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Hey, can anyone doing diy help me out? I'm unsure about it, and don't know what to choose from where and if I should do it
I assume you are looking into transfem HRT? also are you okay with injectables? other types of HRT are available, but injectables are the only kind I know about, and seem to be the most common in DIY
Yes, and yes. Injectables seem like the easiest to get.
I don't know how much or little you already know, so I'm going to stream of consciousness infodump what I know. also as a disclaimer, I've only been on DIY HRT for about 4 months. if anyone else sees me say something wrong or has suggestions for improvements, I implore you to call it out
Sourcing medication
A big list of vendors can be found at https://hrtcafe.net/Estrogen/estradiol_injections.html but off the top of my head, the big homebrew vendors that ship internationally include open gate labs, panacea, otokonoko, astrovials, voix celeste, and dragon ordnance. there are also some that sell pharmaceutical industry product, like inhouse pharmacy, but their prices are expensive. personally I buy from open gate labs since they ship within the US, which means it doesn't go through customs. they also do third party testing, which gives me a little extra peace of mind.
Choosing an ester
Injectable estrogen is available in different esters, the main difference among them being half life, which affects how long it lasts in the body before you need another dose. estradiol valerate is the most commonly prescribed, but has a short half life, to the point where some people find they have to inject twice a week. estradiol enanthate is most common among DIYers (including myself), and lasts long enough that you only need to inject every 7 days. other esters like cypionate and undecylate supposedly last even longer, but aren't as well studied, so results may vary.
Dosing
Dosing should be determined by mass, not volume, since different products are compounded at different concentrations. as an example, if the vial you are using says it is compounded at 40mg/mL, and you want to take a 6mg dose, that's 6/40 = 0.15mL. If you used one compounded at 20mg/mL, you would take 0.3mL to get the 6mg dose.
A dose between 4-8mg/week is recommended for estradiol enanthate. Start on the low end at first (4mg/week) and increase if blood tests are low. The dose and frequency will be different with other esters.
Drawing and injecting
This is the sort of thing that's best described visually, so instead I'll recommend this video. One thing I'll point out is that he's doing an intramuscular (IM) injection, while some people do subcutaneous (subq) injections, which uses a shorter needle, and involves pinching the skin.
So as far as injection supplies go, you will need:
rubbing alcohol pads
band aids
luer lock syringes (1mL)
โฅ1 inch โฅ25 gauge injection needle
โฅ25 gauge drawing needle (do not try to go bigger (lower gauge number) than this, or the risk of damaging the vial stopper goes way up)
sharps container to store used needles (you can buy a "real" one, but you can also just rinse out a small laundry detergent bottle and use that as long as it can be securely closed and is it reasonably good condition)
if you're doing subq, you can use a shorter injecting needle, or substitute the needles/syringe with a โ 1/4 inch 30 gauge fixed insulin needle.
if you're using the luer lock syringe/needles, one tip I'll offer is to draw the plunger out a bit more before switching needles (at the point where it's out of the vial), so any liquid in the hub of the needle (space between the tip of the syringe and the actual needle) isn't wasted. after switching, make sure to push the "excess" liquid back into the new needle hub before injecting (look for a tiny drop at the end of the new needle) so you're not injecting air.
Storage
Store vials in a clean, dry, dark, place. Make sure to inspect vials before use, and do not use if you see particles floating in the liquid, if the liquid is cloudy or discolored, or if there are any noticeable leaks when turning it upside down. I recommend having at least 1 spare unopened vial at all times if you can afford it. An unopened vial that has been properly stored should still be good for at least 3 years.
Payments
pretty much all DIY HRT vendors have to get paid under the table, which means they mostly only take cryptocurrency. bitcoin is widely accepted, but some also take litecoin, ethereum, xmr, and others. I don't really have a crypto exchange I'd recommend, paypal screwed me by only letting me withdraw like a month after I bought (lol), so I bought more from coinbase, which provides an easier customer experience with low fees, but then they had a data leak like a month later (lol). IRL crypto ATMs tend to give you a really shitty exchange rate. This is the future of money
. One thing I'll point out is that if you really don't want to go through crypto, dragon ordnance does take bank transfers through a service called wise, but I've never used it, so idk if it's good.
Where my knowledge gets murky ๐ฌ
Anti-androgens
anti-androgens are often available from DIY suppliers as well, but I've never used them (I've always been on monotherapy, even before DIY). theoretically if your estradiol levels are consistently high enough, T production slows down to almost nothing.
Progesterone
never used this either, but FWIW you probably don't need to know anything about it at this point, since I always see people say it's best to start once you've been on estradiol for at least some months.
I had looked up some vendors on HRTCafe, but I'm afraid of losing my package on customs (or even taxes, they tax every fucking package here now, it's crazy), and it's quite expensive (2 vials is like almost half my paycheck, being poor sucks), so I get a little anxious about it. One of the vendors complies with my countries rules apparently, so it looks safer, but this makes me worry even more about taxes, which would be 60% of the value (I hope they don't declare the full value, or I'm screwed).
Every time I look this up I get a little more
.
The info about how to apply is really useful, I wasn't so sure about it, what I would need, now it's somewhat clearer, and I can probably get these supplies off the internet easily, and it doesn't seem too much worrying.
About crypto, I'm not that sure about how to do it, but I'll go research it a little, it's the least of my worries.
The alternative is not tooooooooooo bad, though, I'll just have to wait, realistically, 14 to 20 months, but everything would be free. I should probably do both... IDK what to do
Segfault is right, one vial could last you as long as a year and a half if you're very careful with it.
Starting diy hrt now does not preclude you from getting it officially later on.
You owe yourself a full existence.
sorry to hear about your situation
I only suggested having 2 vials in case the first vial gets damaged, but if 1 is what you can get, I'd still go for it, especially if you're sure it won't interfere with your chances of getting it for free in 14 months.
!mutual_aid@hexbear.net is also an option if you need money to fund this, you don't have to ask for the full amount, just whatever you can't cover. but keep in mind you would have to put up a money transfer account (paypal, venmo, etc) which would link your hexbear account to PII
I'll only need mutual aid if there are surprise expenses on shipping. Or if my package is seized. Tbh I'm not sure if it wouldn't affect the process of getting the prescription. But it doesn't feel like it would.
It depends on where you live and your local health system - talk to trans people who live near you and see what their experiences have been. Some people have started with diy and just not told their doctor about it.
I found a YouTube link in your comment. Here are links to the same video on alternative frontends that protect your privacy: