Why not find a less gatekeepy therapist or go the informed consent route? Bloodwork is important, and it’s convenient to have a doctor ordering tests and following up.

Reading up on DIY HRT is a good education, though.

Thanks! The random word generator must have known I was into Star Trek. I admit I looked up that registry number when I saw your post. I hope you’re sleeping well. No one going on about eyes in the dark and one moon circling when you try to sleep?

Have you tried Alma? My therapist takes my insurance, but it’s through Alma. It wasn’t clear that they took insurance on their website.

Maybe try to find a psychiatrist instead? With them being an MD, they might work better with insurance.

I’m in a similar situation, over 40 and just starting the process.

A lot will depend on where you live and your insurance situation. I decided to start with finding a therapist. I have an employer-funded Aetna plan that offers enhanced gender-affirming benefits, but I will need to get a gender dysphoria diagnosis if I want to claim things like hair removal and surgeries.

I haven’t tried going to an endocrinologist first, but if I did, I would find an LGBT+ clinic. They are pretty common in larger cities.

I did. I got some message about unsupported architecture.

I’m really a beta male that wants to be railed by a true alpha male, but the only way I can get that to happen is to have boobs and a vagina installed.

For the second time today, I’m reminded of The Onion’s amicus brief for Novak v. City of Parma. My unsolicited advice is that if you are going to engage in an act of parody, make sure a reasonable reader can figure it out.

It’s worth reading the entire thing.

https://www.supremecourt.gov/DocketPDF/22/22-293/242292/20221003125252896_35295545_1-22.10.03 - Novak-Parma - Onion Amicus Brief.pdf

But if any of you all want a summary.

https://en.wikipedia.org/wiki/Novak_v._City_of_Parma#The_Onion’s_amicus_brief