Ah yes. Even today, most of the actual innovations in trans medicine are in the diy space. It’s nearly impossible to get funding even for studies looking at the basic effects of hormones on things like self-harm rates. There’s very little research funding out there on how to actually optimize transition. Hormones are complex. There’s probably a whole lot we could be doing to make hormonal transition more effective, but there’s no money to study it. The only people innovating in this space are the diyers.