Twipped · June 3, 2022 15:15 · Jun 3, 2022 · Sep 22, 2018 · Aug 4, 2018 · Jul 19, 2018
diff --git a/Trans-feminine HRT Changes.md b/Trans-feminine HRT Changes.md
@@ -1,3 +1,5 @@
+## UPDATE: This gist is now deprecated, please visit [The Gender Dysphoria Bible](https://genderdysphoria.fyi/en/second-puberty-fem) for the latest version of this document.
+
 This is a compilation of report medical transition changes, collected from testimonials of trans women from various discussion forums and chat rooms, backed up by my own experiences.
 
 **Note that this is a list of _possible_ changes. There is no guarentee that a person on HRT will experience all of these. As always, your milage may vary.**

diff --git a/Trans-feminine HRT Changes.md b/Trans-feminine HRT Changes.md
@@ -67,9 +67,10 @@ This is a compilation of report medical transition changes, collected from testi
 
 ### Changes attributed to Progesterone:
 
-- Increased appetite, food cravings
+- Increased appetite, food cravings, heightened metabolism
 - Increased libido / sex drive
 - Breast fullness, an increase of breast development
+- Portential improvement in impulse control
 - Deeper sleep with potential for much more vivid dreams
 
 ### Changes that cannot be specifically attributed to a single component of HRT.

diff --git a/Trans-feminine HRT Changes.md b/Trans-feminine HRT Changes.md
@@ -82,6 +82,10 @@ Some of these may simply be the brain getting what it finally wants.
 - Less likely to engage in arguments or fights, more likely to attempt to defuse or escape heated situations
 - Improved balance & spacial awareness (less bumping into walls or kicking doorways)
 - Changes in ADHD symptoms and/or intensity (for some it improves, for others it gets much worse)
+  - Note, worsening may be related to side-effects of spironolactone
+- Lactation
+  - A few drops is to be expected, especially while nipples are being stimulated, and is merely a sign of milk ducts forming properly. 
+  - Anything more than that may be a sign of a dangerous hormone imbalance and should be checked by a doctor.
 - Cyclical period symptoms. Yes, [for real](https://twitter.com/LifeofBria/status/1016753976211996672). No menstruation, because there is no uterus, but all other typical period symptoms can manifest in 28 day cycles. Symptoms vary greatly (just as in cis women) and typically last for 4-5 days. Use of a period tracker can reveal the pattern. 
   - Abdominal Cramps
   - Bloating, Gas, Diarrhea and other intestinal issues ("period shits")

diff --git a/Trans-feminine HRT Changes.md b/Trans-feminine HRT Changes.md
@@ -29,6 +29,9 @@ This is a compilation of report medical transition changes, collected from testi
 ### Changes attributed to Estradiol:
 
 - Breast growth
+  - Extreme nipple sensitivity at the onset
+  - Expect aches and pains in the upper chest
+  - Nipples will get larger, areolas become more visible
 - Fat redistribution into feminine proportions
   - Reduction in the waist and upper body, flattening of belly, additions in hips and thighs.
   - Lower center of gravity
@@ -41,6 +44,7 @@ This is a compilation of report medical transition changes, collected from testi
   - Change in stride, walking more with the hips
 - Scalp hair becomes thicker and follicles grow stronger, allowing hair to grow to longer lengths.
   - Hair can also become curlier
+  - Hair may change color
 - Emotional expansion
   - Higher highs and lower lows
   - Mood swings, random crying
@@ -75,9 +79,10 @@ Some of these may simply be the brain getting what it finally wants.
 - Drastic reduction in depersonalization / derealization symptoms
 - Improved clarity of thought (many reports of improved multitasking)
 - Chattiness and generally more extroverted
+- Less likely to engage in arguments or fights, more likely to attempt to defuse or escape heated situations
 - Improved balance & spacial awareness (less bumping into walls or kicking doorways)
 - Changes in ADHD symptoms and/or intensity (for some it improves, for others it gets much worse)
-- Periods. Yes, [for real](https://twitter.com/LifeofBria/status/1016753976211996672). No menstruation, because there is no uterus, but all other typical period symptoms can manifest in 28 day cycles. Symptoms vary greatly (just as in cis women) and typically last for 4-5 days. Use of a period tracker can reveal the pattern. 
+- Cyclical period symptoms. Yes, [for real](https://twitter.com/LifeofBria/status/1016753976211996672). No menstruation, because there is no uterus, but all other typical period symptoms can manifest in 28 day cycles. Symptoms vary greatly (just as in cis women) and typically last for 4-5 days. Use of a period tracker can reveal the pattern. 
   - Abdominal Cramps
   - Bloating, Gas, Diarrhea and other intestinal issues ("period shits")
   - Emotional instability and irrational thoughts (heightened depression, increased dysphoria)

