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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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<head> <head>
<meta content="text/html; charset=utf-8" http-equiv="content-type"/> <meta content="text/html; charset=utf-8" http-equiv="content-type"/>
<title>A PRACTICAL GUIDE TO FEMINIZING HRT</title> <title>A PRACTICAL GUIDE TO FEMINIZING HRT</title>
<!--Generated on Fri Oct 17 00:32:11 2025 by LaTeXML (version 0.8.8) http://dlmf.nist.gov/LaTeXML/.--> <!--Generated on Sat Oct 18 18:22:21 2025 by LaTeXML (version 0.8.8) http://dlmf.nist.gov/LaTeXML/.-->
<!--Document created on October 17, 2025.--> <!--Document created on October 18, 2025.-->
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@@ -321,7 +321,7 @@
<span class="ltx_personname"><a class="ltx_ref ltx_href" href="https://katea.gay/" title="">Katie Tightpussy</a> <span class="ltx_personname"><a class="ltx_ref ltx_href" href="https://katea.gay/" title="">Katie Tightpussy</a>
</span></span> </span></span>
</div> </div>
<div class="ltx_dates">(October 17, 2025)</div> <div class="ltx_dates">(October 18, 2025)</div>
<div class="ltx_abstract"> <div class="ltx_abstract">
<h6 class="ltx_title ltx_title_abstract">DISCLAIMER</h6> <h6 class="ltx_title ltx_title_abstract">DISCLAIMER</h6>
<p class="ltx_p">I am not a doctor. I do not work in medicine. I am not a medical professional in any capacity. I am a layperson offering lay opinions based on the extent of my own education and experiences. All information and assertions below should be treated accordingly as mere opinion rather than statement of fact or medical advice. This guide prioritizes community moral truth where scientific research falters. Basically, don’t get mad at me.</p> <p class="ltx_p">I am not a doctor. I do not work in medicine. I am not a medical professional in any capacity. I am a layperson offering lay opinions based on the extent of my own education and experiences. All information and assertions below should be treated accordingly as mere opinion rather than statement of fact or medical advice. This guide prioritizes community moral truth where scientific research falters. Basically, don’t get mad at me.</p>
@@ -651,6 +651,9 @@
<div class="ltx_para" id="S2.SS9.p1"> <div class="ltx_para" id="S2.SS9.p1">
<p class="ltx_p"><span class="ltx_text ltx_font_bold">Yes.</span> 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.</p> <p class="ltx_p"><span class="ltx_text ltx_font_bold">Yes.</span> 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.</p>
</div> </div>
<div class="ltx_para" id="S2.SS9.p2">
<p class="ltx_p"><span class="ltx_text ltx_font_bold">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.</span> 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 <a class="ltx_ref" href="#S11.SS5" title="11.5 Is there such a thing as starting estrogen too late? ‣ 11 MYTHS AND MISCS ‣ A PRACTICAL GUIDE TO FEMINIZING HRT"><span class="ltx_text ltx_ref_tag">11.5</span></a> and <a class="ltx_ref" href="#S11.SS6" title="11.6 Does feminization / breast development stop after X years? ‣ 11 MYTHS AND MISCS ‣ A PRACTICAL GUIDE TO FEMINIZING HRT"><span class="ltx_text ltx_ref_tag">11.6</span></a>.</p>
</div>
</section> </section>
<section class="ltx_subsection" id="S2.SS10"> <section class="ltx_subsection" id="S2.SS10">
<h3 class="ltx_title ltx_title_subsection"> <h3 class="ltx_title ltx_title_subsection">
@@ -1180,7 +1183,7 @@
<h3 class="ltx_title ltx_title_subsection"> <h3 class="ltx_title ltx_title_subsection">
<span class="ltx_tag ltx_tag_subsection">5.14 </span>What needle gauge should I draw with?<a class="ltx_ref chain" href="#S5.SS14" onclick="copyURI(event)" title="Click to copy a link here"> 🔗</a></h3> <span class="ltx_tag ltx_tag_subsection">5.14 </span>What needle gauge should I draw with?<a class="ltx_ref chain" href="#S5.SS14" onclick="copyURI(event)" title="Click to copy a link here"> 🔗</a></h3>
<div class="ltx_para" id="S5.SS14.p1"> <div class="ltx_para" id="S5.SS14.p1">
<p class="ltx_p">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 <a class="ltx_ref" href="#S5.SS23" title="5.23 What is “coring”? ‣ 5 TECHNIQUE AND SUPPLIES ‣ A PRACTICAL GUIDE TO FEMINIZING HRT"><span class="ltx_text ltx_ref_tag">5.23</span></a>), 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.</p> <p class="ltx_p">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 <a class="ltx_ref" href="#S5.SS23" title="5.23 What is “coring”? ‣ 5 TECHNIQUE AND SUPPLIES ‣ A PRACTICAL GUIDE TO FEMINIZING HRT"><span class="ltx_text ltx_ref_tag">5.23</span></a>), so <span class="ltx_text ltx_font_bold">drawing with at least 21-23G is recommended.</span> 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.</p>
</div> </div>
</section> </section>
<section class="ltx_subsection" id="S5.SS15"> <section class="ltx_subsection" id="S5.SS15">
@@ -2131,10 +2134,10 @@
<h3 class="ltx_title ltx_title_subsection"> <h3 class="ltx_title ltx_title_subsection">
<span class="ltx_tag ltx_tag_subsection">11.4 </span>Does body weight affect dosage?<a class="ltx_ref chain" href="#S11.SS4" onclick="copyURI(event)" title="Click to copy a link here"> 🔗</a></h3> <span class="ltx_tag ltx_tag_subsection">11.4 </span>Does body weight affect dosage?<a class="ltx_ref chain" href="#S11.SS4" onclick="copyURI(event)" title="Click to copy a link here"> 🔗</a></h3>
<div class="ltx_para" id="S11.SS4.p1"> <div class="ltx_para" id="S11.SS4.p1">
