Breaking the news to my doctor next week. How should I word it? What are reasonable expectations to have if I’m starting at 24?

I have a doctor’s appointment next week where I’d like to start getting referrals. Like the title says, I’m 24 and finally locking in. I’m having a psych follow up for some unexplained side effects that set me in a bad mood (decades of repping and being generally miserable, too strong and cerebral for my antidepressants to beat) so I’m just gonna tell her whoops I’m trans and get the ball rolling. I guess a third, implied question is, should I be starting off with my psychiatrist, or should I just schedule another one with my general? I’m gonna ask my psychiatrist for therapy anyway, but it does take a bit to see my GP. Anyway; how do I describe my dysphoria? I think in reality I’m something closer to demi, i made a whole post about it but will a doctor even understand what that is? Or if I say “mmm my body is wrong but I’m ok with boy,” will they dissect me for science and convince me I’m AGP? I’m trying to lie to my doctors less, but this is becoming existential for me, I’m not trynna fuck around with the neurotypical social politics of the medical industry

I understand that the “just start asap” advice is to get people to just get people on hormones and stop putting it off, and I’m done putting it off, so I don’t need that advice anymore. My next issue is confronting the reason why the advice for people who are questioning is “just start asap.” Like I’m old but I’ll be honest, reading about transitioning sometimes makes my head spin, so I have not tried to seek information out much. I just can’t seem to get a solid consensus of what is realistic and what is not on the spectrum of 4tran doomerism and utopian hope-core. I’ve asked two people at once and they gave me mutually exclusive information. Like, what can estrogen even realistically do for me at this point? Is my face still gonna soften? Would I be doing it solely for the fat redistribution? Will I even get any of that at this point?

Im trying not to get my hopes up. What actually cracked the ol’ egg was the fact I got on psych meds that suppressed the appetite. Although I don’t eat particularly well, and I’d still describe my lifestyle overall as pretty sedentary, I’ve made considerable progress from where I used to be. I’ve lost like a solid 60 pounds from my heaviest and 40 from like 3 months ago. I’m unfortunately built, though, so my prayer is my bottom heavy female ancestors will carry for my rigid old bones. I’m keeping my chin up, though. It feels good to finally confront it but I feel a bit disoriented and nervous everything feels so new.

Thanks y’all ur the best.