Post #2686453

Oral should be the last thing considered on that list right after sublingual. A better way to determine what HRT to take is this linear list: * Implants/Pellets. Hard to get. Requires very minor surgery, but they last up to a year or something. * Injections. Hard to get prescribed in some parts of the world. Easy and cheap to get DIY. * Patches. Expensive. Some find these don’t work well on their skin, or that they don’t stick well because they exercise a lot. Apothecaries can run out of these easily and you might suddenly be out for a while. You can tape these down with body safe tape or try a different location to see if it sticks better. * Gel. Some find these don’t work super well on their skin. Relatively cheap when you do DIY. * Spray. Some find these don’t work super well on their skin. Also relatively cheap on DIY. * Pills, sublingual. Slightly higher rate of side effects (very small). Article on oral vs sublingual. * Pills, oral. Higher rate of side effects (small). Another article on oral vs sublingual. Injections can be scary but they are very convenient. With valerate you take injections every five days, with enanthate you take injections every 7 days. Undecylate can be taken once a month. Most routes require that you take blockers which can come with their own side effects and risks. Injections and implants do not need this, and some can even do HRT without blockers on patches, gel, or spray, but this depends on the individual. I therefore recommend injections as the safer and most comfortable option. If you do patches I recommend building a stockpile of reserve HRT in case patches are hard to get for a while. This has happened many times and will happen again. You should ideally have a little stockpile for every route, but it’s extra smart on patches. Gel/spray is a great option too, but you do need to apply it once or even multiple times per day. It can be a bit of a hassle. Most pills can be taken sublingually but not all. If they can be taken sublingually then there’s really no reason not to. You might need to take less pills this way too meaning pills become cheaper in practice, or that you can build a stockpile easily if they are prescribed. All routes are equally effective in terms of results. Also visible scarring from needles is not much of a thing.