or so is useful, but not absolutely mandatory, especially if not <p>Regular blood testing every ~3 months or so is useful, but not absolutely mandatory, especially if not
particularly affordable or feasible. It's recommended to get a blood test after 1 month on testosterone, and then every 3 months after that. particularly affordable or feasible. It's recommended to get a blood test after 1 month on testosterone, and then every 3 months after that.
Here are some sources of private blood testing if you cannot access it Here are some sources of private blood testing if you cannot access it
through the medical system:</p> through the medical system:</p>
(USA): <a href="https://www.privatemdlabs.com/" target="_blank">https://www.privatemdlabs.com/</a> <br> (USA): <a href="https://www.privatemdlabs.com/" target="_blank">https://www.privatemdlabs.com/</a> <br>
(USA): <a href="https://labsmd.com/" target="_blank">https://labsmd.com/</a><br> (USA): <a href="https://labsmd.com/" target="_blank">https://labsmd.com/</a><br>
(USA): <a href="https://www.walkinlab.com/" target="_blank">https://www.walkinlab.com/</a><br> (USA): <a href="https://www.walkinlab.com/" target="_blank">https://www.walkinlab.com/</a><br>
@ -295,6 +337,7 @@ Try to keep your estradiol under 70pg/mL
Occasional testing of Complete Blood Count (CBC), Liver Function Tests (LFT)/Liver enzymes, Clotting factors Occasional testing of Complete Blood Count (CBC), Liver Function Tests (LFT)/Liver enzymes, Clotting factors
test, and Lipid profile test (cholesterol, triglycerides) can be useful to monitor certain health risks test, and Lipid profile test (cholesterol, triglycerides) can be useful to monitor certain health risks
associated with testosterone therapy. associated with testosterone therapy.
<a id="risks/side_effects"></a> <a id="risks/side_effects"></a>
<h6>Risks/Side effects</h6> <h6>Risks/Side effects</h6>
<p> <p>
@ -331,6 +374,7 @@ you are unlikely to deal with excessive aromatization.
<h5> Sources: </h5> <h5> Sources: </h5>
CAUTION: If there is not a source listed, please check <a href="https://www.eroids.com/reviews/" target="_blank">https://www.eroids.com/reviews/</a> CAUTION: If there is not a source listed, please check <a href="https://www.eroids.com/reviews/" target="_blank">https://www.eroids.com/reviews/</a>
before buying. before buying.
<h6> US Sourcing:</h6> <h6> US Sourcing:</h6>
<h7>RoidBazaar US</h7> <h7>RoidBazaar US</h7>
<p> <p>
@ -342,6 +386,7 @@ ALL Testosterone Enanthate - <br>
ALL Testosterone Cypionate - <br> ALL Testosterone Cypionate - <br>
<a href="https://us.roidbazaar.me/testosterone-cypionate/" target="_blank">https://us.roidbazaar.me/testosterone-cypionate/</a> <a href="https://us.roidbazaar.me/testosterone-cypionate/" target="_blank">https://us.roidbazaar.me/testosterone-cypionate/</a>
</p> </p>
<h6>Canadian Sourcing:</h6> <h6>Canadian Sourcing:</h6>
<h7>Alpha North Labs</h7> <h7>Alpha North Labs</h7>
<p> <p>
@ -353,6 +398,7 @@ Testosterone Enanthate -<br>
Testosterone Cypionate - <br> Testosterone Cypionate - <br>
<a href="https://alphanorthlabs.com/product/testosterone-cypionate/" target="_blank">https://alphanorthlabs.com/product/testosterone-cypionate/</a> <a href="https://alphanorthlabs.com/product/testosterone-cypionate/" target="_blank">https://alphanorthlabs.com/product/testosterone-cypionate/</a>
