I went and got all the medical journal articles on HRT I could find, developed an understanding of dosage regimens, contraindications, etc. Then I booked an appointment with a physician’s assistant at Planned Parenthood of Chapel Hill, explained to them my situation, how straightforward it could be to build a pilot HRT program and monitor it, offered myself up as Patient Zero, then meetings with billing, and the medical director. All told, three hours, and at the end I walk out with a pocket full of prescriptions. They consulted with endocrinologists and Planned Parenthood national to help build out the program, and I’ve been on HRT ever since, five years and counting.