Do monotherapy. Anything less is poisoning you with the first pass. Estrogen isn't oral for cis women... Expecting pills to do the same as patches and injections isn't reasonable or rational. Your prescriber should know this. Don't spend years being unhappy with your results. Also, your hair can grow back if the follicles aren't too far gone from dht. Minoxidil and monotherapy together are often a miracle for younger people. Me? I waited too long. Look at my feed and pics. I'm still feminizing greatly but bald af. Don't be me and wait to be happy with your looks. A cis growth timeline is your right. Low E and masc T levels are the doctors fault.
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Correct me if I'm wrong, but aren't the only permanent solutions a transplant or stemcell "therapy"? To my knowledge, medication only help while you take it. Of course, if it works and you're willing to keep taking it, go for it! I'm just turning 38 and I'm going for wigs soon. Until then, I'm doing a Meredith.
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You can keep/regrow your hair and do monotherapy! I didn't start HRT til I was 35 and had already lost a lot, noticed it started regrowing slowly within the first 3 months or so, new growth sped up noticeably as I increased dosage and swapped to injections. I decided to try and speed it up more with minoxidil which is also working well, depending on how things go I might try finasteride or whatever the other one is called for long-term maintenance.
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