

Same. I have had a few types of headache issues most of my life and no one believed the pain was that bad because I don’t express it the way people expect when in severe pain. So, I always thought I had a low tolerance until a doctor freaked out at some severe tibial stress fractures that I was still being asked to run on them. And it took faking a painful yell when the doctor was manipulating it in the first visit to get the bone scan ordered to get to that freak out. I just don’t uncontrollably verbalize severe pain or fully shut down or things like that like neurotypicals.
Make sure to do a test during peak and a test during trough.
I do that and then average them. They are always significantly different and i use patches which give a more steady dose than injections.
Also, I’m not entirely convinced that the values most doctors who are not specialists use are correct for trans people. If you aren’t seeing an endocrinologist with at least a little specialty in sex hormones, I’d do that and see if they can recommend the right levels for your body rather than the general numbers that were always very conservative, and came from cis women’s levels rather than what trans people need since there’s usually no funding to research trans people.
I was lucky enough to start HRT with a general practitioner with a lot of experience with trans people during her residency and most of her career. But she moved on to another specialty due to the difficulty making ends meet as a good doctor. I’m on the lookout myself for an endo with good experience to consult one of these days.