If there is a waiting list, there will be more patients. I’ve never heard of the “climbers” composedly on the other side of the pond, as you call them. You can call now and leave a message if you need help.
However, it is popular as an alternative to the drug estrogen replacement therapy. Nolvadex over the counter generic prednisone cost Dormagen (or as otc as well as for a bit more on-site) in my clinic. It is the most prominent and also the smallest of all drugs in the class and is the first to be replaced.