diff --git a/Trans-feminine HRT Changes.md b/Trans-feminine HRT Changes.md
@@ -1,8 +1,8 @@
 This is a compilation of report medical transition changes, collected from testimonials of trans women from various discussion forums and chat rooms, backed up by my own experiences.
 
-**Note that this is a list of _possible_ changes. As always, your milage may vary.**
+**Note that this is a list of _possible_ changes. There is no guarentee that a person on HRT will experience all of these. As always, your milage may vary.**
 
-Changes connected to reduction of testosterone:
+### Changes connected to reduction of Testosterone:
 
 - Reduction in general body odor and change in the smell of ones sweat. Many report gaining a sweet smell.
 - Skin softens and becomes thinner.
@@ -24,8 +24,9 @@ Changes connected to reduction of testosterone:
 - Hairline restoration (Testosterone converts into DHT which causes baldness)
 - Reduced tolerance of caffeine and alcohol
   - Testosterone increases body mass which increases alcohol tolerance. Additionally, spironolacotone and oral estradiol strain the liver and hinder metabolism of toxins.
+- Salt/Pickle cravings (This is specific to those on Spironolacotone, which is a diurhetic that causes you to pee out all your sodium)
 
-Changes attributed to Estradiol:
+### Changes attributed to Estradiol:
 
 - Breast growth
 - Fat redistribution into feminine proportions
@@ -60,21 +61,23 @@ Changes attributed to Estradiol:
 - Significantly improved sense of smell, especially of other bodies
 - Chocolate addiction
 
-Changes attributed to Progesterone:
+### Changes attributed to Progesterone:
 
-- Increased appetite
-- Increased libido
-- Breast fullness
-- Vivid dreaming
+- Increased appetite, food cravings
+- Increased libido / sex drive
+- Breast fullness, an increase of breast development
+- Deeper sleep with potential for much more vivid dreams
 
-Changes that cannot be specifically attributed to a single hormone. Some of these are reported by both men and women, so they may simply be the brain getting what it finally wants.
+### Changes that cannot be specifically attributed to a single component of HRT.
+
+Some of these may simply be the brain getting what it finally wants.
 
 - Drastic reduction in depersonalization / derealization symptoms
 - Improved clarity of thought (many reports of improved multitasking)
 - Chattiness and generally more extroverted
 - Improved balance & spacial awareness (less bumping into walls or kicking doorways)
 - Changes in ADHD symptoms and/or intensity (for some it improves, for others it gets much worse)
-- Periods. Yes, [for real](https://twitter.com/LifeofBria/status/1016753976211996672). No menstruation, because there is no uterus, but all other typical period symptoms can manifest in 28 day cycles. Use of a period symptom tracker can reveal the pattern.
+- Periods. Yes, [for real](https://twitter.com/LifeofBria/status/1016753976211996672). No menstruation, because there is no uterus, but all other typical period symptoms can manifest in 28 day cycles. Symptoms vary greatly (just as in cis women) and typically last for 4-5 days. Use of a period tracker can reveal the pattern. 
   - Abdominal Cramps
   - Bloating, Gas, Diarrhea and other intestinal issues ("period shits")
   - Emotional instability and irrational thoughts (heightened depression, increased dysphoria)

