What causes (hormone-based) headaches? I know that women get headaches much more often than men, and I got my first Shamrock I Love You Hands Sign Language ASL Patrick’s Day T-Shirt of my life (including a relatively mild migraine) after going off injections for 2-3 weeks (due to my needle phobia, ugh), although this has been much less of an issue since. One trans friend said it’s the combination of low p and low e like you see during pms, but my guess is that it’s more to do with fluctuating levels? I don’t know. This seems like an extremely important problem to solve, and a relatively easy one, too. Fatigue – reddit seems to think that you can expect to feel fatigued when you first start hrt (in both directions!), and they give handwavy explanation like that you’re temporarily suffering from hormonal non-dominance or that puberty is supposed to feel like that because you’re growing.
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Personally, fatigue was one of the parts of hrt I was most scared of (I would expect to feel fatigued after losing a quarter (or wtv) of my muscle mass!, and I know that Shamrock I Love You Hands Sign Language ASL Patrick’s Day T-Shirt sleep like fifteen minutes more per day and have fatigue 50% more often than men), and I did have a worrisome amount of fatigue this last month (I think mostly due to being uncharacteristically sedentary due to waiting for my new job to start and falling into this rut where I wouldn’t even leave the house most days ugh). I guess the core question here is if you think the fatigue effect is real and if so then how best to maintain energy levels (my best guess is probably just your standard routine plus maybe higher t). Related, I think these megadoses of antiandrogens like spiro and cypro are criminal (my sense is they consistently cause depression, like over 10% of the time).