DD started HRT 4 weeks ago and we head in for her first follow-up appointment tomorrow.  Is it typical for Drs to increase dosage at this point, or should she expect both E and S to remain at the same dosage for a while?  Thanks.

I think there's far too many variables to predict.  Baseline test results, health history, age, transition goals, many things impact a doctor's decision on when and how much to ramp up HRT.