I transitioned 9 years ago and these symptoms started to me around 4 years in. Usually they’re not talked about in trans spaces despite being documented.
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Lower body temp than people who aren’t on HRT despite not feeling the cold. Sometimes I even feel hot despite my body being 36.5°C
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Terrible blood pressure, my nails on my fingers and toes are always purple-ish and the nails grow thin and weak.
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Dry skin.
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Extreme dry eyes, they actually cause me vision loss.
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Bruising, random bruises appearing on my thighs out of nowhere. One day I fell on my knees and even tho it wasn’t a hard fall I got a terrible black bruise on my knee.
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Dizziness, people report headaches more often but I don’t get those as often as dizziness.
Some people say “wow HRT made me feel so good” and I’m here feeling like a corpse in recent rigor mortis 💀
Those don’t seem too related directly to hormone levels. And most direct effects dont take quite that long based on anyone I’ve known. I’ve only been on HRT for a couple of years. Though it is possible they are indirectly related, meaning the hormone changes over the long term triggered some other issues. Have you had your iron levels and/or red blood cell counts checked recently? Every one of these symptoms can be caused by certain types of anemia.
HRT does change how it works on the body over the years, specially because I stared as a minor. Obviously I get checked every month by my Endo, and I don’t have any underlying health problems. All my doctors including Endo, dermatologist and ophtalmologist agree it’s because of HRT. They’re running a test to see if I have Sjogren but it’d be very rare in someone with XY chromosomes, not impossible but very rare.