Alara sitting cross legged naked on her bed with her pills in her mouth.

#medchecks mooties! It's been a very chill day. Got a bunch of chores done, went for a couple walks, really enjoyed the air. Have a great night, see u guys tomorrow 😘
#check-in #mentalhealth #hrt #mtf #transfem

Nobody warned me that menopause would affect my diet. None of my safe foods are remotely edible to me now. I have to figure out new safe foods. I spent 30 years figuring this out already. I HAVE TO DO IT AGAIN?!

#aging #women #menopause #perimenopause #HRTisvital #HRT #diet #food #supertasters

Medications are expensive So, being unemployed, I have to pay my own health insurance. This is currently around $500/month. This insurance uses high copays on medication in order to “encourage the use” of cheaper medications. I have four medications which are expensive and get a $100/month copay, so I’m still paying $400/month on those meds. Two of those meds have copay assistance programs, which present their own set of problems, and insurance companies _hate_ that they exist, because they’re a retroactive incentive to make it easier for people to swallow the high copays on the meds while insurance still has to pay the bulk of the price, and the pharmaceutical companies bake the copay assistance program discount into the retail price of the medicine anyway so it’s not like they’re hurt by it _at all_. But if I had to pay out-of-pocket for these meds, I’d be paying more for them than for my house. Here’s the four medications that I’m on which are this expensive, and why they really shouldn’t be: ### Xarelto (rivaroxaban) * Purpose: Blood thinner * Copay: $100/month * Retail price: $600 After my first DVT (the one which turned into an embolism and almost killed me) I was on warfarin, a very cheap, generic blood thinner, but it requires constant monitoring and since it was my first DVT, treatment called for only a six-month course with monitoring. After my second DVT indicated that this is a chronic condition, I’ve been on Xarelto, a blood thinner that is self-regulating and doesn’t put me in as much danger of spontaneous hemorrhages. It also means not having to do weekly bloodwork with my doctor. Xarelto’s patents have all expired as of 2025 and there are several generics that have been approved by the FDA, but they all cost just as much as the original and aren’t available in the dose I take anyway. ### Repatha (evolocumab) * Purpose: anti-cholesterol * Copay: $100/month * Retail price: $240 I have familial hypercholesterolemia, which is to say that at a genetic level my liver produces way too much cholesterol. I inherited this from my dad. Regardless of diet or exercise my cholesterol levels are always super high. I also cannot tolerate statins, which cause me massive, _excruciating_ full-body pain, along with muscle failure. So, Repatha is the only cholesterol-lowering treatment that I can tolerate, and it works great! It’s a biweekly injection of monoclonal antibodies which break down the cholesterol itself. It’s a really cool immune system hack and it’s been super effective. But it will be protected by patents until 2033 at the very earliest. ### Depo-Estradiol (estradiol cypionate) * Purpose: hormone replacement * Copay: $100/month * Retail price: $240 I’ve written extensively about my ongoing HRT battles, and Depo-Estradiol is what I’ve been taking for the last few weeks. It’s been pretty effective so far. There are two common forms of injectable estradiol: valerate and cypionate. The main difference between them is the carrier oil that’s used. Valerate uses castor oil, which is cross-reactive for folks with peanut allergies, and also has a tendency to generate allergies of its own. I am sensitive to peanuts and have a bunch of other allergies, so out of an abundance of caution, I take cypionate instead. Valerate’s retail price is $52, and my copay on it would be $5. Cypionate costs 50x as much. All for a different carrier oil. Cypionate’s patents don’t expire until 2034. ### Tonmya (cyclobenzaprine, sublingual) * Purpose: sleep aid, chronic pain relief * Copay: $100/month * Retail price: $1800 Cyclobenzaprine is a muscle relaxant that also helps with other aspects of fibromyalgia. It’s a well-known, super-cheap medication. Its ordinary oral formulation has a retail price of around $13. Unfortunately, as an oral formulation it lingers in the system and has other long-term effects, as it’s processed by the liver. For me it’s a suitable rescue medication when I’m having especially bad pain flareups, but it makes me unable to do anything the next day due to extreme fatigue. Recently, Tonmya came to market, as a sublingual, rapid-release formulation of cyclobenzaprine. As far as I can tell it is the exact same medication as before, just in a different carrier that allows it to be taken sublingually, so that it absorbs right into my blood stream and bypasses the liver. It’s also a much smaller dose, as 2.5mg knocks me out in 10-15 minutes and gives me 7-8 hours of pretty decent sleep (albeit with some _really_ intense dreams). My generic cyclobenzaprine has a dose of 10mg (4x as much), takes hours to kick in, and stays with me all day long. Just by changing up the carrier, though, they were able to jack up the price by around 140x, for a drug that only has niche usage (namely fibromyalgia) from a population that just plan can’t afford it (because folks with fibromyalgia tend not to be super-employed). Its patents don’t expire until 2034. ### Blaaaah If I had to pay the full retail price of these medications, I’d be spending about $2880/month. By comparison, the mortgage on my house in Seattle, one of the most expensive housing markets in the US, is $1800. Which is the retail price of Tonmya _alone_. Pharmaceutical pricing is inhumane, and it’s only getting worse, as more and more drugs keep on getting “reformulated” for the sole purpose of protecting them by all-new patents. In most cases these “reformulations” are just different carriers or they add in additional side drugs to supposedly increase the effectiveness.

