Gastroesophageal reflux disease (GERD) is a chronic digestive disease. GERD occurs when stomach acid or, occasionally, stomach content, flows back into your food pipe (esophagus). The backwash (reflux) irritates the lining of your esophagus and causes GERD. Both acid reflux and heartburn are common digestive conditions that many people experience from time to time. When these signs and symptoms occur at least twice each week or interfere with your daily life, or when your doctor can see damage to your esophagus, you may be diagnosed with GERD.
In Pennsylvania, the Philadelphia Center for Transgender Surgery posts cost estimates for different procedures. Its price list mentions estimates of $140,450 to transition from male to female, and $124,400 to transition from female to male.
Androgen gels and patches cost approximately $160-$200 per month. It isnât very useful to take testosterone orally. However, it can be administered bucally (under the tongue or by the gum). There isnât a lot of research about bucal application of testosterone specifically for transgender individuals. Bucal testosterone treatment costs about $160-$200 per month. Testosterone can also be administered through a pellet implanted in the body. Pellets are inserted under the skin every three to six months.