For me, testosterone has been weird. It can bring out more self-masochistic behaviors and I believe it has caused some issue with me processing reality. I am not sure if some of this is because I am trying to keep my hormones in an in between level as I don't really identify as either gender (or so I claim). I would have to say I identify much more masculine than I do feminine. Anyway, I typically run my testosterone at a level that is much higher than females but below normal range for men. This pushes my estrogen to below normal ranges for females. I use a gel so I do daily applications. When I let it creep up, I notice changes and I don't feel like me (something I struggle with anyway).

I know that there have been some studies recently around ASD and gender specifically as it relates to FTM. I don't know your dx, if ASD or similar is possible, it might be because of that. I've also known someone with bipolar and taking Testosterone caused all kinds of unbalancing in the days after his shots.

When I went to get Testosterone, the endocrine doc was ready with prescription in hand and I had to slow him down. He had no concerns around my mental health. I don't think I needed a letter to see him. I did need a letter from my T for top surgery and 2 letters for hysterectomy.

Regarding losing weight - I lost significant weight for my surgeries. In fact, it's better if you can get your body as close as possible to good shape before any surgeries that way they can better shape you. I'm not sure where she was with all that unless you were significantly underweight.

It does sound like she was acting weird, I don't know.

Ping me if you want to talk about any of it.