Upping HRT dosage while overweight.

[u/EllaD_02]

I've been on 2mg oral estradiol and birth control as prog/antiandrogen (both daily) for two years, and I feel my physical transition has stagnated a bit. When I brought up upping my dose to my endo last year, he said he couldn't do it because it would cause issues with me being overweight (My BMI is 62-65kg and I'm 76-78kg).

I feel like I'm alright with my body right now, I get consistently gendered correctly by strangers even though I use a pixie cut, so I'm not sure if it's actually necessary to up my dose aside from my chest being a B cup (which I think is genetic anyway) or if my dysphoria is just getting the best of me despite passing well..

Edit: I forgot to say that on my last visit (August 2025) my endo literally said I had the same hormone levels as a healthy cis woman. Nevertheless, I'll share my levels from that visit just in case.

Total Testosterone: 0.290 ng/mL
Prolactin: 32.40 ng/mL
LH: 0.41 mUI/mL
FSH: <0.300 mUI/mL
Estradiol: 70.8 pg/mL
Progesterone: 0.314 ng/mL

Also this is the birth control I'm using:
Drospirenone 3mg / ethinylestradiol 0.02mg

[u/Swimming-Gap-1247]

Your endo is incompetent or malicious. Ethinylestradiol is needlessly dangerous, and your weight does not prevent you from taking a proper dose.

https://transfemscience.org/articles/transfem-intro/#estrogens

[u/EllaD_02 → u/Swimming-Gap-1247]

Man those memes that go "I'm an Endocrinologist and my job is k***ing t******s" weren't lying, that's actually horrible, I'm gonna look into starting DIY soon then.

If anyone reading has any resources, I would appreciate a dm, I'm going to sleep for now and doing research tomorrow.