I never thought about botox to assist with muscle atrophy/shrinkage! It's not something I'd feel comfortable pursuing (as I can't even figure out navigating FFS), but I would say my muscle definition is a large contributor to my dysphoria... curse my bodybuilding pursuit to try to feel better about a body that never felt right 😭
Also super interesting to read that they believe laser hair removal is permanent! I love reading that and do follow their reasoning, but it almost sounds too good to be true.
If possible, I would definitely recommend transdermal patches! I'll be super honest, injections aren't for everyone. My previous self had done IM injections when I was into bodybuilding, and it slowly became a huge stressor for me. I dreaded it every time I had to do it- beyond just the physical prepping, there was the mental aspect which got so much worse after a bad pin- nothing crazy, just nicked a nerve and my quad muscles spasmed like crazy. All that said, I do believe that sub-q injections would be way less stressful and a bit more convenient. I think it just comes down to how you feel about needles (which you can mentally train yourself to get more accustomed to) and how prone you are to trauma/PTSD (bad pin or injection site issues). As with most things, it all gets easier over time.