Hi, Jade!
Welcome to the site.
HRT is not particularly hard to start in most parts of the world. Generally, you can find a doctor or clinic that does informed consent in most urban areas and start after one appointment with a medical provider. If that isn't available, you may need to see a therapist for multiple appointments over a few months, and get a referral to an endocrinologist.
In either case, expect to have regular blood draws and a doctor reviewing the results, as a safety measure.
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