I started a year ago at 28. A year in and I can say the constant dysphoria is now reduced to the point its manageable. But it was immediately replaced with a new emotional range and depth that i was very unequipped for. Now instead of learning to manage dysphoria i am learning to manage girl emotions. I also do not know shit about myself now that i dont live through the cycle of cope. Skin and hair are completely different. I feminized to the point that i mostly dont disgust myself even tho i will never pass. Still dont look in mirrors. Rating? 6/10. I kinda think extensive therapy would have maybe been a more expensive alternative. So maybe level up the cope. My advice would be to do it for 3 months on a high sublingual dose + spiro then stop and see how u feel. Dont get hondosed