diff --git a/Trans-feminine HRT Changes.md b/Trans-feminine HRT Changes.md
@@ -38,7 +38,7 @@ Changes attributed to Estradiol:
   - [Pelvic tilt](http://en.wikipedia.org/wiki/Pelvic_tilt) causing an increase in curvature of back & butt, potentially a loss of up 1-3 inches in height). Note: This is NOT the same as the [hip rotation](https://youtu.be/OROoZzoVwfk?t=12) that occurs in AFAB puberty.
   - Improved flexibility
   - Change in stride, walking more with the hips
-- Scalp hair becomes thicker and folicles grow stronger, allowing hair to grow to longer lengths.
+- Scalp hair becomes thicker and follicles grow stronger, allowing hair to grow to longer lengths.
   - Hair can also become curlier
 - Emotional expansion
   - Higher highs and lower lows
@@ -69,8 +69,17 @@ Changes attributed to Progesterone:
 
 Changes that cannot be specifically attributed to a single hormone. Some of these are reported by both men and women, so they may simply be the brain getting what it finally wants.
 
-- Drastic reduction in depersonalization/derealization symptoms
+- Drastic reduction in depersonalization / derealization symptoms
 - Improved clarity of thought (many reports of improved multitasking)
 - Chattiness and generally more extroverted
 - Improved balance & spacial awareness (less bumping into walls or kicking doorways)
 - Changes in ADHD symptoms and/or intensity (for some it improves, for others it gets much worse)
+- Periods. Yes, [for real](https://twitter.com/LifeofBria/status/1016753976211996672). No menstruation, because there is no uterus, but all other typical period symptoms can manifest in 28 day cycles. Use of a period symptom tracker can reveal the pattern.
+  - Abdominal Cramps
+  - Bloating, Gas, Diarrhea and other intestinal issues ("period shits")
+  - Emotional instability and irrational thoughts (heightened depression, increased dysphoria)
+  - Muscle aches and pains
+  - Beast engorgement and nipple tenderness
+  - Fatigue
+  - Appetite changes
+
diff --git a/MTF HRT Changes.md → Trans-feminine HRT Changes.md b/MTF HRT Changes.md → Trans-feminine HRT Changes.md
@@ -1,11 +1,11 @@
-This is a compilation of report medical transition changes collected from testimonials of trans women on Reddit's r/asktransgender, gathered from many threads, and reinforced by my own experiences.
+This is a compilation of report medical transition changes, collected from testimonials of trans women from various discussion forums and chat rooms, backed up by my own experiences.
 
-Note that this is a list of _possible_ changes. As always, your milage may vary.
+**Note that this is a list of _possible_ changes. As always, your milage may vary.**
 
 Changes connected to reduction of testosterone:
 
 - Reduction in general body odor and change in the smell of ones sweat. Many report gaining a sweet smell.
-- Skin softens and becomes thinner
+- Skin softens and becomes thinner.
 - Reduction in skin oils, causing face to become drier. For most this means less acne.
 - Finger nails thin and soften.
 - Reduced body hair growth (wont remove it entirely), hairs become thinner and shorter.
@@ -20,23 +20,26 @@ Changes connected to reduction of testosterone:
 - Loss of sex drive, frequently a total loss of libido.
 - Sterility + testicle atrophy
   - Testicles shrink in size. Atrophy pain is common in the first year.
-- Possible deepening of eye color (T is what fades it)
-- Hairline restoration (T converts into DHTs which cause baldness)
-- Reduced tolerance of caffeine and alcohol (Spiro strains the liver and hinders metabolism of toxins)
+- Deepening or changes of eye color (Testosterone fades it)
+- Hairline restoration (Testosterone converts into DHT which causes baldness)
+- Reduced tolerance of caffeine and alcohol
+  - Testosterone increases body mass which increases alcohol tolerance. Additionally, spironolacotone and oral estradiol strain the liver and hinder metabolism of toxins.
 
