I started low dose last February. I am 51 and started slowly (my endo is also conservative in starting). Using Spiro pills and Estradiol patches.
Reasons for low dose? I am not out at work. I only express for my therapy and group support meetings. There are a number of little changes. I don't think anyone would really recognize unless I were dressing, after nearly 7 months. I can't wear a t shirt alone anymore(maybe I could but two things, it is uncomfortable- tender- and it would look like I was overweight but only on my breasts). I have been surprised at the changes at what I think is a very low dose (softer skin, decrease and thinning of body hair, more calm and less angry, fat redistribution, breast buds and some growth, fewer aches and pains, fewer skin based dermatitus outbreaks...) Still don't fail to pass in drab male mode.
I planned to jump dosage a little last May but was also experiencing far deeper lows than I ever had before. I think it is because between HRT and therapy I have been able to remove some self defensive numbing I had put up. I then could experience happiness in a way I never could before. However, removing the numbness also meant I experienced lows, lower than ever. My endo wanted me to try anti depressants and get stabelized before jumping my dose. I have been in a much more level spot for the past two months and she will now bump up my E.
With warmth,
Joanna