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oh i guess that is a rather important oversight clarification now isn't it. and also some bolding. also stop thinking creatine is magic omg don't you READ
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pghrt.tex
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pghrt.tex
@@ -191,6 +191,8 @@ Please see Section \ref{sv} “SOURCING VIALS”. You will be amazed, and quite
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\textbf{Yes.} Nothing is guaranteed, but many people experience substantial noticeable differences after swapping to injections even after years on HRT. These range from increased breast development, improved mental health, alleviated side effects of antiandrogens or other forms of estrogen, generally feeling better, etc. Switching is worth it.
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\textbf{It should be noted that time on HRT before injections is not "wasted", nor is there a limited window that estrogen is most effective for feminization.} It is the consistency of injections that makes them as good as they are, but the destination will be largely the same either way. See Questions \ref{11-5} and \ref{11-6}.
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\subsection{But injections are scary?}
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Yes, they are at first. Nobody likes needles because the body naturally does not want to poke itself, but with proper technique and supplies, it won’t hurt much at all. There are countless cases of people with debilitating needlephobias who now find the experience of injecting to be boring. The fear is normal and common, but it is wholly surmountable and worth overcoming. “Oh, that wasn’t as bad as I thought,” is a very common sentence. As the mantra goes: do it scared. You’ll be okay.
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@@ -503,7 +505,7 @@ It is possible that the cap may break and you may injure yourself if you place t
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\subsection{What needle gauge should I draw with?}
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If you are using Luer lock syringes, it is recommended to use a lower gauge than what you inject with so that it takes less time to draw from the vial. Too low can lead to coring (See Question \ref{5-23}), so at least 21-23G is recommended. If you have patience and lower volumes to inject, then higher gauges are recommended for the aforementioned coring risk reduction. Please note that the needle does not meaningfully blunt on the stopper. This question is irrelevant with insulin syringes because the needle is not removable.
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If you are using Luer lock syringes, it is recommended to use a lower gauge than what you inject with so that it takes less time to draw from the vial. Too low can lead to coring (See Question \ref{5-23}), so \textbf{drawing with at least 21-23G is recommended.} If you have patience and lower volumes to inject, then higher gauges are recommended for the aforementioned coring risk reduction. Please note that the needle does not meaningfully blunt on the stopper. This question is irrelevant with insulin syringes because the needle is not removable.
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\subsection{What needle length should I draw with?}
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@@ -963,15 +965,15 @@ Reframing this in another way: \textbf{there is no reason to believe that “sta
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\subsection{Does body weight affect dosage?}
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No. Because there is no “optimal” blood level for estrogen and because the therapeutic range of acceptable levels is so wide, body weight does not meaningfully affect dosage for HRT. It is for the same reason that slight deviations in dosage are unlikely to affect how you feel. There is no such thing as being “too light” or “too heavy” for HRT in any capacity.
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No. Because there is no “optimal” blood level for estrogen and because the therapeutic range of acceptable levels is so wide, \textbf{body weight does not meaningfully affect dosage for HRT.} It is for the same reason that slight deviations in dosage are unlikely to affect how you feel. There is no such thing as being “too light” or “too heavy” for HRT in any capacity.
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Adjusting your dosage in increments of 0.1mg is a difference that should not be expected to be perceived simply because our bodies are not sensitive enough to such exact measurements, let alone the high possibility of imprecision when performing an injection that makes that certainty of this measurement unlikely. In other words, the accuracy of your dosage is more important than the precision.
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\textbf{Adjusting your dosage in increments of 0.1mg is a difference that should not be expected to be perceived simply because our bodies are not sensitive enough to such exact measurements,} let alone the high possibility of imprecision when performing an injection that makes that certainty of this measurement unlikely. In other words, the accuracy of your dosage is more important than the precision.
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\subsection{Is there such a thing as starting estrogen too late?}
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\subsection{Is there such a thing as starting estrogen too late?}\label{11-5}
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\textbf{No.} No matter when you start, estrogen is able to do a LOT and a proper regimen will be able to have powerful results. Sex hormones are some of the strongest hormones in our body in terms of our appearance. Everybody always wishes that they could’ve started sooner, but that’s no reason not to start now. Even if you’ve been on estrogen for years, there is still a benefit to be had in improving the quality of your regimen.
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\subsection{Does feminization / breast development stop after X years?}
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\subsection{Does feminization / breast development stop after X years?}\label{11-6}
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\textbf{No.} There is not an arbitrary time where estrogen suddenly stops working. Various numbers are given and usually it’s either 1) entirely made up or 2) pointing to a study that only went for X years. Doctors in particular love to tell trans women not to expect more than B cup breasts (which isn’t even how breast sizing \textit{works}, but I digress) or for any growth after 2 years, but this is simply not true. There are cases of people who restarted estrogen after stopping for many years and still experiencing new growth.
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@@ -1171,7 +1173,7 @@ No. Bodybuilders and athletes like it because having more energy means more acti
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\subsection{How is creatine related to HRT?}
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It isn’t! But it’s something I yell about because I think it’s good and I am tired of repeating myself because people keep asking and you’re reading this anyway, aren’t you? I love a captive audience. My standup routine is at the bottom.
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\textbf{It isn’t!} But it’s something I yell about because I think it’s good and I am tired of repeating myself because people keep asking and you’re reading this anyway, aren’t you? I love a captive audience. My standup routine is at the bottom.
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\subsection{Okay well why should I take creatine then?}
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