lore-friendly transitioning methods

[RaionKansen]

"It does shorten life spans. Especially for women transitioning to men. The testosterone causes a lot of damage to the heart. The rates of self-harm also only increase as someone transtions as well. 3-4x more likely than cisgendered individuals just identifying as trans up to 12-13x more likely post-op."

Are you sure about that? If the level is similar to a cis-man it shouldn't do any damage to the FtM person.
Sure it might do damage, if it's overdosed, but that you can say to most stuff that is overdosed.
If testosterone was that bad, then every cis man would have problems, because of it.
But that's why good doctors do blood tests, to check if the hormone levels are normal.
As a transgender myself and being friends with trans people Im good informed about this stuff
most dangerous thing itself is the Operation below. Because you need really to choose a good doctor and see their results.
I know someone (another person that is MtF) where the doctor did a mistake and they now have to wear a urinary catheter
the Doctor himself was an unknown one

Yes, it requires constant supervision. Women's bodies aren't designed to process that much testosterone. They're 3-4x more likely to suffer from heart attack or strokes compared to cis women due to the changes in their cholesterol, blood pressure, and blood thickness. There's also risks of your insulin levels becoming too low. Your blood has to be monitored constantly. You're also more likely to put on a lot of weight which exacerbates both of these risks.

You have to spend the rest of your life taking the medication and having your blood monitored. There isn't an endpoint, and over time the body will struggle more and more to manage it. You'd just be left with a deeper voice, body hair, and most likely pattern baldness if you stopped medication. If the ovaries are removed AND medication is stopped, you add on a whole new set of imminent health risks.

Maybe health care is a lot better in other countries, but there's a lot of care facilities in America that obfuscate these risks and it leads to people getting hurt. Or, in the worst case scenario, someone just buys the medication online and seeks minimal professional guidance