 Changes attributed to Estradiol:
 
 - Breast growth
 - Fat redistribution into feminine proportions
   - Reduction in the waist and upper body, flattening of belly, additions in hips and thighs.
+  - Lower center of gravity
 - Facial feature changes (chin, cheeks, eyes, lips, eyelashes lengthening)
 - Eye reshape altering focal depth
 - Ligament stretching
-  - Slimmer hands, wrists and feet (drop a shoe size or two)
+  - Slimmer hands, wrists and feet. Many go down a shoe size or two.
   - [Pelvic tilt](http://en.wikipedia.org/wiki/Pelvic_tilt) causing an increase in curvature of back & butt, potentially a loss of up 1-3 inches in height). Note: This is NOT the same as the [hip rotation](https://youtu.be/OROoZzoVwfk?t=12) that occurs in AFAB puberty.
   - Improved flexibility
-  - Change in stride
+  - Change in stride, walking more with the hips
 - Scalp hair becomes thicker and folicles grow stronger, allowing hair to grow to longer lengths.
+  - Hair can also become curlier
 - Emotional expansion
   - Higher highs and lower lows
   - Mood swings, random crying
@@ -46,7 +49,8 @@ Changes attributed to Estradiol:
 - Penis and scrotal tissue changes
   - Increased sensitivity
   - Skin moistening, change in odor (scrotum and penis begin to smell vaginal)
-  - Coloration changes, particularly along the [perineal_raphe](https://en.wikipedia.org/wiki/Perineal_raphe)
+  - Coloration changes, particularly along the [perineal raphe](https://en.wikipedia.org/wiki/Perineal_raphe)
+  - Skin along the shaft and glans thins and becomes more prone to tears/bruising during sex
 - Perspiration distribution changes
   - Sweating becomes more of a full body experience, less focused on the scalp.
 - Changes in body temperature placement, women have warmer cores but colder extremities.
@@ -56,10 +60,17 @@ Changes attributed to Estradiol:
 - Significantly improved sense of smell, especially of other bodies
 - Chocolate addiction
 
-Changes that I can't attribute to either hormone. Some of these are reported by both men and women, so they may simply be the brain getting what it finally wants.
+Changes attributed to Progesterone:
 
-- Improved clarity of thought (many reports of improved multitasking)
 - Increased appetite
-- Chattiness and generally more extroverted
-- Improved balance & spacial awareness
+- Increased libido
+- Breast fullness
 - Vivid dreaming
+
+Changes that cannot be specifically attributed to a single hormone. Some of these are reported by both men and women, so they may simply be the brain getting what it finally wants.
+
+- Drastic reduction in depersonalization/derealization symptoms
+- Improved clarity of thought (many reports of improved multitasking)
+- Chattiness and generally more extroverted
+- Improved balance & spacial awareness (less bumping into walls or kicking doorways)
+- Changes in ADHD symptoms and/or intensity (for some it improves, for others it gets much worse)
diff --git a/MTF HRT Changes.md b/MTF HRT Changes.md
@@ -11,7 +11,7 @@ Changes connected to reduction of testosterone:
 - Reduced body hair growth (wont remove it entirely), hairs become thinner and shorter.
 - Emotional expansion
   - Less stoicism, regain the ability to cry
-  - You need Estrodiol in order to push this to its fullest
+  - You need Estradiol in order to push this to its fullest
 - Reduced muscle mass / harder to gain muscle
   - This contributes significantly to feminine shoulder and neck line.
 - Loss of random erections / morning wood

diff --git a/MTF HRT Changes.md b/MTF HRT Changes.md
@@ -45,7 +45,7 @@ Changes attributed to Estradiol:
 - Multiple. Full body. Female. Orgasms.
 - Penis and scrotal tissue changes
   - Increased sensitivity
-  - Skin moistening
+  - Skin moistening, change in odor (scrotum and penis begin to smell vaginal)
   - Coloration changes, particularly along the [perineal_raphe](https://en.wikipedia.org/wiki/Perineal_raphe)
 - Perspiration distribution changes
   - Sweating becomes more of a full body experience, less focused on the scalp.

diff --git a/MTF HRT Changes.md b/MTF HRT Changes.md
@@ -4,36 +4,52 @@ Note that this is a list of _possible_ changes. As always, your milage may vary.
 
