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[nekhcore]

I've been seeing the term diy hrt around, I've never heard of it before but I assume the name is self explanatory. Is it like where you make your own T or what? Is it cheaper than going through therapy and getting a diagnosis and prescription? Or is it something else entirely?If you have any resources on what it is exactly/how to safely start diy hrt could you answer with a short explanation or some links(preferebly within tumbler posts, I can't look anything up on this topic, otherwise I wouldn't have bothered you with this question).

Again sorry to bother you, hope you have a nice day.

Sincerely, a trans guy in serious need of HRT

Long answer, sorry…

DIY HRT is just a catch-all term for “not under supervision/guidance of a doctor”. The most well-known example of this is grey market estrogen bought online, but it can really look like anything. Using leftover patches of your friend, getting spare vials from a guy with a stockpile, buying HRT online… etc. Resources for trans guys who want to DIY are a bit harder to find because T has actual legal repercussions in most places.

In my case, I’m mostly taking the piss because a lot of people seem to think that if you take hormones without a doctor who has no fucking clue what they’re doing to shrug at you, you’ll fucking explode and die.

I’m a dual-citizen. In the States I have a prescription through Planned Parenthood, but where I actually live trans care is abysmal. We have a local group of transmascs who used to stock up abroad then distribute/sell T to the others who didn’t have a prescription. Nowadays though the T shortage in Europe isn’t as bad and our country isn’t as serious about restricting T, so I found a way to buy mine without a prescription.

Getting bloodwork privately and checking your own levels is pretty easy once you know what to ask for and know how to read your results. Big news: the labs don’t actually give a shit what the results say, they’re just going to give it to you. If a “woman” shows up and gets hormones tested and has male range T levels they’re not going to do jack shit about it because their job is just to test it and tell you. I’ve been doing my own bloodwork and adjusting my own dose based on my levels and how I feel for the last 2 years and I haven’t died horribly yet.

It’s not cheaper, unfortunately, because it’s all out of pocket. Insurance coverage would be really nice but I don’t want to risk having a transphobic doctor tell me what to do. (I wouldn’t listen)

The least blatantly illegal way I can think of DIYing is having a friend whose vials are prescribed single-use and sharing it. That way he’s not losing out, and you get to partake too. Where I live they sell ampoules, not vials, so you have to break them open to use them. Me and my best friend get together for shots sometimes to waste less by drawing up from the same ampoule, since we have to throw out whatever is left anyways. Nothing inherently dangerous about it as long as you’re all using sterile needles and syringes.

I have also seen cases where guys who suddenly switch to a different form of T (gel to injections or vice versa) and have some left over will give away their remainder to someone local.

If you’re in the States, I highly recommend trying Planned Parenthood or an informed consent clinic. I did my initial appointment over telehealth, signed some forms digitally, and had my prescription sent to the pharmacy of my choice the same day. It costed me like $170 without insurance. The prices vary regionally but you can try to ask for a price estimate if they offer gender services in your area.

If you lived in my city I would tell you to meet up with me in real and I’ll show you the pharmacy chain I go to and buy for you until you pass well enough to buy it yourself. Штета.

Dosing is easy. If you’re on cypionate or enthanate, those are weekly doses. You can start at 20-40mg a week and raise your dose little by little each week until you’re at a place you’re comfortable with or until you get the dose that works best for your body. It’s better to dose a little low than too high.

As for doing bloodwork? If private labs are easily accessible, ask for the following things: testosterone, estrogen (I do E2 estradiol), cholesterol, and hematocrit. Personally I get hormones, cholesterol, and a general blood test packet because it covers the rest. Make sure your hormones levels are in male range—look them up online if your results only show female ranges—and make sure your hematocrit and cholesterol aren’t getting too high either. Better to have slightly lower T levels and be healthy everywhere else than high T but also bad health elsewhere.

If money is an issue I get it. It’s not great for me either lol. I’ve had to delay my bloodwork for weeks because we get paid monthly and I didn’t have the $50 to spare for it, and I only just got a job that offers me any financial stability. Do what you can.

I’m sorry that I can’t give you resources on where exactly to acquire testosterone (and posting about them publicly risks getting them shut down, even if I did know) but I can advise you on how to care for yourself once you’ve gotten your hands on it.

[ponkersworld]

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[doctormage]

I’ve been beating myself up for so long bc I’m pretty highly medicated & also 3.5 years deep into therapy, I’m doing what I’m supposed to do for my adhd brain so why is it still this fucking hard to do basic shit, etc

and before I just thought I sucked and maybe depression had like 10% to do with it. but now it’s WAY easier to do shit, and even do more than I need to bc I know it’ll make things easier later (!!!???), so now I think it was more like. straight up 70% bc of depression*

ALL THIS TO SAY…..never discount adjusting your meds (if you’re able). doesn’t matter if you’ve been on that med/dose for years, or if you’re “just going through a rough patch and it’ll get better soon,” talk to your fuckin doctor

* for me personally! bc I am on 40mg of vyvanse and still also on wellbutrin currently, and have a lot of years of trial & error learning what works best for my adhd! I’m NOT saying that treating depression properly will make your adhd disappear!

now that I’ve adjusted my meds (again) I think my depression was affecting me way more than I thought it was and this is kind of embarrassing for me to admit bc depression was my first ever mental health diagnosis. lmao

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hello, may i get your opinion as to what you think a hospital pharmacist's work on a daily basis?

