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<head>
<meta content="text/html; charset=utf-8" http-equiv="content-type"/>
<title>A PRACTICAL GUIDE TO FEMINIZING HRT</title>
<!--Generated on Fri Oct 24 13:01:14 2025 by LaTeXML (version 0.8.8) http://dlmf.nist.gov/LaTeXML/.-->
<!--Document created on October 24, 2025.-->
<!--Generated on Sat Oct 25 16:16:51 2025 by LaTeXML (version 0.8.8) http://dlmf.nist.gov/LaTeXML/.-->
<!--Document created on October 25, 2025.-->
<link href="LaTeXML.css" rel="stylesheet" type="text/css"/>
<link href="ltx-article.css" rel="stylesheet" type="text/css"/>
<meta content="width=device-width, initial-scale=1, shrink-to-fit=no" name="viewport"/>
@@ -35,6 +35,7 @@
<li class="ltx_tocentry ltx_tocentry_subsection"><a class="ltx_ref" href="#S1.SS9" title="In 1 INTRODUCTION ‣ A PRACTICAL GUIDE TO FEMINIZING HRT"><span class="ltx_text ltx_ref_title"><span class="ltx_tag ltx_tag_ref">1.9 </span>What about pellets?</span></a></li>
<li class="ltx_tocentry ltx_tocentry_subsection"><a class="ltx_ref" href="#S1.SS10" title="In 1 INTRODUCTION ‣ A PRACTICAL GUIDE TO FEMINIZING HRT"><span class="ltx_text ltx_ref_title"><span class="ltx_tag ltx_tag_ref">1.10 </span>What about sprays?</span></a></li>
<li class="ltx_tocentry ltx_tocentry_subsection"><a class="ltx_ref" href="#S1.SS11" title="In 1 INTRODUCTION ‣ A PRACTICAL GUIDE TO FEMINIZING HRT"><span class="ltx_text ltx_ref_title"><span class="ltx_tag ltx_tag_ref">1.11 </span>Is the difference that significant?</span></a></li>
<li class="ltx_tocentry ltx_tocentry_subsection"><a class="ltx_ref" href="#S1.SS12" title="In 1 INTRODUCTION ‣ A PRACTICAL GUIDE TO FEMINIZING HRT"><span class="ltx_text ltx_ref_title"><span class="ltx_tag ltx_tag_ref">1.12 </span>Is this chart accurate?</span></a></li>
</ol>
</li>
<li class="ltx_tocentry ltx_tocentry_section">
@@ -321,7 +322,7 @@
<span class="ltx_personname"><a class="ltx_ref ltx_href" href="https://katea.gay/" title="">Katie Tightpussy</a>
</span></span>
</div>
<div class="ltx_dates">(October 24, 2025)</div>
<div class="ltx_dates">(October 25, 2025)</div>
<div class="ltx_abstract">
<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>
@@ -585,6 +586,22 @@
<p class="ltx_p"><span class="ltx_text ltx_font_bold">Yes.</span> To the point that I wrote all of this so that I could repeat myself less by instead linking this. A properly dosed injection regimen is the best form of estrogen that we have for achieving monotherapy target levels.</p>
</div>
</section>
<section class="ltx_subsection" id="S1.SS12">
<h3 class="ltx_title ltx_title_subsection">
<span class="ltx_tag ltx_tag_subsection">1.12 </span>Is this chart accurate?<a class="ltx_ref chain" href="#S1.SS12" onclick="copyURI(event)" title="Click to copy a link here"> 🔗</a></h3>
<figure class="ltx_figure" id="S1.F0"><img alt="Refer to caption" class="ltx_graphics ltx_centering ltx_img_square" height="514" id="S1.F0.g1" src="img/STUPID_CHART_evil_bad_bad_destroy_evil_bad.png" width="598"/>
<figcaption class="ltx_caption ltx_centering"><span class="ltx_tag ltx_tag_figure">Figure 0: </span>This Chart Sucks</figcaption>
</figure>
<div class="ltx_para" id="S1.SS12.p1">
<p class="ltx_p"><span class="ltx_text ltx_font_bold">No.</span> While this guide is not interested in playing whackamole by responding directly to every instance of misinformation on social media, the prevalence of this chart both online and in doctor-provided resources across languages paired with the sheer volume of harm it has caused denotes need for special exception beyond off-hand reference in Question <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>
<div class="ltx_para" id="S1.SS12.p2">
