A rarely discussed issue that impacts trans men (and transmasculine medically transitioning NBs) is that, in the US, testosterone is a controlled medication because of its illegal use by cis men for doping.
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Really doesn't sit with me right that this is being framed as a competition for which group of trans folks has it worse, though. It's all shit, and our healthcare as marginalized people is gatekept and belittled at every level, seemingly out of pure spite.
I'd like to gently suggest that you're the one making this a competition for which group of trans folks have it worse, whereas I was simply talking about a specific angle of the healthcare situation that affects trans men only.