traaaaaaannnnnnnnnns
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If she's literally just starting, they'll start super low and go up. That's what the WPATH says to do even if it's not technically the most effective - WPATH is kinda stuck in the past, and they're trying to base HRT regimes for trans patients on something other than vibes and which doctors you just happen to be near and can afford. It sucks but without a standard, you kind of have to doctor hop and just luck out. I dunno I'm of 2 minds on the whole thing.
Interesting because they seemed to have done the opposite for me by giving me an unusually large dose and then cutting me back when my levels were unsurprisingly too high. Not that I'm complaining about getting good HRT right off the bat though
I think it's still gonna be a mess until they get the WPATH better (and more GPs are aware of it rather than gender clinics).