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Overweight starting T soon


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Hi! I'm William and have recently come out as ftm, as I said in the title I am overweight and am just worried they can stop me from receiving hrt strictly because of my weight. I know I will have to lose some for my top surgery but I need T to be able to be more comfortable in a gym. Thank you for any suggestions or experiences any of you have had with this!

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Jackie C.

How overweight? I know that past a certain BMI they get a little anxious. On the plus side, once you've got T in you, you'll be able to lose weight faster. Which is completely unfair, but what can you do?


If you need to lose weight, well, that starts in the kitchen. Start tracking your calories and what you eat. Be honest. Record everything. You're probably going to want to cut out simple sugars and that's going to mean reading package labels. You'd be surprised how much sugar is added to processed foods.

I've found making any kind of progress on this front to be a great motivator, but if you need additional help make sure your motivators aren't edible. Something like, "I can only do... I have no idea what you're into... but a thing you like... if you've hit your calorie goal for the day."


Unfortunately, weight loss is frustrating (and more frustrating on E) and a slow process. It's important not to get discouraged.


As an alternative, when I was starting my weight loss journey, I did a round of laser liposuction to start things off. It's a non-invasive procedure and let me see some early results so I didn't give up on myself. Getting my HRT was a terrific motivator, but I know my brain and I didn't want it telling me, "You fail at everything, just give up." Stupid brain. I'm down about a hundred pounds and looking pretty good these days. I've got some more to lose, but I'm in striking distance of my goal. Good luck!



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I'm about 275 and about 5'8 but my doctor said because my legs are muscular and it isn't loose fat she doesn't consider me like morbidly obese. I plan on working out a lot more when I've started T but I was just anxious that they wouldn't even let me do hrt if I'm too heavy. Thanks for the motivation!

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Jackie C.

It's going to come down to your blood work. If your liver and kidneys are healthy, you won't have any problem. They just want your to be as healthy as possible before they put additional strain on your body.


You're young enough that you shouldn't have any issues, but being as healthy as possible is a good stance to take while undergoing transition. It puts a lot of stress on the body and it's on you to make sure your body is conditioned to handle it.


Of course you're on T so you'll be lifting more than my little girl arms can handle (I dead-lifted 270 today, it's more than my workout partner can lift for once and I'm excited) before you know it. 😉



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Oh that's great to hear because they did 2 rounds of blood tests for me and both times they mentioned my kidneys and liver were perfect! Thank you so much!

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Hi William, and welcome!


Aside from diet, the other ingredient is exercise. If you can exercise doing something that motivates you - either because you like it or because you share it with someone who motivates and pushes you, and be constant, you will not only lose weight but will generate endorphins that will help your general mood and improve your experience with transition.


Wishing you a great journey, and see you around!

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