 Changes connected to reduction of testosterone:
 
-- Odor change (absence of body odor, odorless sweating)
-- Skin, body hair and nails softening, skin thinning
-- Less oily skin
-- Reduced body hair growth (wont remove it entirely), change of body hair color.
-- Emotional expansion, less stoicism (you need E to push this to its fullest)
+- Reduction in general body odor and change in the smell of ones sweat. Many report gaining a sweet smell.
+- Skin softens and becomes thinner
+- Reduction in skin oils, causing face to become drier. For most this means less acne.
+- Finger nails thin and soften.
+- Reduced body hair growth (wont remove it entirely), hairs become thinner and shorter.
+- Emotional expansion
+  - Less stoicism, regain the ability to cry
+  - You need Estrodiol in order to push this to its fullest
 - Reduced muscle mass / harder to gain muscle
   - This contributes significantly to feminine shoulder and neck line.
-- Loss of random erections / morning wood (loss of size if you don't make yourself get erections)
-- Loss of libido
+- Loss of random erections / morning wood
+  - Failure to regularly give oneself erections can result in atrophy of the tissue, leading to shrinkage.
+  - Prolonged atrophy can cause painful erections.
+- Loss of sex drive, frequently a total loss of libido.
 - Sterility + testicle atrophy
+  - Testicles shrink in size. Atrophy pain is common in the first year.
 - Possible deepening of eye color (T is what fades it)
 - Hairline restoration (T converts into DHTs which cause baldness)
 - Reduced tolerance of caffeine and alcohol (Spiro strains the liver and hinders metabolism of toxins)
 
 Changes attributed to Estradiol:
 
-- Breast & hip growth
-- Fat redistribution into feminine proportions.
+- Breast growth
+- Fat redistribution into feminine proportions
+  - Reduction in the waist and upper body, flattening of belly, additions in hips and thighs.
 - Facial feature changes (chin, cheeks, eyes, lips, eyelashes lengthening)
 - Eye reshape altering focal depth
 - Ligament stretching
   - Slimmer hands, wrists and feet (drop a shoe size or two)
-  - Pelvic rotation (increased curvature of back & butt, loss of up 1-3 inches in height)
+  - [Pelvic tilt](http://en.wikipedia.org/wiki/Pelvic_tilt) causing an increase in curvature of back & butt, potentially a loss of up 1-3 inches in height). Note: This is NOT the same as the [hip rotation](https://youtu.be/OROoZzoVwfk?t=12) that occurs in AFAB puberty.
   - Improved flexibility
   - Change in stride
+- Scalp hair becomes thicker and folicles grow stronger, allowing hair to grow to longer lengths.
+- Emotional expansion
+  - Higher highs and lower lows
+  - Mood swings, random crying
+  - Crying from joy
 - Erogenous zone development
 - Multiple. Full body. Female. Orgasms.
-- Penis and scrotal tissue changes (increased sensitivity, moistening, coloration changes)
+- Penis and scrotal tissue changes
+  - Increased sensitivity
+  - Skin moistening
+  - Coloration changes, particularly along the [perineal_raphe](https://en.wikipedia.org/wiki/Perineal_raphe)
 - Perspiration distribution changes
-- Changes in body temperature placement (women have warmer cores but colder extremities)
+  - Sweating becomes more of a full body experience, less focused on the scalp.
+- Changes in body temperature placement, women have warmer cores but colder extremities.
   - Reduced tolerance of temperature changes
   - Oral and skin thermometers may show a lower temp (~97.6)
 - Improved color perception

diff --git a/MTF HRT Changes.md b/MTF HRT Changes.md
@@ -2,10 +2,10 @@ This is a compilation of report medical transition changes collected from testim
 
 Note that this is a list of _possible_ changes. As always, your milage may vary.
 
