A thing that is really frustrating about a lot of health care providers is they insist on using outdated “best practice” blood levels for trans fem HRT which puts our estradiol levels significantly lower than cis women.

Im lucky that I have a dr in cali who is good and insists on me having proper estradiol levels but in the past they were significantly lower with other doctors. And I can absolutely tell the difference I feel so much better with my current levels and physically the effects are noticable as well.