The ETR 600 is a class of trains built by Alstom, and are used on the routes between Roma-Bolzano and Roma-Trieste. The train tilts, using Pendolino technology, allowing higher speeds to be maintained through corners without causing discomfort to passengers. The trains are operated by Trenitalia, originally under the Frecciargento (Silver Arrow) branding used for trains capable of travelling between 250 km/h and 285 km/h, In 2022 they were rebranded under Frecciarossa (Red Arrow) after the Frecciargento branding was retired.
The ETR 600 has also been adapted for use in China as the China Railway CRH5 Hexie. Initially 60 sets were ordered, of which nine were manufactured by Alstom and 51 by CNR Changchun Railway Vehicles. Since, another 80 sets have been created for a total of 140, operating across China's north from Beijing to Ürümqi.
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sadgirl posting
Got on E today, and was told by someone in the community I was getting fucked by my doctor. I was given 2mg estrogen tablets and 5mg fin tablets.
They told me to take 1/2 an e tablet twice, and 1/4 a fin tablet once a day. (2mg estrodoil and 1.25finastride per day total.) Was told in trachat that this was completely useless as it stands.
Still unsure but it feels disheartening to hear. I also meant to come out to my mom tonight but couldn't work up the courage and shes already asleep.
This was supposed to be a fucking landmark day, like the first day of things getting better and I feel like I'm just more behind I fucking hate it. This was supposed to be a good day and its just turned to fucking shit.
I wouldn't want to be cis, but fuck sometimes I wish I wasn't trans.
This is the normal course, well the finastride is different to the standard lol but its a nice addition. Starting that low is a little silly but whatever, doctors make weird choices. 2 mg SL to start is fine. It will be brought up if your E levels aren't high enough. Most people get on more which is why people said "that isn't enough" but they only know about themselves, not like EVERY case. There's a lot of variation in genetics and liver enzymes and we don't have a tricorder that'll tell us what's the appropriate effective dose for you - hence, starting low and increasing until you're at where you wanna be.
Doctors should start with higher doses and bring it down, instead of starting with something low and bringing it up
It depends on the drug. Some will kill you if you start high, one time. E wouldn't if they started higher at like 4 mg SL, but that's the current WPATH recommendation
i don't think it's gonna be useless and if you're going the doctor route they typically err on the side of caution. you aren't more behind, you're getting onboarded and when they do your blood work they're gonna realize you need a higher dose or you're ok on that dose. no big deal
Youre a step further than you were yesterday. And also, youre on estrogen!!! Congratulations!!! Everyone gets their dosages adjusted and very very often start at low dosages, and just getting on it at all is huge! Im proud of and happy for you
::: spoiler Editing to say more nice things about you cause sadgirls should have nice things said about them:
You said its supposed to be a landmark day, and it fucking was! You took a massive step! The emotional and mental aspect of that cannot be reduced away into levels and blockers and dosages. In a way it doesnt matter what dosage youre on, because youre finally on E! You did it! Now the hurdles are a little smaller. Its no longer "hey doc i want to go on estrogen" and all the conversations that entails. Instead its "hey doc i think my estrogen levels arent quite right and I need to adjust my dosage", which imo is a much easier conversation. Youve taken a big step and made life better and easier for your future self, and that is amazing and wonderful and perfect!! Fuck levels, they dont matter right now, whether theyre good or too low doesnt matter for today. Those worries can wait for tomorrow. For today, you should celebrate yourself! Celebrate your accomplishment! I dont know what went into this for you, but I cant imagine it was some easy peasy thing. The whole process, starting from coming out to yourself, is fraught, and even when its easy going its often just a portion of the path that is easy going, not the whole path. So to reach this marker, to reach this milestone, its something worth celebrating regardless of whether the end result was perfect. You got your foot in the door, and right now thats what counts! Again, im proud of and happy for you, youre taking steps
Thanks. I was getting worried but the advice was from someone who had only done diy hrt, and probably didn't go through having their dosage raised as time went on.
I kinda figured online medical advice should be taken with a grain of salt, but still, lotta the comments here have calmed me down.
Im really happy you got on hormones, and even if you dont feel like celebrating right now, im over here having a little celebratory time for ya ^^
that’s fine as a starter dose, just make it goes up as needed and that you get an actual antiandrogen if needed (finasteride can be helpful but isn’t a replacement for an actual antiandrogen like spironolactone or cyproterone acetate)
Edit: specifically if the estrogen isn’t lowering your testosterone to cis female levels on its own (which it probably won’t) then you need an antiandrogen
if it helps, I have been on a quarter tab of fina for like 10 years now and it has been great, my hair is luxurious
edit: okay like I can't grow it to ass length, it gets below my shoulders though, and it's curly and fine like my mom, and most importantly I havent lost any of it.
I've had curly long hair since I was a kid, but my hairline started doing that thing it does to all the amab people in my family at 23/24 :(.
Minoxodil has helped at least. Kinda.
Yeah, same, biggest reason i stsrted DIY all those years ago. Even my partner got on a quarter tab of fina a couple years ago since it works for cis guys too. He has stopped losing his hair, but it doesn't completely come back on either of us, takes years for it to fill in really.
Advice aside it can be really frustrating when you start hrt and they start you on a low dose. I remember being disappointed when it happened to me