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Dosing

Estrogen

There are four primary methods of administering estrogen:

Type Recommended Dose Notes
Pills 2-6mg daily Sublingual Dosing WILL result in high spikes of Estrogen, improving efficiency but may cause unwanted effects e.g mood swings. Swallowing leads to more consistent levels.
Gel -- Applied to CLEAN and DRY skin, typically below the waist.
Patches 50-200mcg twice weekly Typical administration is below the Waist.
Injections -- Cheapest overall and best for monotherapy. See "Injections" chart for specifics with dosing.

Estrogen Injections

Type Recommended Dose Notes
Valerate 3-4mg ~Every 5 days --
Cypionate 4-8mg ~Every 7 Days --
Enanthate 4-8mg ~Every 7 Days --
Undecylate (MCT Oil) 15-25mg ~21 Days --
Undecylate (Caster Oil) 40-60mg ~31 Days --
Injection & Supplies Guide

Testosterone Blockers

These medications reduce testosterone levels. Below are some common options:

Drug Name Recommended Dose Notes
Cyproterone Acetate 12.5mg every other day Cases of Hyperprolactinemia have been found. Currently the CHEAPEST option and reguarded to be one of the safest.
Bicalutamide 50mg daily Non-steroidal; blocks androgen receptors.
Spironolactone 100-200mg daily Also a diuretic; may increase urination and potassium levels.
GnRH Agonists (e.g., Leuprorelin) -- The most expensive option, see "GnRH T-Blocker Options" for details

GnRH T-Blocker Options

Drug Name Recommended Dose Method of administering Notes
Leuprolide Acetate -- Injection --
Triptorelin -- Injection Branded as "Decapeptyl" in the UK
Buserelin -- Injection OR Nasel Spray --

Other

Miscelanious drugs related to Mtf HRT

Type Recommended Dose Notes
Raloxifene ~60mg Daily Can prevent breast development while on Estrogen.
Finasteride 5mg Daily 5-alpha reductase inhibitor, NOT a T-Blocker.
Dutasteride 0.5mg Daily 5-alpha reductase inhibitor, NOT a T-Blocker.