You have got to treat yourself better

They're pretty great!

Maybe, everybody's liver metabolizes drugs differently. If you want an actual trough level you get tested the same day you usually inject but before you actually inject that day. Maybe you just could go down, save money. Theres a lot of variation in how liver enzymes do their thing, and ultimately what matters is how your body takes it not what the WPATH says it ought to be.

Lots of things alter the metabolism of estradiol. Some antifungals, some HIV meds, smoking tobacco, smoking/using cannabis, grapefruit, etc. Some speed it up, some slows it down. Anyway, you can get a retest at your next trough and see if its any different.

Im sure youre not, but this is the basement level "turn it on and off again" that you gotta get through - is there any way you mixed up mL instead of mg? Like accidentally took too much? Are you sure they reported in pg/mL and not pmol/L? Cause if randomly this lab reported back 540 but it was pmol/L then in pg/mL its way lower.

You saw the towers fall and then later the planes crashed in to your egg. Later is a relative term

I liked Gotcha Force as a kid and its stupid expensive

Viewtiful Joe was fun too, and at least its cheaper.

Maybe you gotta work on some self esteem and self love too ♡

I work inpatient onc casually and it sucks ass, there were nights I was 1:10 just me and charge with a floor census of 20. I also still do inpatient adult trauma and its "team" nursing but I was usually the only person on my team, so 1:8 was the typical (I doubt I need to say it but in both cases normal is 1:4 and surge is 1:5). I thought critical care peds would be better, and while I have literally fewer patients it still sucks asa lol. The idea of never dealing with anyone inpatient again is very very appealing. NP school in Canada has a minimum hour requirement, its not like the states where theres RNs who go straight from BScN to MScN with no actual clinical hours - and its half practicum and half advanced pathopharm etc here not just pure school work. I meet the minimum clinical practice hours now but theres not really anywhere I feel comfortable taking on a role like PA yet, except maybe inpatient general peds which I did for a couple years. The idea of just prescribing botox and filler or a bolus for rich people is appealing though lol

The hope used to be NP in a gender clinic but I dont have any psych experience soooo

All that shit is, as you said, in your head

It'd be injecting like lip filler and botox if that gives you a better idea