[Billie]

This costs 100 for 2 months pretty close to herbal costs. But herbs have less side effects.

I would not suggest the birth control patches because they are not designed for MTF transitions. I think you're fooling yourself if you think herbs have less side effects. I switched to doctor supervised HRT because the last time I did herbs there were noticeable side effects.

I'm no doctor and like you I had to assess my health. The two drugs you would likely be on if you went doctor supervised HRT would be spironolactone (to reduce the affects of T) which is a drug commonly given to treat HBP and bio identical estradiol, which even take orally is prescribed to be taken under the tongue (clotting and liver issues are not seen with bio-identical estradiol).

I also decided that my health had to come first so I decided to loose weight and over 19 months I lost 100lbs. Then I started HRT.

Good luck in whatever you do.

Sorry let me qualify my statement. I have health challanges that wont allow me to use estradol. Herbs are great for me and my Diabetes Caudua Equina and Bipolar.
For me HRT is more dangerous.