-Changes connected to Anti-Androgens:
+Changes connected to reduction of testosterone:
 
 - Odor change (absence of body odor, odorless sweating)
-- Skin, hair and nails softening, skin thinning
+- Skin, body hair and nails softening, skin thinning
 - Less oily skin
 - Reduced body hair growth (wont remove it entirely), change of body hair color.
 - Emotional expansion, less stoicism (you need E to push this to its fullest)
@@ -21,8 +21,8 @@ Changes connected to Anti-Androgens:
 Changes attributed to Estradiol:
 
 - Breast & hip growth
-- Fat redistribution into feminine proportions
-- Facial feature changes (chin, cheeks, eyes, lips, eyelashes)
+- Fat redistribution into feminine proportions.
+- Facial feature changes (chin, cheeks, eyes, lips, eyelashes lengthening)
 - Eye reshape altering focal depth
 - Ligament stretching
   - Slimmer hands, wrists and feet (drop a shoe size or two)
@@ -33,14 +33,17 @@ Changes attributed to Estradiol:
 - Multiple. Full body. Female. Orgasms.
 - Penis and scrotal tissue changes (increased sensitivity, moistening, coloration changes)
 - Perspiration distribution changes
+- Changes in body temperature placement (women have warmer cores but colder extremities)
+  - Reduced tolerance of temperature changes
+  - Oral and skin thermometers may show a lower temp (~97.6)
+- Improved color perception
+- Significantly improved sense of smell, especially of other bodies
 - Chocolate addiction
 
-Changes that I can't attribute to either drug. Some of these are reported by both men and women, so they may simply be the brain getting what it finally wants.
+Changes that I can't attribute to either hormone. Some of these are reported by both men and women, so they may simply be the brain getting what it finally wants.
 
-- Expanded sensory depth (increased color perception, clearer hearing, improved sense of smell)
 - Improved clarity of thought (many reports of improved multitasking)
 - Increased appetite
-- Reduced tolerance of temperature changes
 - Chattiness and generally more extroverted
 - Improved balance & spacial awareness
-- Vivid dreaming?
+- Vivid dreaming
diff --git a/MTF HRT Changes.md b/MTF HRT Changes.md
@@ -1,4 +1,4 @@
-This is a compilation of report medical transition changes collected from testimonials of trans women on Reddit's r/asktransgender, gathered from many threads.
+This is a compilation of report medical transition changes collected from testimonials of trans women on Reddit's r/asktransgender, gathered from many threads, and reinforced by my own experiences.
 
 Note that this is a list of _possible_ changes. As always, your milage may vary.
 

diff --git a/MTF HRT Changes.md b/MTF HRT Changes.md
@@ -16,7 +16,7 @@ Changes connected to Anti-Androgens:
 - Sterility + testicle atrophy
 - Possible deepening of eye color (T is what fades it)
 - Hairline restoration (T converts into DHTs which cause baldness)
-- Reduced tolerance of caffeine and alcohol (Spiro strains the liver and reduces metabolism time)
+- Reduced tolerance of caffeine and alcohol (Spiro strains the liver and hinders metabolism of toxins)
 
 Changes attributed to Estradiol:
 

diff --git a/MTF HRT Changes.md b/MTF HRT Changes.md
@@ -16,6 +16,7 @@ Changes connected to Anti-Androgens:
 - Sterility + testicle atrophy
 - Possible deepening of eye color (T is what fades it)
 - Hairline restoration (T converts into DHTs which cause baldness)
+- Reduced tolerance of caffeine and alcohol (Spiro strains the liver and reduces metabolism time)
 
 Changes attributed to Estradiol:
 
@@ -40,7 +41,6 @@ Changes that I can't attribute to either drug. Some of these are reported by bot
 - Improved clarity of thought (many reports of improved multitasking)
 - Increased appetite
 - Reduced tolerance of temperature changes
-- Reduced tolerance of caffeine and alcohol (this is probably due to body mass shifts)
 - Chattiness and generally more extroverted
 - Improved balance & spacial awareness
 - Vivid dreaming?
diff --git a/MTF HRT Changes.md b/MTF HRT Changes.md
@@ -31,6 +31,7 @@ Changes attributed to Estradiol:
 - Erogenous zone development
 - Multiple. Full body. Female. Orgasms.
 - Penis and scrotal tissue changes (increased sensitivity, moistening, coloration changes)
+- Perspiration distribution changes
 - Chocolate addiction
 
