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PSA

NHS England sets a very restrictive estradiol level target range for trans fem patients.

This arbitrary range is 400 to 600 pmol/L (~109 to ~163 pg/mL) 🤨

This restrictive range is below the level required for monotherapy, so will require a blocker for anyone with testosterone-producing gonads 😞

It is ALWAYS valid to manipulate your estradiol dose before a test, so it looks like your level is within this range.