Q&A for How to Start Hormone Replacement Therapy (Male to Female)

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What is the first step in starting HRT?

David Nazarian, MD
Board Certified Internal Medicine Physician
Dr. David Nazarian is a board certified Internal Medicine Physician and the Owner of My Concierge MD, a medical practice in Beverly Hills California, specializing in concierge medicine, executive health and integrative medicine. Dr. Nazarian specializes in comprehensive physical examinations, IV Vitamin therapies, hormone replacement therapy, weight loss, platelet rich plasma therapies. He has over 16 years of medical training and facilitation and is a Diplomate of the American Board of Internal Medicine. He completed his B.S. in Psychology and Biology from the University of California, Los Angeles, his M.D. from the Sackler School of Medicine, and a residency at Huntington Memorial Hospital, an affiliate of the University of Southern California.

David Nazarian, MD

Board Certified Internal Medicine Physician

Expert Answer

Meet with a doctor and take a closer look at your medical history and family history (especially when it comes to cancer). Your doctor will make sure that all of your labs are normal and that you've completed your preventative screening tests.

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Question

Does having HRT help you lose weight?

David Nazarian, MD
Board Certified Internal Medicine Physician
Dr. David Nazarian is a board certified Internal Medicine Physician and the Owner of My Concierge MD, a medical practice in Beverly Hills California, specializing in concierge medicine, executive health and integrative medicine. Dr. Nazarian specializes in comprehensive physical examinations, IV Vitamin therapies, hormone replacement therapy, weight loss, platelet rich plasma therapies. He has over 16 years of medical training and facilitation and is a Diplomate of the American Board of Internal Medicine. He completed his B.S. in Psychology and Biology from the University of California, Los Angeles, his M.D. from the Sackler School of Medicine, and a residency at Huntington Memorial Hospital, an affiliate of the University of Southern California.

David Nazarian, MD

Board Certified Internal Medicine Physician

Expert Answer

People do usually lose weight when they do hormone replacement therapy—men specifically, but also women. After all, hormones help the body function better, improve your metabolism, give you more energy, and help slow down the aging process.

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Question

Can I start hormone replacement therapy?

Inge Hansen, PsyD
Clinical Psychologist
Dr. Inge Hansen, PsyD, is the Director of Well-Being at Stanford University and the Weiland Health Initiative. Dr. Hansen has professional interests in social justice and gender and sexual diversity. She earned her PsyD from the California School of Professional Psychology with specialized training in the area of gender and sexual identity. She is the co-author of The Ethical Sellout: Maintaining Your Integrity in the Age of Compromise.

Inge Hansen, PsyD

Clinical Psychologist

Expert Answer

Whether and when to take hormone replacement therapy is a deeply personal choice. You should take hormones when you’ve fully researched your options, feel that hormones are a positive next step for you, and you are okay with the fact that the effects are not fully reversible should you stop taking them.

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Who can I talk to about gender dysphoria?

Inge Hansen, PsyD
Clinical Psychologist
Dr. Inge Hansen, PsyD, is the Director of Well-Being at Stanford University and the Weiland Health Initiative. Dr. Hansen has professional interests in social justice and gender and sexual diversity. She earned her PsyD from the California School of Professional Psychology with specialized training in the area of gender and sexual identity. She is the co-author of The Ethical Sellout: Maintaining Your Integrity in the Age of Compromise.

Inge Hansen, PsyD

Clinical Psychologist

Expert Answer

When you are LGBTQ+, it’s important to have a therapist who is LGBTQ+-affirming, and in some cases, an LGBTQ+ specialist. You can find these professionals by checking groups (national groups, such as Gaylesta or Division 44, as well as local groups) focused on LGBTQ+ therapy.

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