That’s an interesting question. What I think they do? ;) I hope that’s not terribly different from what they actually do...To be fair, I’m not entirely sure of everything they do when they disappear off to the pharm department. It’s a mysterious place! I’ve only been inside once or twice, and there were so many shelves full of medicines, it was like a pharmacological library! I know that in the department they prepare some of the more unusual preparations (like liquid versions for our patients with PEG tubes), but I think most preparations are brought in already made. They dispense medications for our ward, which have been requested by the nurses. Each ward has a certain amount of stock medications it keeps around (common things like most blood rpessure meds, antibiotics, common emergency meds) but the wards can’t store every possible medication, therefore many of them have to be requested from pharmacy. And if your hospital pharmacy doesn’t store a medication, they’ll have to order it in for you. When they are on the wards, the pharmacists and the pharmacist assistants read through our drug charts. They call up GP surgeries to ensure the drug histories we have from our patients are accurate (”Did you know Mr Smith was on 40mg of simvastatin previously?”). Sometimes we will have changed a dose, stopped a medication or started another, deliberately, but sometimes it picks up that for example a patient gave us an old prescription script with old dosages or missing some new medications they were recently started on. We have a pharmacist coming around most wards on most days in every hospital I’ve worked at. They reconcile the medicines to make sure that patients haven’t been put on medicines that clash. They’ll often advise us on dosages, or renal dosing or adjusting for poor liver function, and they are really useful when a patient’s had side effects with one medication and we’re trying to work out what the next best thing is to switch them to. When it comes to your hospital’s protocol for how to give particular medications, they can also be really useful. They’ll also know excactly which dosages something comes in, like for example how many tablets of a medication you can give in one dose (giving two transdermal patches of the same medicine is OK, but not three, for example), or what other formulations are available if your patient can’t tolerate one formulation. I check with them to make sure I’m not wasting whole boxes of medicine (say I prescribe one box and a half of a medicine, when prescribing one box or two might be better).  They also check through our discharge paperwork medication lists, and double check them against the drug chart /medications on admission list, to ensure that we haven’t left any out. If they are unsure, or there are differences, they’ll call us up and ask (”Was there a reason you held Mrs Jones’s Propranolol?”). They are therefore important for patient safety, but also for ensuring that we make the most of the medicines available to us. I hope I’m not too off base!

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What is vilitra 20mg tablet?              

Vilitra 20mg tablets is contain vardenafil. and have various Vilitra 20 dosage like 10mg, 20mg, 40mg, 60mg. What is erectile dysfunction. Erectile dysfunction in men can not erect the sex (impotence). And that people can not atchived to final and happy sex. This type of problem call as erectile dysfunction or impotense or sexula dysfunction. When this type of people facing problem like this, take this tablet and this tablet is improving blood flow into vein. This results in an sexual erection. Vardenafil Vilitra 20 Reviews is improving blood flow into vein by mechanism action of this tablet, which is finally maintain to happy sex. And once you complete a sex, decrease the blood flow and finally erection go back with his time. ED oral treatments. In 1998 FDA of united state of america approved vardenafil as a erectile dysfunction. This medicine is taken came revolution of fast and good and easy of long time activity in impotence. 

How to use vardenafil 20 mg?

Swallow the pill with one glass full of water. Do not break the tablet. Take the drug exactly as directed. This medicine should be combined with well balanced calorie controlled diet that is rich in fruits and vegetables. Take the pill at the same time each day, so as to avoid forgetting the dose. This should become a habit for you to take the tablet until the doctor tells you to stop the drug. Take the medicine as long as the doctor prescribes you to do. Do not stop taking the medicine without the doctor’s advice

How does vardenafil 20 mg work?

While a penile erection, the penis fills with blood. The blood vessels supply the penis with blood increase or dilate and the ships that take blood away from the penis contract. vardenafil relates to a class of drugs named phosphodiesterase type-5 (PDE5) inhibitors. A PDE5 inhibitor prevents PDE5 from constricting the arteries.

Side effects :

Headache

Flushing

Bloody nose

Indigestion

Sleeplessness

Diarrhea

Dizziness

  Dosage :

Missed Dose

Take the missed dose as soon as you retain. It can be skipped if it almost time for the next specific dose. This applies to conditions like Pulmonary Hypertension where the dose regimen is fixed.

Overdose

Contact a doctor immediate if an overdose is suspected. You might require immediate medical attention if the overdose is grave.

Warning :

Nitrate drugs interact with vilitra 20mg pill and causing so many side effects. Nitrate drugs like amyl nitrate, butyl nitrate, isosorbide mononitrate, isosorbide dinitrate. This nitrate drugs are interact with Vilitra 20mg tablet and cause sudden down the blood flow into vein that is very dangerous to health. Some patient problem with angina and like angina symptoms which is very dangerous to health. Nitrate drugs available in market verious form like tablet, sprays, ointments, pastes, or patches. And this all type of nitrate called "poppers".

Storage :

Store it at room temperature away from heat and moisture. Keep the drug away from children and pets.

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