Transfem
A community for transfeminine people and experiences.
This is a supportive community for all transfeminine or questioning people. Anyone is welcome to participate in this community but disrupting the safety of this space for trans feminine people is unacceptable and will result in moderator action.
Debate surrounding transgender rights or acceptance will result in an immediate ban.
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- Bigotry of any kind will not be tolerated.
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This community is supportive of DIY HRT. Unsolicited medical advice or caution being given to people on DIY will result in moderator action.
Posters may express that they are looking for responses and support from groups with certain experiences (eg. trans people, trans people with supportive parents, trans parents.). Please respect those requests and be mindful that your experience may differ from others here.
Some helpful links:
- The Gender Dysphoria Bible // In depth explanation of the different types of gender dysphoria.
- Trans Voice Help // A community here on blahaj.zone for voice training.
- LGBTQ+ Healthcare Directory // A directory of LGBTQ+ accepting Healthcare providers.
- Trans Resistance Network // A US-based mutual aid organization to help trans people facing state violence and legal discrimination.
- TLDEF's Trans Health Project // Advice about insurance claims for gender affirming healthcare and procedures.
- TransLifeLine's ID change Library // A comprehensive guide to changing your name on any US legal document.
- Rainbow Railroad // A non-profit international humans rights organization helping at risk LGBTQ+ people relocate to safety.
Support Hotlines:
- The Trevor Project // Web chat, phone call, and text message LGBTQ+ support hotline.
- TransLifeLine // A US/Canada LGBTQ+ phone support hotline service. The US line has Spanish support.
- LGBT Youthline.ca // A Canadian LGBT hotline support service with phone call and web chat support. (4pm - 9:30pm EST)
- 988lifeline // A US only Crisis hotline with phone call, text and web chat support. Dedicated staff for LGBTQIA+ youth 24/7 on phone service, 3pm to 2am EST for text and web chat.
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There's no data that indicates that injections are better for breast size. I've seen people switch from injections to other routes and claim they got growth from doing so, and I therefore doubt it's about one route giving better results than any other.
Injections are very practical however and bypass the liver so I do recommend them because of that
Damn, I still don't know what anyone's talking about with the liver pill thing.
Hey Grail, yeah this is an important think to be aware of. When You take pills orally they are processed through the liver, this puts strain on it. The same would be true if You took paracetamol every single day. It's a small amount of stress but it can build up and lead to reduced liver function. This is why we keep an eye on liver function during blood testing for hrt. Basically it means Your liver is always working hard to remove the stuff You're putting into your body.
If you use gel or injectables or even sublingual pills, it bypasses Your digestive system and liver and goes straight into the blood where it can be used by Your body. There is no long term deleterious effect on Your liver that way. After 6 years on pills I think it might be sensible for You to consider shifting intake method. If You have a doctor supervising Your treatment You could talk with them about it.
At the very least maybe get some liver function tests if You have that option available.
I don't think there's any reason for You to panic, I know plenty of girls that have been on oral E for years. The problems with liver function take a very long time to build up. This is really about the effects after 10, 20, 30+ years that we're trying to avoid.
Thanks! I'll bring it up with My endocrinologist next appointment!
when you swallow anything, it goes in your intestines, and the blood stream absorbs it and leads directly to the liver before it goes anywhere else. so, all the hormones pass through the liver first before going anywhere else. that's why people say that it hits the liver harder. while if you take them from a needle in the arm, then it doesn't go directly to the liver.
but i'm no expert on how this actually affects the liver etc. could be that it plays no big role anyways. i'm not expert here.
Hormones often become far less efficient when swallowed due to the processes they undergo before going out to the rest of your body. With estradiol the difference is big because a lot of the estradiol is turned into estriol which is both less efficient as an estrogen and linked to breast cancer
It's the same with progesterone but I don't know that any of the metabolites are linked to anything bad. It's why the experience of oral vs rectal administration of progesterone is so different
oh interesting. Today i learned!
in fact if i have to guess, i'd say that it makes no difference. all the hormones pass through the liver eventually (probably multiple times) until they decay. so, in 5 hours they maybe pass through the liver 100 times? idk. so it's 101 times if you swallow orally vs. 100 times if you take needle, almost same thing.