<p class="ltx_p"><span class="ltx_text ltx_font_bold">This chart is categorically false.</span> Nearly aspect of it is misleading in some capacity, with the one exception being that it is wholly true that estrogen does not cause vocal changes. The time ranges listed for “expected onset” are misleading, and the idea of a time limit for “maximum effect” is so misleading that it borders on criminal. A plethora of changes are not listed (such as mental effects) or are wrong (the chart contradicts itself about erectile dysfunction). No consideration is given towards regimen quality either.</p>
</div>
<div class="ltx_para" id="S1.SS12.p3">
<p class="ltx_p"><span class="ltx_text ltx_font_bold">The key aspects of the chart requiring nuance are discussed across this guide, so the only general takeaway should be that change happens at different rates.</span> This chart causes poor expectations, provides an inaccurate picture of what HRT does, and sets trans people up for failure by limiting their understanding of hormones. Please disregard it in its entirety. Now, let us continue after this detour.</p>
</div>
</section>
</section>
<section class="ltx_section" id="S2">
<h2 class="ltx_title ltx_title_section">
@@ -593,7 +610,7 @@
<h3 class="ltx_title ltx_title_subsection">
<span class="ltx_tag ltx_tag_subsection">2.1 </span>What makes injections so good?<a class="ltx_ref chain" href="#S2.SS1" onclick="copyURI(event)" title="Click to copy a link here"> 🔗</a></h3>
<div class="ltx_para" id="S2.SS1.p1">
<p class="ltx_p">Consistency. Consistency is the name of the game when it comes to HRT. Consistent hormones means stability, and stability is good. Even the “worst” injection type (keep reading) can provide a more consistent hormonal cycle than other routes of administration which provides many benefits.</p>
<p class="ltx_p"><span class="ltx_text ltx_font_bold">Consistency.</span> Consistency is the name of the game when it comes to HRT. Consistent hormones means stability, and stability is good. Even the “worst” injection type (keep reading) can provide a more consistent hormonal cycle than other routes of administration which provides many benefits.</p>
</div>
</section>
<section class="ltx_subsection" id="S2.SS2">
@@ -2719,7 +2736,7 @@
<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>
</div>
<div class="ltx_para ltx_noindent" id="Sx6.p2">
<p class="ltx_p">Full Compilation Datetime: <span class="undefined">Fri Oct 24 13:01:14 2025</span></p>
<p class="ltx_p">Full Compilation Datetime: <span class="undefined">Sat Oct 25 16:16:51 2025</span></p>
</div>
<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>
@@ -2802,11 +2819,14 @@
<div class="ltx_para ltx_noindent" id="Sx6.p29">
<p class="ltx_p">2025-10-17: Dark mode! And a font toggle off. Plus a few links. 19.8k words.</p>
</div>
<div class="ltx_para ltx_noindent" id="Sx6.p30">
<p class="ltx_p">2025-10-25: A variety of micro tweaks and the inclusion of Question <a class="ltx_ref" href="#S1.SS12" title="1.12 Is this chart accurate? ‣ 1 INTRODUCTION ‣ A PRACTICAL GUIDE TO FEMINIZING HRT"><span class="ltx_text ltx_ref_tag">1.12</span></a>. 20.2k words</p>
</div>
</section>
</article>
</div>
<footer class="ltx_page_footer">
<div class="ltx_page_logo">Generated on Fri Oct 24 13:01:14 2025 by <a class="ltx_LaTeXML_logo" href="http://dlmf.nist.gov/LaTeXML/"><span style="letter-spacing:-0.2em; margin-right:0.1em;">L<span class="ltx_font_smallcaps" style="position:relative; bottom:2.2pt;">a</span>T<span class="ltx_font_smallcaps" style="font-size:120%;position:relative; bottom:-0.2ex;">e</span></span><span style="font-size:90%; position:relative; bottom:-0.2ex;">XML</span><img alt="Mascot Sammy" src="data:image/png;base64,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"/></a>
