Hi Charla. I am now 62 and have been on HRT for a year or so. I started with spire, added a low dose of estrogen, and then added dutasteride. I wanted to transition slowly at the beginning, but soon decided it was all in! during my low dosage period, I have upped E two times since, I had little change other than skin being softer and body hair thinning. My dysphoria was better for a while but did not stay that way.
I think that each of us is going to respond differently to HRT. Genetics plays major role. I, for example, have had little breast development, between A and B cup, where others, as in Robyn's case developed more rapidly.
All the best with you choice and remember to follow what feels right for you. The increase in dosage of E can be in small increments and can adjusted at any time. Follow your doctors advise.