Hi there, you are looking great at 56! I'm still waiting for my first appointment scheduled in either may or June at Edinburgh gender clinic! I have my gender dysphoria diagnosis after past psychiatrist appointments. My anxiety has worsened since ceasing spironolactone due to bone density fears a year ago. I worry about passing with my beard shadow, body hair, square chin and male pattern baldness. I also have to rely on wigs :-(. Hoping to get my girl pills or patch ( in view of old age) and restart spironolactone knowing estrogen will help with my bone density! Osteo arthritis at my age is a real pain. Need to feel good about my appearance before its too late being 50 in June.