A few years ago, while I was in Illinois working a contract position, I went to a clinic up the road to get some scrips I needed. While there, I came out to this doctor of similar age. We chatted a bit, then she did a decent physical and ordered some blood labs.

A while later, I returned for the follow-up. She asked if I was ready to start HRT. With tears in my eyes, I fully assented. She wrote the scrip, and I was off and crawling.

A month later, next appointment, she asked about changes. I said I hadn't had any but hadn't expected any that soon. Another month, same result. She went to her office, came back after a bit and said she was upping the dose because her female HRT patients who smoked also needed a higher dosage.

So, that applies to us as well, I'm sure.