You can go as fast as you want with this and as long as you are comfortable do so. Yes, certain things you have to still wait on like surgeries and what not. I moved quite quickly as far as changes I can do before surgeries and all. You should change as you feel it is right. Which my be after you come out to those that you love and care for. This is when I started to live full-time and do other moves once I came out to those I felt needed to know. I understand the impatience!!!! I have it too like having my beard gone today, my breasts at a size that I am looking for, the body fat redistribution, and etc. I feel you on it, but alas we have to be patient in it all and find strength amongst friends and family. Our support should be our ally in it all. You have a great journey to go as all of us here, good luck and be brave!!!!