I was started on oral E and MPA by a local sympathetic GP, who I later learned has a one size fits all approach to TG HRT... Oral E in a LOW dose and MPA, for all and good luck I hope that works for you thats ALL I will prescribe

Well it didnt take me long to quit the medroxy and to find a new doc.... That stuff made me feel like CRAP....
My new doc who is a very experienced OB/GYN (but little TS HRT experience, BUT very agreeable

) says just take P all the time...
Well Ive been cycling P from the beginning because I couldnt seem to take it more that 10 days without feeling bad on it...
Since starting weekly EC injections and recently increasing dosage though I do seem to tolerate it much better... Ive also quit smoking for the last two weeks too so maybe thats some of it... I have that familiar nice sore sensitive feeling again in my boobs that has been much less intense and come and gone much more since starting EC shots...
I really do feel there is something about EC metabolism that is very negatively effected by nicotine and smoking... I am sure the same is true for straight 17B E and EV BUT likely much less I feel with oral E being the worst, and patches and gel working much better for me when I smoked... Who knows how smoking and EV shots would work... I dont smoke any more but I bet they would be a lot better than EC for a smoker... Im not sure but nicotine might affect P metabolism too... So dont anyone tell me otherwise please, that belief has been a great motivation for me to quit

I donno but now instead of going off P in the evening after 10 days this time Ive just lowered it and that seems to be the sweet spot for me...
Of course we will throw a wrench in the machine AGAIN today.... We are switching from EC to EV injections.... BTW my insurance will cover most of the cost of EV and very little for EC

Whatever I just hope the EV works better than EC for me... For the last month and a half or so on EC Ive felt like I was not doing as well on it as I was on straight plain old 17B E from gel/patches/pills in a HIGH dosage... We started injections to simplify things...
5 days in on my last EC shot and Im still feeling OK but looking forward to making the switch today to EV every 5 days if necessary... Docs orders
No Dosages Please