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    Will Powers Method, Flowchart

    Uploaded by

    Andrew J. Quesenberry
    This document provides guidance on hormone therapy for transgender patients based on their current stage of puberty and hormone treatment. It recommends lab work to monitor hormone levels and adjusting medication doses based on factors like weight, hormone ratios, and time on hormones. The goal is to suppress unwanted puberty effects, maintain hormone levels within target ranges, and support patients' medical and transition needs and goals.

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    Will Powers Method, Flowchart

    Uploaded by

    Andrew J. Quesenberry
    635 views4 pages
    This document provides guidance on hormone therapy for transgender patients based on their current stage of puberty and hormone treatment. It recommends lab work to monitor hormone levels and adjusting medication doses based on factors like weight, hormone ratios, and time on hormones. The goal is to suppress unwanted puberty effects, maintain hormone levels within target ranges, and support patients' medical and transition needs and goals.

    Original Description:

    A flowchart version of the Will Powers method of MTF Hormone Therapy

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    This document provides guidance on hormone therapy for transgender patients based on their current stage of puberty and hormone treatment. It recommends lab work to monitor hormone levels and adjusting medication doses based on factors like weight, hormone ratios, and time on hormones. The goal is to suppress unwanted puberty effects, maintain hormone levels within target ranges, and support patients' medical and transition needs and goals.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    635 views4 pages

    Will Powers Method, Flowchart

    Uploaded by

    Andrew J. Quesenberry
    This document provides guidance on hormone therapy for transgender patients based on their current stage of puberty and hormone treatment. It recommends lab work to monitor hormone levels and adjusting medication doses based on factors like weight, hormone ratios, and time on hormones. The goal is to suppress unwanted puberty effects, maintain hormone levels within target ranges, and support patients' medical and transition needs and goals.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Download as pdf or txt
    of 4

    Begin Visit

    Delay or Arrest
    Lupron
    Puberty?

    Get Lab Work Done


    E1, E2, Free T, P

    < Tanner 2 (Breast DHEA


    buds not yet built?) Supplementation

    On injections and Bicalutamide 50mg 2


    > 6 months HRT? < 1 month HRT? > 70 KG?
    progesterone? four times a day

    Injectable estradiol
    or
    E2:E1 ratio (worse concentrated 2mg oral twice a day
    than 1:3) transdermal
    or compounds
    > 12 months HRT or
    or estrogens pellet
    wants off pills Resulting in
    250pg/ml+ E2 Levels
    B

    2mg Buccally or
    sublingually twice a
    day

    Bioidentical
    micronized
    progesterone rectally
    If e2 injections are
    >= Tanner 4?
    used to control T,
    adjust E2 10%-20%
    down until T is in
    desired range
    2mg oral three times
    a day

    Patient Demands
    Blocker

    Bicalutamide 50mg
    four times a day
    Stuck at Tanner 4? 1mg e2 oral

    Weekly or Bi-weekly
    T Near 0 or GRS in topical administration
    next few months? of testosterone to the
    penis

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