I wish I could get valerate for only $50. The US healthcare system if so expensive. It’s about $100 for a 5ml vial plus about $1 per injection for a syringe and drawing and injection needles at the local pharmacies. With my super expensive insurance plan I pay $30 per vial, but have to use the unreliable mail order pharmacy. I used to use patches, but the insurance started requiring authorization to get dosages above what a cis-woman would need, and then recently repeatedly denied the authorizations with no explanation. So, I do injections until that goes away.

At least after giving my doctor the research my original prescriber gave me (she was amazing but switched specialties) she was open to more appropriate blood levels. I’m definitely lucky to live in a progressive city compared to most of the US where even the Catholic owned corporate provider groups that are all that’s left in much of the US, due to their tax breaks and abusing doctors being unfair advantages, teach their providers about trans healthcare.