busybee: fluffy rambles: Medications are expensive beesbuzz.biz/blog/8443-Medications-ar... #Hypercholesterolemia #ClottingDisorder #Fibromyalgia #Medication #Blog #HRT

Monday repost! My wife @exuberantoddity.bsky.social runs out of her meds today, let's try to make sure she doesn't have to go without for too long please?
www.paypal.com/paypalme/exo...

#MutualAid #LGBTQIA #Trans #HRT #Fundraising

I am sobbing after realizing one of my most favorite bands separated. This was 10 years ago mind you. Catching up on emotions I didn't have before #hrt

😿😿😿

#degrade #goodgirl #sub #slave #dom #gaydom #gaysub #sissy #feminization #goals #femboy #gay #gaynsfw #nsfw #spank #nsfwsky #caption #petplay #freeuse #cnc #rape #kink #bdsm #hentai #dm #stoner #skater #hrt #jav #anime #gaymer #psn #stoner #friends #fwb #otaku #daddyson #forced #goon #gooner #bi #cd

Alara in the shower, getting ready for the day.

Morning #medchecks mooties! I had a TON of notifications when I woke up, made my whole morning 🥰😘 make sure you eat if you need food with them. Let's hope today is as fruitful as ever!
#mentalhealth #check-in #hrt #mtf #transfem #showerpic

Alara with her Spiro and Prog on her tongue, kneeling on her bed in her panties.

#medchecks mooties! How did everyone's day go? I managed to get some attention, and it made me very happy~ tomorrow's a weekday so I gotta go to bed early, but I'll be up early too, so leave me some love to wake up to. 😜😘
#hrt #mtf #transfem #check-in #mentalhealth #ittybittytitties #panties

Sunday night repost! wife really needs the help with her HRT, and I'm gonna do a repost every day and evening until we make the goal! www.paypal.com/paypalme/exo...

#MutualAid #LGBTQIA #Trans #HRT #Fundraising

#medchecks mooties! How did everyone sleep last night? I went to bed super late, and now my schedule is all wonky. But I slept fantastic! Make sure you eat if you need to with your meds!
#mentalhealth #hrt #mtf #transfem #check-in

Reposting for Saturday! www.paypal.com/paypalme/exo... , I'll still be campaigning over this until we reach our goal, no donations yet for wife's meds

#MutualAid #LGBTQIA #Trans #HRT #Fundraising

Morning #medchecks mooties! How did everyone sleep? It's Saturday, so it's gonna be a chill day.
#mentalhealth #hrt #mtf #check-in

Last call ⏳
The ESE survey on #HRT prescribing closes tomorrow.
If you’re involved in #MenopauseCare and haven’t taken it yet, now is the moment.
3–5 minutes to contribute:
https://www.research.net/r/GXLLWVQ
#Menopause #MidlifeHealth

I spent the entire day writing I am getting used to the idea of writing with intent more often. Ramping up the ability to work everyday on a story or essay. I need to write an essay. I hate them but also think I can just format it ...

I am unable to think of anything witty to type in this box right now so I am typing this series of words that is entirely pointless.

#trans #blog #selfie #HRT #queer #lgbtqia #daily #goth #nailsthatglow #nonbinary #spacecat #life #freewriting #journal 🦇 🏳️‍⚧️ 🏳️‍🌈 📚

nailsthatglow.com/blog/f/i-spe...

i ugly cried *at* my pre-teen today, not really for any reason.

i think i need my shot soon

#JustTransThings #trans #hrt

Alara kneeling naked on her bed, her hrt on her tongue and her clit barely visible poking out from under her.

