Hi Annabelle. Love your name by the way.

In reply to your original post / concern, you're going to have a very hard time finding any psychiatrist in Australia who will want any RLE/RLT before prescribing hormone therapy, or referring to an endocrinologist.
I know my original TG GP did say that RLT / RLE was a requirement for HRT, but honestly, he was so behind the times and rather unskilled in the area. Ignore anyone saying such things, it's just not true.
Also, I don't know what you're planning to do with your career re hormone therapy, but be ready to lose some physical strength and muscle mass over time ( years ).