Unfortunately I don't know everything you're taking. Only the basic stuff. However you're certainly on herbs I've never had experience with and because of that I can't offer much help beyond what others have written. I sincerely hope someone can come and give you better advice on your current plan, but all I can suggest is that you check out all the threads that Lotus and several other well educated people have had a hand in. You may have already gone over them but they really are your best bet. There is tons and tons of info and personal account here that will keep you busy reading and researching for hours.

As for transitioning. There is definitely tons of ups and downs, of hopes and fears, the smiles and tears, and all the in between when taking this path. I get the feeling of not thinking you'll be good enough to transition and the pressure of society and family. It's what kept me back from starting much earlier and I do regret that I let it hold me back for so long. You have to accept yourself and what you want to get out of live.

Don't keep waiting if that means you know you'll have regrets later, but don't make hasty decisions either. Ensure this is the path you want to take even if that means getting help from an outside party or preferably a therapist if you're incredibly uncertain. This will let you understand your desires better. In the end you may have to pick if transition is the best course for you, and that may mean leaving behind many people in your life. I know it does for me. It's sad but it is a part of dealing with humanity.

As somber as that all is, I wish you the best of luck.