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1) managing the anti-androgens. That is to say switch on and off to get the results from estrogen while maintaining "functionality". 2) Viagra works on Transwomen 3) Most surgeons in the US won't do feminization surgeries without a note from your Dr indicating that you are in transition (ie on hormones). However, many of the places outside of the US will do so. Do a search for "Facial Feminization" and you will find cosmetic surgeons in Thailand, Brazil and Mexico willing to do what you need done. The issue with limiting the anti-androgens is that you will find the desired results of estrogen take longer or are less pronounced (longer breast development, slower fat migration, less effect on body hair).
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