<div class="ltx_page_logo">Generated on Sat Oct 25 16:16:51 2025 by <a class="ltx_LaTeXML_logo" href="http://dlmf.nist.gov/LaTeXML/"><span style="letter-spacing:-0.2em; margin-right:0.1em;">L<span class="ltx_font_smallcaps" style="position:relative; bottom:2.2pt;">a</span>T<span class="ltx_font_smallcaps" style="font-size:120%;position:relative; bottom:-0.2ex;">e</span></span><span style="font-size:90%; position:relative; bottom:-0.2ex;">XML</span><img alt="Mascot Sammy" src="data:image/png;base64,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"/></a>
</div></footer>
</div>
</body>

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\author{\href{https://katea.gay/}{Katie Tightpussy}}
\date{\today}
\setcounter{section}{-1}
\setcounter{figure}{-1}
\urlstyle{same}
\begin{document}
@@ -153,13 +154,28 @@ These are still fairly experimental so there is little to say about them, but th
\textbf{Yes.} To the point that I wrote all of this so that I could repeat myself less by instead linking this. A properly dosed injection regimen is the best form of estrogen that we have for achieving monotherapy target levels.
\subsection{Is this chart accurate?}\label{1-12}
\begin{figure}[H]
\centering
\includegraphics[width=1\linewidth]{STUPID_CHART_evil_bad_bad_destroy_evil_bad.png}
\caption{This Chart Sucks}
\label{fig:scebbdeb}
\end{figure}
\textbf{No.} While this guide is not interested in playing whackamole by responding directly to every instance of misinformation on social media, the prevalence of this chart both online and in doctor-provided resources across languages paired with the sheer volume of harm it has caused denotes need for special exception beyond off-hand reference in Question \ref{11-6}.
\textbf{This chart is categorically false.} Nearly aspect of it is misleading in some capacity, with the one exception being that it is wholly true that estrogen does not cause vocal changes. The time ranges listed for “expected onset” are misleading, and the idea of a time limit for “maximum effect” is so misleading that it borders on criminal. A plethora of changes are not listed (such as mental effects) or are wrong (the chart contradicts itself about erectile dysfunction). No consideration is given towards regimen quality either.
\textbf{The key aspects of the chart requiring nuance are discussed across this guide, so the only general takeaway should be that change happens at different rates.} This chart causes poor expectations, provides an inaccurate picture of what HRT does, and sets trans people up for failure by limiting their understanding of hormones. Please disregard it in its entirety. Now, let us continue after this detour.
\section{WHY INJECTIONS}
\subsection{What makes injections so good?}
Consistency. Consistency is the name of the game when it comes to HRT. Consistent hormones means stability, and stability is good. Even the “worst” injection type (keep reading) can provide a more consistent hormonal cycle than other routes of administration which provides many benefits.
\textbf{Consistency.} Consistency is the name of the game when it comes to HRT. Consistent hormones means stability, and stability is good. Even the “worst” injection type (keep reading) can provide a more consistent hormonal cycle than other routes of administration which provides many benefits.
\subsection{Are antiandrogens necessary with injections?}
@@ -1353,4 +1369,6 @@ Shout out to my IB Chemistry HL teacher many years ago who quite reasonably doub
\noindent 2025-10-17: Dark mode! And a font toggle off. Plus a few links. 19.8k words.
\noindent 2025-10-25: A variety of micro tweaks and the inclusion of Question \ref{1-12}. 20.2k words
\end{document}