It’s either my alarm clock or 5.1 speakers, both of which would be somewhere over 20 years old.

Follow international medical guidelines (i.e. WPATHv8) as a baseline, actually listen to trans people, and be willing to deviate based on patient need.

Have the trans community involved in governance in a non-tokenestic way, e.g. seats on the board.

It varies in practice. Most people I see using identify, including many trans people, are well-intentioned and think it’s the preferred polite language without thinking too hard on the implications of it.

However there are definitely anti-trans people who will use it pejoratively, which I presume is where that wording originated.

For me I noticed minor benefits after 4 days, and it took about 2 weeks for it to more fully kick in.

Personally the other side effects ended up with me going off it. The focus benefits stayed, though the low mood it turned out it was causing took 3 weeks to go away after I stopped.

my male genitals are not working well

This is a common side effect.

For estradiol pills, patches, and gel are your options if you can’t do needles.

Pills aren’t recommended for over 45s or those with a history of blood clots, due to increased risk of blood clots.

This is called the “bus rule” around here, you don’t sit beside someone if there’s a still a set of seats you can have to yourself.

I’d be more worried if they did sit beside you, as that’d be considered a bit creepy.

The downside is that the adverse effects of the meds can prevent you from being able to do much, so its about finding just the right dosage for your body.

In my experience it is still possible, and you can even get a bit more control as to what you hyperfocus on.

If you’re suitable for laser (have dark hair) then do laser first, then electrolysis for cleanup. This will be cheaper and faster. Make sure you’re actually getting laser and at an appropriate fluence (energy per unit area), and watch out for IPL which is not laser and unlikely to do much on testosterone-influenced beard hair.

Otherwise, you’ll have to rely on electrolysis alone.

The ND:YaG lasers at 1064nm can work on dark skin.

In Settings there’s a “Show Read Posts” which is probably it.

Helion Prime - Spectrum is one that comes to mind.

My thoughts on this Blåhaj can be found in my profile photo.

I’m vaguely in a similar boat, I had developed basically all the ADHD coping strategies and seem to have masked very well. I basically force myself to be organised so I don’t for example miss appointments, and not necessarily in a healthy way.

I only realised I had ADHD about a year ago in my 30s. I got the diagnosis in the end, and medications have been helpful though we’re still working on finding just the right combination.

If the medications help then that’s good, and if not hopefully something else will.

You could click “Create Community” and set one up.

Laser is one way, and it sounds like your hair is the right colour for it.