frankly medical processionals should have no say over whether a trans person gets HRT or not.
they should warn you of what might happen if you have health conditions but frankly those interactions aren’t common enough to justify this level of draconian gatekeeping in most societies.
this is why trans people on a DIY regimen often do much better than by asking for “professional” help because most cis doctors are evil, gatekeepers or too ignorant to know what’s good for us.
the Soviet proxy states just adopted the Nazi policies with a red flag on top