I'm currently contracted for video work with a local branch of a national franchise of male hormone clinics.
Even tho Testosterone is a controlled substance a man can walk into this clinic and have a vial of T in his hand within 45 minutes after his free T level testing.
This is #genderAffirmingCare at its best, but it is of course only for cis men.
This needs to be the model for all gender affirming care. If you think you need it, drop in to the clinic on your lunch break and have a vial in your hands as you walk out 45 mins later.