Well, I had my appointment with the gender therapist, got the all clear for transitioning on that end, she says that I'm one of the more clear cut cases she's dealt with. So that's great news. But I found out something else as well. My physical health is unstable, it always has been, apparently, though I have the all clear from the psychological side, not so much on the medical side. My hypothalamus is out of whack, meaning my hormonal levels are no where's near normal to begin with both my estrogen and my testosterone levels are fighting each other as it is, they're thinking about just trying to block the estrogen and letting my body's nature testosterone levels take over from there since it's high to begin with. But the doctor says any surgery is too risky to try right now unless isn't needed to save my life. This is because of a rather aggressive immune system brought on by my body fighting with inflammation due to my arthritis, crohn's and fibrosis, he thinks it may effect my healing process if I do have surgeries. So I may not be able to go beyond hormonal treatments.
Of course this doctor is a general practitioner, not a specialist, I do intend to see about getting a second opinion from a specialist to see if there are other options. But at this point the outlook is slightly bleak. I had known and accepted that my shaky health history may interfere so I was partly prepared to hear it may prevent me from moving forward but it's still a blow to take. I may have to go with non-op options and see about at the least reducing breast size to make binding easier when and if my health issue let up enough for me to chance it.
This is just, I knew it was a possibility, but it still feels like a slap in the face to hear it will actually be an issue. I guess some bad news there's no way to really prepare for.