#medchecks mooties😘😜 wanted to get a little saucy with it tonite. My day was... weird. Slept in. Took a nap, and now I'm up waaay later than usual. Good thing it's Friday, no early morning for me!
#mentalhealth #hrt #mtf #nsfwsky #ittybittytitties #boiclit

Medical updates Just some quick medical updates. ### HRT I’m now on week three of estradiol injections, and it’s going pretty well. My mood has very much stabilized, my skin has cleared back up, and I’ve gotten the hang of injections. Also my boobs are showing signs of starting to grow again, so that’s nice. ### Fibromyalgia Last night I took my first dose of Tonmya, the new formulation of cyclobenzaprine (aka Flexeril) intended for long-term fibromyalgia treatment. Just like the standard pill form, the sublingual form knocks me out pretty well but then I end up having _extremely_ intense (and emotional) dreams, and my sleep wasn’t super restful. It’ll take a few days before I can tell if I’ll get used to it and if it’ll linger in my system like Flexeril does; the point to the sublingual route is that it’s supposed to not do that, so maybe this will work better for me long-term. I’m going to skip it tonight and possibly tomorrow because I’ve got a bunch of shows in VRChat and I want to be sure I’m awake for them, the first one especially. ### Fiona Fiona’s nasal infection cleared up after a few days of antibiotics and she’s still got a week left or so. Hopefully it stays gone, because she’s in a much better mood now (plus it’s nice not having her get snot everywhere). If it does come back then we’ll know that it’s a structural or systemic issue that needs some other long-term treatment. But for now it’s nice having her back in high spirits. I’ll be really glad to be done with giving her the doxycycline though. That stuff smells _awful_. Also it gets everywhere and I’m allergic to it.

busybee: fluffy rambles: Medical updates https://beesbuzz.biz/blog/16578-Medical-updates #Fibromyalgia #Fiona #Blog #HRT

an anthro coyote and its smol wife talking about its wife's need for HRT medication

Hey folks, I know we've asked for a good chunk of help in the past, but we really could use some medical assistance on this one, so if you can help, head on over to www.paypal.com/paypalme/exo... , I'll be campaigning over this until we reach our goal

#MutualAid #LGBTQIA #Trans #HRT #Fundraising

PROGRESS! Look a boob 😱
#transition #trans #hrt #hormones #transnsfw #nsfw #smallboobs #boob #tinytits #tit

Sign for hrt estate agent above a sign for the office of Chris Elmore MP, offering an opportunity for an obvious pun.

I’ll take #HRT over #ChrisElmoreMP any day of the week.🤣🏳️‍⚧️ PS, about 5 minutes after taking this photo I passed Chris Elmore in the street. Somehow managed to suppress the urge to be violently sick🤮

Alara witha long sleeve red shirt on and her pill on her tongue.

Morning #medchecks mooties! How did everyone sleep? I got nauseous last night and went to bed early, but I'm doing loads better today! Slept in a bit, got kiddo off, now I'm gonna do some gaming for a bit.
#hrt #mentalhealth #mtf #transfem #check-in

The time I spent in Night City Years ago, when I was young, I spent time in Night City. The game was an interesting mix of so many things. The movies and books of the cyberpunk range were fun landscapes to play in. It was a good pl...

Gonk? Choom? Corpo?
You know who you are.
So do I. I dwell behind you.

#trans #blog #selfie #HRT #queer #lgbtqia #daily #goth #nailsthatglow #nonbinary #spacecat #life #freewriting #journal 🦇 🏳️‍⚧️ 🏳️‍🌈 📚

nailsthatglow.com/blog/f/the-t...

STOP SCROLLING!!!!

i need to show u my boobs :>

#nsfw #nsfwsky #mtf #adult #hrt #trans #transnsfw

One month innnnnn :3 #hrt

If you gave Scaramanga estrogen, would he grow three tits? 🤔 #jamesbond #hrt

Donate to Gender GP - HRT Trans, organized by James Williams Hi, My name is James and I'm 31. I am hoping to raise money to sign up for gender GP and star… James Williams needs your support for Gender GP - HRT Trans

gofund.me/60bfd41ae

#Trans #HRT #Testosterone #GoFundMe #LGBTQ+ #Transgender #FTM #Support #Help 🏳️‍⚧️

Menopause Relief Hormone Replacement Therapy for Women Over 40

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Make an Appointment: 9412174440

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#hrt #FL

I’ve been on HRT for 5 1/2 months already, feels crazy #hrt #trans

Clients where I touch my dick and it gets hard and then not being able to do anything about it after because of lent is the truest travesty there is.

#tboy #tdick #transman #australia #hrt #brisbane #bottomgrowth #pubichair #fat #fatty

This is something to say I am not really sure what to talk about right now. There are things I want to talk about but have no idea where to start or know what history you may have on things.

I am going to see THE BRIDE tonight

#trans #blog #selfie #HRT #queer #lgbtqia #daily #goth #nailsthatglow #nonbinary #spacecat #life #freewriting #journal 🦇 🏳️‍⚧️ 🏳️‍🌈 📚

nailsthatglow.com/blog/f/this-...