That is completely separate from how horribly unfair and biased the medical community can be about access to meds for trans people. It’s separate from trans people deserving total access to whatever treatment regimen they and their providers determine is safe enough and useful for their needs. It’s about the mind numbing list of contraindications.

I think you missed the point entirely. There's nothing magical about the estradiol I take. It's literally the exact same molecule my body makes on its own.

You ARE spreading FUD. All those contraindications of estradiol are just a trans woman raising her risk factor for that contraindicated medication up to the risk levels a cis woman experiences from her natural hormone levels. You would never tell a cis woman to go on E blockers when taking these medications. But when a trans woman takes a medication that simply raises her risk profile to female levels, then it's some horrible thing.

HRT fundamentally changes how your body metabolizes medications. Of course it's going to change the risk profiles of a bunch of other medications. It's a sex change at the biochemical level. But all it's doing is swapping your male-pattern risks to female-pattern risks, and vice versa. Estradiol lowers your risks from a bunch of medications, anti-contraindications if you will, but that side of the ledger is always ignored by FUD-mongers like yourself.

I have seen some fucked up shit because of medications being used inappropriately.

And none of those medications were HRT.

I’m not talking out of my ass here, I’ve seen exactly what can go wrong when someone takes estradiol while also taking thyroid meds. It isn’t going to kill most people (and didn’t my patient), but it was absolutely something that would happen with it OTC, because that poor, half dementia swallowed old lady got the estradiol from her sister, not her doctor, who would have been able to find the right combination of meds for her case.

You're basically arguing that no medication should be OTC. Or really in this case, no amount of medical screening can help. The old lady with dementia could just as easily mistakenly take a 10x dose of something prescribed by her doctor.

And again, even in the worst case you can imagine, nobody died. Meanwhile, trans people are dying every day from lack of access to HRT.