So as not to derail another thread. And I can only comment on our families actual reaction to a middle aged man going down this route. I think he now has very little in common with himself as a teenager.
My brother - a 6ft hetro sexual decided he was a trans woman a couple of years ago. It was a massive shock because he had been very much a drinking, slightly homophobic, lots of sexist banter kind of bloke.
He has suffered from poorly managed mental health problems since teen years. A functioning alcoholic, I suspect but don't know for sure he may now be adding ketamine to his system along with various types of HRT bought from risky websites.
He is quite erratic with the shear amount of stuff he is medicating with so it's hard to truly grasp whether he is ill, poorly prescribed via the health service or suffering from whatever he has taken over the weekend.
@ilod hope you find this thread!