the appointment was initially set to talk about my estrogen levels, which have predictably come down a little due to switching to the generic. unfortunately, he didn't feel comfortable boosting me higher than 8 mg, and he had a reasonable argument - i'm already higher than the recommended dosage.
the reality is that i need my testicles to be removed, or i'm going to detransition, and that's not something anybody benefits from. i've been trying to do this for five years, now. i'm at a max for testosterone suppression and i'm at a max for generic estrogen; the brand name works far better, but i can't buy it. so, he sent the recs out again, but i don't expect to hear anything.
i'm going to need to send a fax to the endocrinologist again about overprescribing....
he unexpectedly prescribed me the doxycycline, but the 20 mg is now all of a sudden no longer covered, only the 100 mg is. i'm pretty sure it was covered last week. he's going to prescribe, though. so, i'll need to research that and figure it out. i'll either need to request a different tetracycline that is covered or ask to boost the dosage, but i don't think that's a great idea. it would be $200/month, otherwise and that's not feasible.
i don't know why they cover the 100 but not the 20, but that's the decision the government has made.
and, i got a second lab rec for the iron which i'll need to get done in the upcoming week. i know what my ferritin is at a minimum. what i need to do first is check to see what my ferritin is at a maximum, without altering anything. but, he put so much stuff on it that i'm going to ask them to do it in two parts spread two weeks apart. i was absolutely exhausted after the last one, and we can see why, now.
he's also going to send me to a gastric specialist about the potentiality of bleeding, but i'm wondering if i shouldn't also go to somebody regarding the potentials of blood clotting in the brain, or bleeding in the brain more generally.
i stopped and did a bunch of groceries when i got back, and then it was 16:00 and i found myself in need of a nap....