4 letters are required for government approval for surgery in Quebec. One from a psychologist who has worked with me for about 3.5 years. One from my endocrinologist who regulates my hormone levels and prescribes my hormones as well as my anti androgens. One from a psychiatrist who will review my psychologist's work and concur. And lastly one from my general practitioner doctor who basically looks and acts like the crypt keeper.
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