I am a private practice PT so I answer only to my patients/clients and the bottom line. I don't think I can be too in your face about all this and still retain new patients and clients. The mild breast enlargement is still at the point that I can hide it pretty well, but not if they get much bigger. Essentially, I have a moderate case of glandular gynecomastia now, where I had none before. While I have seen a measurable difference in my breasts since starting PM (pueraria mirifica), it's taken quite a while and isn't all that impressive in the grand scheme of things, which is why PM would probably NOT be an acceptable alternative to HRT for a transitioning MtF. That, and there is no regulation of herbal supplements, so there is some risk involved (what ARE they putting in those capsules?!) But then, even with big-pharma meds you can't be 100% sure of what's in them either! However for me, the risks involved with PM are so much less than HRT (I work with brain injured folks all the time, and the risk of a thrombotic event for a male my age is just too great), that it's a 'no brainer', except that I did do months of research on both.
I guess the changes I like the most involve the more psychological side of things (more even tempered, less angry, things like that), but especially the significant decrease/change in my typical male libido. It's such a relief not feeling like I "need" an orgasm every day. I can still function as a male in the bedroom, but now it's on my terms and when I decide to feel aroused, rather than at the mercy of feelings and 'needs' I didn't seem to be able to control. I continue to work out and do yoga, and haven't seen any decrease in strength, stamina or energy so far, but then I do tend to push myself quite hard and might be making up for slight changes there with sheer determination. I seriously doubt anyone would notice any of the other changes I mentioned in my previous post, at this point. I have not experienced any voice changes, and everything I've read about HRT indicates that hormones don't affect the pitch or timbre of the voice. I couldn't begin to guess why that happened for tekrider, but one of the tenets of natural breast enlargement is that everyone is different, and what works in some way for one person, won't work or won't work in the same way for someone else. Even with HRT, there is no consistency of breast development; some get abundant growth, some get adequate growth, and some get almost none. Everyone is different and each of us will have a different response to the same drug or herb.
Hope this helps clarify my previous post.
Chrissy