this post was submitted on 20 Jan 2025
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it usually refers to the latter, buying grey-market HRT online that usually comes from pharmaceutical manufacturers but there are reputable "homebrew" suppliers too, usually of injectable esters. it's been a while for me and i'm not american so i don't have much specific advice. i think this is still considered a good resource: https://hrtcafe.net/ if you scroll to "pharmaceutical vendors" you can see some reputable options, where they ship to, and what payment options they take. it's a great way of building a stockpile of HRT which is a very valuable thing to do, i wish you luck with it! worth noting that by far the most cost-effective option is definitely going to be buying the "homebrew" injectable esters. stockpiling factory-made pills or patches or gel is very possible too but will come at a relatively more premium price.
Most DIY users i know have a prescription for HRT, but still buy from DIY vendors because there's no pre-made estradiol injections available in Germany any longer. If you don't want gel or pills, you have to get injections custom-made at a pharmacy and insurers hate that due to the price tag, so they may put pressure on doctors who prescribe injections. We've actually thought about making a kind of buyers' club for injections so a pharmacy can produce them in bulk and cut down prices, but that'll take a bit more organizing and endocrinologists and a pharmacy that play along.
DIY is just all-around an indispensable means of community self defense, be it because HRT gets denied to us entirely or because of the systemic failure i see in my health care system.
Mutual aid is also a big part of it, a lot of people struggle with procuring it, learning how to administer the shots on their own and that's where help from other trans people comes in. I know a lot of girls who've at first needed the help of a friend when shooting up, or at least somebody who's there and provides emotional support. It's so important in these times that we watch out for each other.