I would have a much bigger problem with what Keffals was doing if it were possible to actually get HRT as a teenager in most of the world. The structural injustice is a million times more serious.
BTW, trans people used to be routinely tortured by the medical system not that long ago (and are still now in most of the world). At that time, what you derisively call "bathtub HRT" is how most trans people used to bypass the medical system. It isn't just out of nowhere, there is a long history of this. I've also seen people test the products of that pharmacy and say that it's medical-grade.
BTW, trans people used to be routinely tortured by the medical system not that long ago (and are still now in most of the world). At that time, what you derisively call "bathtub HRT" is how most trans people used to bypass the medical system. It isn't just out of nowhere, there is a long history of this. I've also seen people test the products of that pharmacy and say that it's medical-grade.