A normal heartbeat for an adult ranges between 60 and 100 beats per minute.ĭoctors ordered tests to rule out heart disease. "Just standing up to make a sandwich, my heart rate would be 120," recalls Minhas, a 54-year-old nurse who lives in San Diego. "I had profound fatigue," she says, along with brain fog, headaches and a rapid heartbeat, especially when she changed positions from lying down to standing up. In the months after she first got sick with COVID-19 in March 2020, Jennifer Minhas developed a cluster of mysterious symptoms. For months, she and her doctors struggled to understand what was behind her fatigue and rapid heartbeat, among other symptoms. Since then, lingering symptoms - what's known as long-haul COVID-19 - made it impossible for her to work. So I switched, and I am much happier with the results.Jennifer Minhas had been a nurse for years when she contracted COVID-19 in 2020. That's how I found out about the small study suggesting subcutaneous injections could keep testosterone in your system longer than intramuscular injections. There I found several subreddits, like r/FTM and r/genderqueer, where people shared similar concerns and got their questions answered by a community of trans people who had taken testosterone. My friends who had started HRT before me recommended going on Reddit to find specific answers about where I should inject my T for the most effective results. Puffy-faced and feeling lost, I turned to the internet for understanding. Online forums like Reddit and word of mouth offered information my doctor didn't have When I went back to the doctor and asked how long it would take for my jawline to reemerge, he told me there wasn't enough research out there for him to give me a timeline.
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In the first month of taking HRT, the skin around my jaw thickened. I ended up opting for intramuscular injections and was dissatisfied with how long it took to see physical changes.
While small studies have suggested that subcutaneous injections (injection into the fat) could help retain testosterone in the body for longer between shots, my doctor told me there wasn't enough conclusive data to confirm this. One of the first questions I asked my doctor was which kind of injection I should opt for to get the most dramatic effects, which for me included a deeper voice, more muscle definition, and fat redistribution. But treatment protocols have been slow to shift.īecause of a lack of research on the effects of different HRT options, even trans-competent medical providers are left with few concrete studies to cite when patients ask questions, and physicians receive few hours of LGBTQ+-specific training. Hormone replacement therapy as a form of treatment for the gender dysphoria that trans people experience has been around since the 1920s. Doctors like mine don't have enough research on HRT's effects to give concrete answers
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The only place I've been able to turn to for concrete answers on how to achieve the results I wanted - like a deeper voice and larger muscles - was online platforms like Reddit. When I asked him what changes I could expect for my body, he told me he didn't know, even after I pressed for more information. When I told my endocrinologist in New York City that I wanted to stay on a microdose long-term, he said he could write me the prescription but had to be transparent about the lack of research available on it.
I microdose HRT, meaning I take a smaller amount of testosterone for more gradual changes over a longer period of time.
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