
i used planned parenthood and the turnaround from appointment to getting my hands on e was real quick, although now im just patiently waiting for results. since its a second puberty changes take time shots are the most effective in terms of actual estrogen intake and estrodiol monotherapy is the best antiandrogen method but they wont let you start with that cause your body needs to take time to build up to that level
i second planned parenthood because they do informed consent and telehealth, although you have to be in a state where PP does gender affirming care. your primary care dr may be willing to prescribe hrt, although some of them require you to have mental health letters of support (fuck that). i chose injections for t bc they're cheapest for me, but they're also good for when the pharmacy/your dr invariably has something go wrong and your meds are delayed. u get more vials than needed