Do you have a dumb question that you're kind of embarrassed to ask in the main thread? Is there something you're just not sure about?
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Notes -
While I'm generally pretty skeptical about credentialism, since I've seen even well-regarded doctors make pretty bad mistakes, and especially trans-related stuff you tend to either get vastly over-hesitant (like your mentioned brain fog combo, I've also seen docs prescribe combos that have known cancer risks) or under-cautious, it can definitely be worthwhile to have a second set of eyes for a lot of the endocrinology stuff.
You're far enough along that you're not likely to see the 'whoops I accidentally a whole order of magnitude' level problems that come up in newbies, but even people who have good access to blood testing for things like liver function often find themselves least able to think through the numbers if there's a problem.
Sorry, you've probably already considered these tradeoffs, but the downsides are severe enough that I'm bound to offer it anyway in case you haven't.
Yeah, I did specifically add a hepatic panel during the first few months for the just-in-case on the rare bicalutamide allergy (and I add a metabolic panel to to boot, just ‘cuz).
Perhaps, though at least the specific doctor I did use — who was not marketed as a “pill mill” as far as I could tell — definitely wasn't a value-add.
Shopping around and trying non-“pill-mill” MDs to find one that is a value-add sounds like an untenable and unaffordable hassle while I'm not in range of a known-good(asterisk) option like Dr. Powers, versus my current strategy of just doing (self-serve blood work) + (DIY or pill-mill) + (keeping an ear to the ground on a few major transgender subreddits and the Transmaxxing discord channel).
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