</p> </p>
<h6>UK Sourcing:</h6> <h6>UK Sourcing:</h6>
<h7>RoidBazaar UK</h7> <h7>RoidBazaar UK</h7>
<p> <p>
@ -394,6 +440,7 @@ Testosterone Cypionate - <br>
<a href="https://eu.roidbazaar.me/human-labs/testo-c/" target="_blank">https://eu.roidbazaar.me/human-labs/testo-c/</a> <a href="https://eu.roidbazaar.me/human-labs/testo-c/" target="_blank">https://eu.roidbazaar.me/human-labs/testo-c/</a>
<br><br> <br><br>
<a href="https://eu.roidbazaar.me/europe-domestic/testosterone-cypionate-250-1296/" target="_blank">https://eu.roidbazaar.me/europe-domestic/testosterone-cypionate-250-1296/ </a> <a href="https://eu.roidbazaar.me/europe-domestic/testosterone-cypionate-250-1296/" target="_blank">https://eu.roidbazaar.me/europe-domestic/testosterone-cypionate-250-1296/ </a>
<h6>Australia Sourcing:</h6> <h6>Australia Sourcing:</h6>
<h7>Austarlabs</h7> <h7>Austarlabs</h7>
<p> <p>
@ -416,16 +463,21 @@ Testosterone Enanthate -<br>
<br> <br>
<a href="https://roidbazaar.me/SCIROXX-Pharma/testodex-enanthate-250/" target="_blank">https://roidbazaar.me/SCIROXX-Pharma/testodex-enanthate-250/ </a> <a href="https://roidbazaar.me/SCIROXX-Pharma/testodex-enanthate-250/" target="_blank">https://roidbazaar.me/SCIROXX-Pharma/testodex-enanthate-250/ </a>
<br><br> <br><br>
<a href="https://roidbazaar.me/7Lab/testolab-e-250/" target="_blank">https://roidbazaar.me/7Lab/testolab-e-250/ </a> <a href="https://roidbazaar.me/7Lab/testolab-e-250/"
target="_blank">https://roidbazaar.me/7Lab/testolab-e-250/ </a>
<br><br> <br><br>
Testosterone Cypionate - <br> Testosterone Cypionate - <br>
<br> <br>
<a href="https://roidbazaar.me/SCIROXX-Pharma/testodex-cypionate-250/" target="_blank">https://roidbazaar.me/SCIROXX-Pharma/testodex-cypionate-250/ </a> <a href="https://roidbazaar.me/SCIROXX-Pharma/testodex-cypionate-250/" target="_blank">https://roidbazaar.me/SCIROXX-Pharma/testodex-cypionate-250/ </a>
<br><br> <br><br>
<a href="https://roidbazaar.me/7Lab/testolab-c-250/" target="_blank">https://roidbazaar.me/7Lab/testolab-c-250/ </a> <a href="https://roidbazaar.me/7Lab/testolab-c-250/"
target="_blank">https://roidbazaar.me/7Lab/testolab-c-250/ </a>
</p> </p>
<a id="FAQ"></a> <a id="FAQ"></a>
<h5>Frequently Asked Questions:</h5> <h5>Frequently Asked Questions:</h5>
<h6>Traveling with testosterone.</h6> <h6>Traveling with testosterone.</h6>
<p> <p>
<b>It is NOT recommended to travel with DIY-sourced testosterone</b>, as airport security may check through all <b>It is NOT recommended to travel with DIY-sourced testosterone</b>, as airport security may check through all
@ -443,12 +495,14 @@ lawyer as soon as an opportunity is provided to you.
<b>Obviously, it is fine to travel with legitimately obtained, prescribed T. Just make sure you have the <b>Obviously, it is fine to travel with legitimately obtained, prescribed T. Just make sure you have the
prescription with you.</b> prescription with you.</b>
</p> </p>
<h6>Testosterone dosing after a hysterectomy.</h6> <h6>Testosterone dosing after a hysterectomy.</h6>
<p> <p>
Testosterone dosages do not usually need to be adjusted after a hysterectomy. Testosterone dosages do not usually need to be adjusted after a hysterectomy.
</p> </p>
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