28-04-2026, 02:49 PM
(This post was last modified: 28-04-2026, 03:00 PM by Heaven's Night.)
The effect of PM does not compare to decently good conventional HRT much because it can't. The efficiency on which is works is mininal in comparison. However, the testosterone spike while starting and after a stop is a real possibility but I presume again that PM or phytoestrogen is unable to cause anything as what conventional HRT does.
The difference of bioidentical hormones and plant based estrogen mimics is worlds apart.
2-4mg oral estradiol is typical for menopause treatment. Trans women usually get 4-8mg per day but almost everybody prefers better method as oral E2 is likely the least efficient of the most typical methods.
Patches absolutely suck for achieving suitable levels but they're extremely stable. Pills orally have terrible metabolic rate and likely highest blood clotting risk which transdermal and injected estrogens avoid completely. Gel sucks for achieving good levels and often needs quite high doses and constant application. Buccal and sublingual pills offer better metabolism, higher levels but still not good. Lower blood clotting risk
Injection is the gold standard for a reason. I would contradict the attached info sheet on the efficiency of subcutaneous injection, deep cubcutaneous is insanely effective and offers more stable levels than IM does. Also on the sheet the dosage ranges are just wild for all injections. Its very rare for anyone to need more than 10mg EV per week. I would say that a good average would be 5-10mg or so, YMMV.
One thing about breast development while on injections, many trans women absolutely stall when they switch from patches/pills/gel to injection, a lot of them stall when they switch from EV to EEn or EC. There might be a genetic reason for it. Read about it on Dr.Powers' Reddit just some days back. I know that guy is controversial as can be but he has interesting theories on a lot of stuff and one of the few willing to look into new ideas on feminising HRT.
Anyway, what comes to maintaining strength while growing boobs... Simple answer is, you can't, not without some loss. Or if you're doing it so ineffienctly there's no muscle loss, you wont get any boobs. Stop and go method might work to an extent, but its more than likely that some kind of loss will occur. Also depends on what you're trying to achieve. Full body feminisation will not happen without any muscle loss because it can't. Our bodies aren't made to function like that. Its about a balance which flips to either direction enough to cause body changes. I say it again, to whom ever is highly concerned about being so fully presumed male by body functions should not play around feminising hormone treatments. At all. And anyone who does should be willing to compromise, likely compromising both physical perfomance and body changes to some extent. Because if you want it all, there's no way to maintain the muscle mass and or low body fat, or full on function downtown.
I would guess that 6/6 month cycle might be ideal? Or doing additional workout while on NBE/HRT? Then again, latter possibly makes you lose body fat which means less boobs and less every possible shape you might want.
Here's a useful info sheet comparison of HRT methods. I think its a bit out of date, but mostly correct. Good for quick reference when considering different admin methods and medications. Note that "relative feminisation effeciency" is exactly opposed of the "staying male" part about physical performance, further down that path you go, more you have to work for maintaining your physique if that's what you're aiming at.
The difference of bioidentical hormones and plant based estrogen mimics is worlds apart.
2-4mg oral estradiol is typical for menopause treatment. Trans women usually get 4-8mg per day but almost everybody prefers better method as oral E2 is likely the least efficient of the most typical methods.
Patches absolutely suck for achieving suitable levels but they're extremely stable. Pills orally have terrible metabolic rate and likely highest blood clotting risk which transdermal and injected estrogens avoid completely. Gel sucks for achieving good levels and often needs quite high doses and constant application. Buccal and sublingual pills offer better metabolism, higher levels but still not good. Lower blood clotting risk
Injection is the gold standard for a reason. I would contradict the attached info sheet on the efficiency of subcutaneous injection, deep cubcutaneous is insanely effective and offers more stable levels than IM does. Also on the sheet the dosage ranges are just wild for all injections. Its very rare for anyone to need more than 10mg EV per week. I would say that a good average would be 5-10mg or so, YMMV.
One thing about breast development while on injections, many trans women absolutely stall when they switch from patches/pills/gel to injection, a lot of them stall when they switch from EV to EEn or EC. There might be a genetic reason for it. Read about it on Dr.Powers' Reddit just some days back. I know that guy is controversial as can be but he has interesting theories on a lot of stuff and one of the few willing to look into new ideas on feminising HRT.
Anyway, what comes to maintaining strength while growing boobs... Simple answer is, you can't, not without some loss. Or if you're doing it so ineffienctly there's no muscle loss, you wont get any boobs. Stop and go method might work to an extent, but its more than likely that some kind of loss will occur. Also depends on what you're trying to achieve. Full body feminisation will not happen without any muscle loss because it can't. Our bodies aren't made to function like that. Its about a balance which flips to either direction enough to cause body changes. I say it again, to whom ever is highly concerned about being so fully presumed male by body functions should not play around feminising hormone treatments. At all. And anyone who does should be willing to compromise, likely compromising both physical perfomance and body changes to some extent. Because if you want it all, there's no way to maintain the muscle mass and or low body fat, or full on function downtown.
I would guess that 6/6 month cycle might be ideal? Or doing additional workout while on NBE/HRT? Then again, latter possibly makes you lose body fat which means less boobs and less every possible shape you might want.
Here's a useful info sheet comparison of HRT methods. I think its a bit out of date, but mostly correct. Good for quick reference when considering different admin methods and medications. Note that "relative feminisation effeciency" is exactly opposed of the "staying male" part about physical performance, further down that path you go, more you have to work for maintaining your physique if that's what you're aiming at.