I am in treatment for anorexia and as part of it I had a bone density scan. I found out last week that I have osteoporosis. It's probably the anorexia that caused it, I've had an eating disorder for more than 10 years, but I was wondering if testosterone could aggravate it? I'm FTM and have been on testosterone for 5 years. I'm 31 years old. My changes happened very quickly and my period stopped the month I started T. I know that in females with anorexia the risk of bone loss increases when their periods stop due to malnutrition, but that's because their estrogen levels lower. The psychiatrist at the eating disorder program said that since I was replacing the estrogen with testosterone, it shouldn't have affected bone loss.

My healthcare has really been lacking though. I live in Canada, and I've never been under the care of a health care professional that has known anything about trans health issues. I could have so many things wrong and no one knows. I didn't have any idea I had osteoporosis until the test results came back. The nurse practitioner for the eating disorders program will be back from vacation tomorrow, and I intend to get some things checked out, like my testosterone level (my last endo never checked it more than once a year no matter how I asked, he retired so I'm looking for a new one) and I really need my downstairs checked out, I've had some bleeding and I don't think that's normal or a good sign.

Any advice for getting good trans healthcare when neither you nor the doctors know what they're  doing?