 Changes that I can't attribute to either drug. Some of these are reported by both men and women, so they may simply be the brain getting what it finally wants.

diff --git a/MTF HRT Changes.md b/MTF HRT Changes.md
@@ -22,14 +22,15 @@ Changes attributed to Estradiol:
 - Breast & hip growth
 - Fat redistribution into feminine proportions
 - Facial feature changes (chin, cheeks, eyes, lips, eyelashes)
+- Eye reshape altering focal depth
 - Ligament stretching
   - Slimmer hands, wrists and feet (drop a shoe size or two)
   - Pelvic rotation (increased curvature of back & butt, loss of up 1-3 inches in height)
   - Improved flexibility
   - Change in stride
 - Erogenous zone development
-- Multiple. Full body. Female orgasms
-- Penis and scrotal tissue changes (increased sensitivity, moistening, coloration changes). Body does it's best to grow a vagina.
+- Multiple. Full body. Female. Orgasms.
+- Penis and scrotal tissue changes (increased sensitivity, moistening, coloration changes)
 - Chocolate addiction
 
 Changes that I can't attribute to either drug. Some of these are reported by both men and women, so they may simply be the brain getting what it finally wants.

diff --git a/MTF HRT Changes.md b/MTF HRT Changes.md
@@ -10,6 +10,7 @@ Changes connected to Anti-Androgens:
 - Reduced body hair growth (wont remove it entirely), change of body hair color.
 - Emotional expansion, less stoicism (you need E to push this to its fullest)
 - Reduced muscle mass / harder to gain muscle
+  - This contributes significantly to feminine shoulder and neck line.
 - Loss of random erections / morning wood (loss of size if you don't make yourself get erections)
 - Loss of libido
 - Sterility + testicle atrophy

diff --git a/MTF HRT Changes.md b/MTF HRT Changes.md
@@ -0,0 +1,43 @@
+This is a compilation of report medical transition changes collected from testimonials of trans women on Reddit's r/asktransgender, gathered from many threads.
+
+Note that this is a list of _possible_ changes. As always, your milage may vary.
+
+Changes connected to Anti-Androgens:
+
+- Odor change (absence of body odor, odorless sweating)
+- Skin, hair and nails softening, skin thinning
+- Less oily skin
+- Reduced body hair growth (wont remove it entirely), change of body hair color.
+- Emotional expansion, less stoicism (you need E to push this to its fullest)
+- Reduced muscle mass / harder to gain muscle
+- Loss of random erections / morning wood (loss of size if you don't make yourself get erections)
+- Loss of libido
+- Sterility + testicle atrophy
+- Possible deepening of eye color (T is what fades it)
+- Hairline restoration (T converts into DHTs which cause baldness)
+
+Changes attributed to Estradiol:
+
+- Breast & hip growth
+- Fat redistribution into feminine proportions
+- Facial feature changes (chin, cheeks, eyes, lips, eyelashes)
+- Ligament stretching
+  - Slimmer hands, wrists and feet (drop a shoe size or two)
+  - Pelvic rotation (increased curvature of back & butt, loss of up 1-3 inches in height)
+  - Improved flexibility
+  - Change in stride
+- Erogenous zone development
+- Multiple. Full body. Female orgasms
+- Penis and scrotal tissue changes (increased sensitivity, moistening, coloration changes). Body does it's best to grow a vagina.
+- Chocolate addiction
+
+Changes that I can't attribute to either drug. Some of these are reported by both men and women, so they may simply be the brain getting what it finally wants.
+
+- Expanded sensory depth (increased color perception, clearer hearing, improved sense of smell)
+- Improved clarity of thought (many reports of improved multitasking)
+- Increased appetite
+- Reduced tolerance of temperature changes
+- Reduced tolerance of caffeine and alcohol (this is probably due to body mass shifts)
+- Chattiness and generally more extroverted
+- Improved balance & spacial awareness
+- Vivid dreaming?
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