Reposting this because it's been a while:
The Gender Accelerationist Manifesto
Death to gender! Freedom to the queers! But gender dies through eating its own tail. Gender is dying already. Its death rattle is upon us, but it still has time to save itself. It is on us to hurry it along to its final end. To speed it on. To make it...
Accelerate.
In that case the diff might be negligible a week out if you're making up the rest tomorrow. But do err on the side of caution if you feel that's what you need.
I feel like it's going to be hard to achieve/maintain the level of femininity I want without medically transitioning, but I'm not entirely comfortable with being physically a woman either.
E can do a lot of things but it doesn't really make you "physically a woman". It can change your moods (and overall psychology if you let it) to a slight degree, your appetite/metabolism, muscle/fat growth and by extension your physical appearance, but there are also transmasc and nonbinary people with similar bodily traits.
Whether or not you're a woman is a bit tautological, as it's based entirely on the belief of you being or not being a woman. This is even true of cis people, because gender is a social construct. You can be a woman right now, or you can be a man while on HRT, and the way you carry that mindset with you will color your bodily changes. HRT isn't a magic gender changer, it is a tool to upend the ways your body and mind are incongruous.
I also sometimes wish to be perceived as more feminine in this regard...But sometimes I want to act cutesy or be more openly affectionate, and I can't because I feel too vulnerable doing so.
The mood changes you get on E can absolutely apply some WD-40 to rusty and disused emotional availability. But it won't make you suddenly change your entire personality or interests — unless you've been looking for an excuse to open up and explore those things. I'm still a sarcastic asshole nerd affected by 2000s gamer culture, but now I can cry and enjoy the emotional warmth of other people without having a chip on my shoulder (and wear pretty dresses without feeling like I want to shed my skin).
I basically don't have anyone to support me IRL.
Having a support system makes things way less daunting. Even just having some people to videochat with would help a little if you can manage it
I'm also looking to work as a programmer, and I'm uneasy with presenting as not-male in my work life.
This is a legitimate concern, yeah...you might have to test the legitimacy EEOC at times. Some companies will be chill about it but you can generally sus this out in the interview process because they will act positively but a bit squirrely if they genuinely want to work with you. If they maintain the fake-nice facade all the way through they will weasel out of their responsibilities the moment you become inconvenient. That's just kind of the reality of being us.
I've had some idle dreams about buying some feminine clothes, but I'm too lazy? scared? to even try that. I'm not sure if I'm that uncomfortable with my body or if I really want to be a woman that badly compared to the stories I've read.
This kind of rhetoric is so common among questioning people who eventually come out that a lot of people would just start calling you an egg 
at this point. Society 
puts so much pressure on people to conform to cis-normative ideals that when you start to question them you really can't pinpoint when exactly you stopped believing in them. Some of the most binary fem-presenting transwomen out there spent their early 20s as muscle bros trying to run away from femininity. Some of us end up being gamer dorks but slightly softer. Some are EDM composers or roboticists or welders who flip off the patriarchy when it questions why they don't build their personality around gucci handbags (not that it's wrong to like tradfem stuff, but the point is we shouldn't put femininity in a box and sell it. Cis women even have many routes of expressing themselves).
Where you come from doesn't matter. If you truly believe that the simple act of being and becoming yourself comes before the pre-molded slot that patriarchy requires you to fill, then you're just as queer as the rest of us.
One part of me is scared of waiting too long to start transitioning, but another part of me is scared of having to learn to live as a trans person (or even just as not-male) in an increasingly fascist United States.
I started 10 years after I knew. Do I have regrets? Sometimes. Do I appreciate how my life has been shaped by the path I took? Absolutely.
The road to living authentically under capitalism is inherently risky. So, as you're aware, it's imperative that you treat each decision you make with care and respect. But to live in paralysis will not allow you to discover who you really are. We're not just talking about a costume that you wear around to put on a show for others. What we're asking here is who are you? Who is nightshade? Is it worth risking your life to become you? Is it worth risking you to continue as you are?
If you can answer those questions, the question of whether or not you need hrt to express yourself will be small potatoes by comparison.
Also feel free to ask questions if you've got em.
Seconding this. Scheduling and rescheduling can seem scary. But once you do it, having a solid plan really takes the edge off the anxiety
There are people who manipulate prog and E doses to simulate a period every month, but otherwise your blood levels should follow a set pattern. What's more likely is experiencing symptoms of changing hormone levels throughout the day/week, as you'll often have a spike immediately after taking your dose with a tail that slowly approaches zero until you take your next one.
Wow, it's almost like the characters come from a society which predisposes them to certain roles and behaviors which could provide the basis for character growth when those expectations are upended. You might even be able to pad out some episodes that way.
Sir, this is an Applebee's
Elmo got interviewed by Today and expertly avoided saying anything noteworthy. https://www.youtube.com/watch?v=xBidHiE2bzQ
They should do a peaceful protest. Cuz, y'know, it's not like anyone died in the last one.
Hexbear must be having a pixel shortage
So if you make up the difference tomorrow, what will likely happen is that the curve of E entering your bloodstream won't have the sharp spike of the full dose all at once but will instead have 2 shallower curves that merge together and peter out at roughly the same rate it would have if you took it all at once. Since they sit between your muscle and fat layers, there's a bit of a buffer where it takes time for them to be absorbed into your bloodstream. It's not something I'd be too worried about. Sometimes I've made similar mistakes and felt better when I put myself back on track later in the day.
Going over your dose is more difficult as your only option really is to just wait it out.
But still, if you wanna reschedule your appointment I'd definitely do that. You'll be less stressed out overall.