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estradiol at the very least needs to be OTC and manufacturers need to take supply seriously
much like stimulants requiring the most hoops to jump through, things that make hoop jumping easier shouldnt require hoops to get
idk like, not-neurotypical people have this horrendous double bind because its both extremely hard to get to doctors (especially since most dont take email) and often once we do, hard to get them to take us seriously once there
but, yanno, more visits means more money for doctors so they try to maximise them
gatekeepers are more worthy of contempt -- a lot of gatekeeping is about maximizing visits -- profiting off your psychology of sunk cost
we're a captive audience bc we dont know if new doctors will be a fight, so we stick with our not great ones, and they know it