@Kate, I am in a similar situation as you...at my late age I knew going into my search that it would be too risky to get on estrogen re the clotting issue. Spiro created a high reading on my kidneys, saw a specialist, test were okay. beside my gender GP I kept my regular GP in the loop. In August saw my Endo & all three Doctors (my regular GP, kidney specialist & Endo concurred estrogen was too risky. Gave it my best shot, it was a let down but I had always considered the reality would be a no go, so not a shock, I can accept no hrt. It isn't the end of the road for this girl. I agree with my Endo & gender Doctor that I can still live the rest of my life when I can be Jamie (about 80% of the time) dressing in my femme fashions & with make up, mostly passable. I am always Happy in my natural female mode as who I am. There are ways to create boobage without silicone breastforms. So embrace & love the Beautiful you that you can be for the rest of your life. Your face is very female, so no worries about passable. The goal is to blend in, doesn't draw awkward attention & no one cares, people around you & walking by wrapped up in their life just see you as a lady drifting by on crossing each other on their path to where they need to go. Think of all the money you saved by not having to spend thousands of $'s on transition Now with those saved $'s get out shopping and get the Lady dressed! Oh, and yes, I am a MAC girl!
Cheers!
Jamie
Cheers