I have been on keto for about 18 months, no cheat days at all (under 20 net carbs). Before that Paleo for about 6-8 months.
Yes. Keto can be used with HRT for both directions. It is a very effective way to get rid of the fat in typically female (and male in my case) places.
Remember fat doesn't actually redistribute, rather you lose from one area and put it on in a different area. Usually very small fluctuations over a long period of time. Keto will expedite this while also minimizing excess skin in areas where fat is lost.
In regards to muscle: check out the sub->-bleeped-<- ketogains
https://www.->-bleeped-<-.com/r/ketogains
And leangains
https://www.->-bleeped-<-.com/r/leangains/
http://www.leangains.com/The lean gains implements intermittent fasting in combination with keto/lchf
The reason IF is effective is because of the huge increase in HGH which tells the body to put down lean mass when you do eat. IF can also prevent and even increase your metabolic rate.
On hitting macros:
Think of it like this.
You want to hit your protein macro (not go above or below it). Keep net carbs under 20/day. When it comes to fat think of it as an upper ceiling. If you don't get all the grans your macros tell you it's not a big deal or even a problem. You're in fat burning mode all the time. Keto is also muscle sparing. So basically listen to your body on hunger. You don't have to force feed yourself extra fat. It won't cause you to lose muscle, and it won't cause your metabolism to slow down.
Jason Fung. On sufficient protein.
https://intensivedietarymanagement.com/how-much-protein-is-excessive/I generally take advice targeted at the gender I'm transitioning to, rather than from (assuming my hormone profile is within normal female ranges in my case). The male gender specific advice you might come across should be generally applicable to yourself. I only deviate from the gender specific advice ( back to male in my case) if I'm experiencing an issue that is either anatomically/natal gender specific and/or if the solutions provided for gender neutral or identified gender are not working.
If you have any questions let me know.
~Brooke~