For the deathfat denied surgery I think you're thinking of Jennifer Gwen Ann. Amber had a full hysterectomy last year.
As for the subject of Julianna getting on T, aside from the heart health risks and the like, what she should be most concerned with is the painful enlargement of the clit she'll no doubt experience. She already can't bathe herself and can barely move so she sits around all the time. Sitting around with an engorged "t dick" aka pointy inflated clit will be agony and she'll probably get more depressed because of it, bathe even less and drown herself in mayo and taco bell to quell the deep regret. Besides that, why would someone who can't bathe want to take a drug that makes them more hairy? Hair traps sweat, sweat breeds bacteria, bacteria caking her giant sweaty tent body is why she stinks. But yeah sure, grow a forest of pubey chest hair to top off your normal smell, Jules. That'll solve all your brokenbrain problems.