One Month Update
I had my 1-month followup with my endo today. My levels are headed in the right direction but are still (barely) in the male range. She had been conservative and I didn't expect instant results. She adjusted both my S and E upward and now I have to wear three patches. I also switched to twice-a-week patches as the once-a-week patches got pretty ratty toward the end of the week so I wanted to be able to freshen them more often.
The bad news was when Mimi stopped off at the pharmacy to pick up my prescriptions. The clerk said that the E prescription was held pending verbal confirmation by the endo. The clerk said to Mimi "This is a huge dose...and this is a man...what is the diagnosis, anyway?" Apparently that clerk needs a little education, both in dealing with prescriptions for transgender clients (the dose wasn't huge in TG terms) and with privacy. In any case, I'll have to wait for tomorrow to get my new patches.
I'm feeling pretty normal which isn't a surprise as my levels are still in the male range. The only physical manifestation is that my bust has grown 1.5 inches incrementally over the last four weeks and I'm officially an....drum roll.....A-cup! This really surprised me as I understood that I shouldn't expect any development for months, if at all, at my age. I'm also experiencing a tiny bit of soreness behind the nipples but that is about it. Mental effects are hard to quantify since I can't separate the biochemical effect from the psychological effect. I feel somewhat calmer than usual, but it might just be because the "should I or shouldn't I" internal debate is now over.
That's about it, the next month should be interesting!