Prior to the closure, the only other ways to get HRT in Ireland were DIY, or expensive private health clinics that issue EU-recognized prescriptions, but operate outside of Ireland itself.
The US federal government is poised to codify that trans lives are inherently wasteful and effectively end transition for most people across the entire United States.
There is only one decent option for dealing with trans people in gendered spaces: let us go where we feel we belong. Any other option makes us look and feel ridiculous, and insisting that we follow some other option makes you look ridiculous.