I agree, which leads me to think it came down to the rules as written simply allowing for it. I’m not going to question it.
Even the VA will adjust to availability considerations. Also, thank you for understanding what I meant. I just noticed that I had "does cause" instead of "doesn't cause". I miss it sometime when my phone does that.
Update: Had my psychological assessment yesterday. Got an answer for recent questions that came up about timing of care. The VA gate keeps endocrinology care behind a psychological assessment. All other gender affirming services are available to anyone seeking them without an assessment. The psychological assessment went well. We talked about my history and experiences of gender dysphoria, talked about relationships with immediate family and any potential abuse there. (None). We also covered improvements in mood since coming out as trans. He asked me to go over what I already knew about HRT such as risks, expected changes and their timelines, what medications will be prescribed, etc. He was satisfied that I had a strong grasp on what to expect. Wrapped things up with screenings for substance abuse, anxiety, depression, and suicidality. The whole process took just under two hours. He stated plainly that he is confident that he can write up a diagnosis of gender dysphoria given what I provided and will be requesting a consult with the endocrinologist once that is done. Should take about two weeks before I hear from their scheduler. Not sure how long it’ll take to get my appointment with them though. Feel free to ask any new question you might have. I’ll be happy to answer them.
Update for anyone interested: Had my endocrinology appointment about two weeks ago and received my meds on Friday. I was prescribed 5mg intramuscular injections of Estradiol Valerate every two weeks. Mono-therapy, so no anti-androgens as of yet. HRT is a pretty slow process, so of course no significant changes as of yet. I have noticed though significantly elevated mood, having an easier time crying (which has been quite cathartic), and somewhat softer skin on my face. Also of note, yesterday was my first day of work on HRT. I found myself much more focused and far less agitated or frustrated. Overall, already feeling major benefits. As with the last update, feel free to ask any new questions if they come to mind. Feel free to ignore this post if you don’t care.