On occasion, even I'm impressed on how poor my communication skills can be especially when we are talking about one of my HRT doctors. The reason I have two is even though my primary physician at the VA (Veteran's Administration) has a transgender niece, he is still not medically qualified to monitor my blood work and/or estrogen level. For that I need an Endocrinologist. That's OK because an elevated estrogen level can cause blood clots. Especially at my age!
I see my Endo Doc about every six months or so and it always has been a struggle (for whatever reason) for him to write a prescription for what he says he is going to write it for. It took me a couple appointments to get the amount of estrogen I wanted and he said I could have.
Then, there is my other main HRT med, commonly known as "Spiro". It's also used to control blood pressure but one of it's "side effects" is to lower testosterone. Since I have plenty of blood pressure to control (it's normally high), Spiro was good for me in a couple ways. Somehow though, I was certainly stockpiling enough to last awhile.
In fact, the last couple times I refilled my "Spiro", I wondered why I had more than the pharmacy did! As I began to think about it, as reticent as the Doc was to give me more estrogen, the more he spoke about upping my dosage of Spiro. That was cool but telling me would have been even cooler! What confused me was somehow he wrote the prescription for double the amount I was taking but the instructions on the pill bottle (from the VA) said otherwise. I was following the instructions and becoming a Spiro "hoarder."
My next appointment with him is in September, so I have plenty of chance to take the right dosage and he can check me for "Low T" and high "E". And yes, I have checked up on the effects of a higher dosage. Plus, I have talked to a couple other trans women who were prescribed even higher dosages. So I should be fine.
What frustrates me though is I actually checked the size of the "girls" and found I am getting comfortably into "C" country. I may have been able to take up residence there already if the "Doc" and I had been on the same page!