<p class="ltx_p">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.</p> <p class="ltx_p">No. Because there is no “optimal” blood level for estrogen and because the therapeutic range of acceptable levels is so wide, <span class="ltx_text ltx_font_bold">body weight does not meaningfully affect dosage for HRT.</span> 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.</p>
</div> </div>
<div class="ltx_para" id="S11.SS4.p2"> <div class="ltx_para" id="S11.SS4.p2">
<p class="ltx_p">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.</p> <p class="ltx_p"><span class="ltx_text ltx_font_bold">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,</span> 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.</p>
</div> </div>
</section> </section>
<section class="ltx_subsection" id="S11.SS5"> <section class="ltx_subsection" id="S11.SS5">
@@ -2477,7 +2480,7 @@
<h3 class="ltx_title ltx_title_subsection"> <h3 class="ltx_title ltx_title_subsection">
<span class="ltx_tag ltx_tag_subsection">12.3 </span>How is creatine related to HRT?<a class="ltx_ref chain" href="#S12.SS3" onclick="copyURI(event)" title="Click to copy a link here"> 🔗</a></h3> <span class="ltx_tag ltx_tag_subsection">12.3 </span>How is creatine related to HRT?<a class="ltx_ref chain" href="#S12.SS3" onclick="copyURI(event)" title="Click to copy a link here"> 🔗</a></h3>
<div class="ltx_para" id="S12.SS3.p1"> <div class="ltx_para" id="S12.SS3.p1">
<p class="ltx_p">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.</p> <p class="ltx_p"><span class="ltx_text ltx_font_bold">It isn’t!</span> 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.</p>
</div> </div>
</section> </section>
<section class="ltx_subsection" id="S12.SS4"> <section class="ltx_subsection" id="S12.SS4">
@@ -2716,7 +2719,7 @@
<p class="ltx_p"><a class="ltx_ref ltx_href" href="https://github.com/Juicysteak117/pghrt/" title="">Source code available here on GitHub.</a></p> <p class="ltx_p"><a class="ltx_ref ltx_href" href="https://github.com/Juicysteak117/pghrt/" title="">Source code available here on GitHub.</a></p>
</div> </div>
<div class="ltx_para ltx_noindent" id="Sx6.p2"> <div class="ltx_para ltx_noindent" id="Sx6.p2">
<p class="ltx_p">Full Compilation Datetime: <span class="undefined">Fri Oct 17 00:32:11 2025</span></p> <p class="ltx_p">Full Compilation Datetime: <span class="undefined">Sat Oct 18 18:22:21 2025</span></p>
</div> </div>
<div class="ltx_para ltx_noindent" id="Sx6.p3"> <div class="ltx_para ltx_noindent" id="Sx6.p3">
<p class="ltx_p">(There aren’t LaTeXML bindings for <span class="ltx_text ltx_font_typewriter">datetime2</span>, <span class="ltx_text ltx_font_typewriter">hanging</span>, or <span class="ltx_text ltx_font_typewriter">hyphenat</span>, so the formatting is slightly ugly. If you’d really like to help me out, please write those bindings!!!)</p> <p class="ltx_p">(There aren’t LaTeXML bindings for <span class="ltx_text ltx_font_typewriter">datetime2</span>, <span class="ltx_text ltx_font_typewriter">hanging</span>, or <span class="ltx_text ltx_font_typewriter">hyphenat</span>, so the formatting is slightly ugly. If you’d really like to help me out, please write those bindings!!!)</p>
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@@ -191,6 +191,8 @@ Please see Section \ref{sv} “SOURCING VIALS”. You will be amazed, and quite
\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. \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.
\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}.
\subsection{But injections are scary?} \subsection{But injections are scary?}
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. 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.
@@ -503,7 +505,7 @@ It is possible that the cap may break and you may injure yourself if you place t
\subsection{What needle gauge should I draw with?} \subsection{What needle gauge should I draw with?}
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. 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.
\subsection{What needle length should I draw with?} \subsection{What needle length should I draw with?}
@@ -963,15 +965,15 @@ Reframing this in another way: \textbf{there is no reason to believe that “sta
\subsection{Does body weight affect dosage?} \subsection{Does body weight affect dosage?}
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. 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.
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. \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.
\subsection{Is there such a thing as starting estrogen too late?} \subsection{Is there such a thing as starting estrogen too late?}\label{11-5}
\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. \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.
\subsection{Does feminization / breast development stop after X years?} \subsection{Does feminization / breast development stop after X years?}\label{11-6}
\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. \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.
@@ -1171,7 +1173,7 @@ No. Bodybuilders and athletes like it because having more energy means more acti
\subsection{How is creatine related to HRT?} \subsection{How is creatine related to HRT?}
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. \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.
\subsection{Okay well why should I take creatine then?} \subsection{Okay well why should I take creatine then?}