I agree with alifjiim, a low dose can be a strating point when dealing with ambivalence and not knowing quite yet what feels right for you. Also it does depend on individuals, what you want to get out of hormones and if that can be acheived perhaps through working out and/or voice training.

There is an unspoken group of individuals who I call 'gender pirates' who choose to not always take testosterone and transition without hormones and surgery. It can be done and again, it is what you feel is right for you.

Personally I am yet undecided even though I have the letter and will see an endo next week. So much of it I am unsure about but at the same time I know I want to try a low dose to see if it is for me. Thankfully i have had a counsellor that I could discuss my ambivalence with - someone aside from the psych who writes the letter and is in a gatekeeper role.