An extra part of the joke is that 50mg spiro and 2mg estradiol is severe underdosing. Often they overdoes the blocker and underdose the estradiol, but sometimes they underdose both. This is in addition to all the hoops you mention that we need to go through to get HRT in the first place.
There are also other more effective blockers with less side effects but they’re not as cheap and therefore not as often prescribed. More proof that this is totally about our health
Edit: There are ofc doctors and clinics where you get excellent care, just, terrible care is all too common globally.
An extra part of the joke is that 50mg spiro and 2mg estradiol is severe underdosing. Often they overdoes the blocker and underdose the estradiol, but sometimes they underdose both. This is in addition to all the hoops you mention that we need to go through to get HRT in the first place.
There are also other more effective blockers with less side effects but they’re not as cheap and therefore not as often prescribed. More proof that this is totally about our health
Edit: There are ofc doctors and clinics where you get excellent care, just, terrible care is all too common globally.