Cin, focusing on work or working out used to help me. It does not any more and hasn't for a long time. Hiding away and not hearing or seeing anyone female helps avoid triggering the worst pain, but I can't do that 100% of the time, and the severe dysphoria is still present. And I feel like I'm out of tricks, it's just going to hurt until I take more steps.
Jo, congratulations on living as yourself so young. You'll avoid the worst of the T damage, leave the conflict behind you, and have a long, happy life as yourself. Yes, I'm sure the dysphoria is absolutely horrible, but if you can still distract yourself for the meantime, that's all to the good.
Grace, you just added as I was typing. Good for you, that's such wonderful news, and so encouraging. "Under control!" Oh, so nice...