#i should start scheduling weekly updates cause i’m so shitty at remembering when to do it

[whatlovelybones-if]

detective kaufmann finishes their cigarette with one last drawn-out drag. they let the embers brush against the edges of their fingers, singeing the almost-healed scabs of burnt skin. for all it’s worth, they don’t react to the pain; instead, they just drop the cigarette and crush it beneath their shoes.

running their fingers through their light blonde-hair, the detective turns to the constable who is watching them a little warily. hiding behind that wariness, however, was a hint of respect for this tall, young detective in their white button-up and an overcoat.

“any additional information i should know about the crime scene we just examined?” the green-eyed detective asks, their tone losing its usual playfulness.

the constable hesitated before taking out a plastic bag with a piece of paper inside. “just this. it was found in the front pocket of the victim’s polo shirt. the people who got the parcel confirmed that they don’t recognise the man or the handwriting.”

the detective opens the bag and carefully fishes the paper out with their gloved hands. aside from noticing that it must have been a post-it note from the colour and type of paper, there was nothing extraordinary about it.

they turn it over. even though detective kaufmann knew that the note wasn’t intended for them, it still makes their hackles rise in slight alarm. they purse their lips as their suspicious gaze falls on the people who received the ‘package’.

the detective always trusted their instincts and this time, their gut told them that something was amiss here; there was something that these people weren’t being honest about. because written in blood-red ink, there were four chilling, yet puzzling words:

are you afraid yet?

[thesoupoftheafternoon]

6.5ish years T, 5.5ish years post top

Updating because of a surprise revelation regarding my dose & how it relates to my mental health. Also because I haven't posted on this for two years!

First off, general changes. Dose stuff at the end. (TL;DR dose stuff--by accident I lowered my dose by .1 mL and despite never having felt much of a difference mood-wise from changing my dose before, I feel fucking great and actually happy for the first time in a while! Surprise, your levels should also take into account your age and you shouldn't use the same reference range for the whole time you're on T!)

Under cut--this is mad long. [And cw for mental health talk including v mild suicide ideation, also alcohol/drugs]

T stuff:

I posted pretty much the same thing last time, but I'll reiterate that the vast majority of these changes are basically subtle things that no one else notices and that probably have more to do with just getting older/diet/exercise than being on T. My facial hair range is exactly the same as it was two years ago (literally just ‘stache and chin directly below the mouth) which checks out based on my dad/my entire family. I shave about once a week. Happy trail a little bit happier, lil more arm hair, lil more leg hair. Haven't been checking super closely but I think I have more hair around my butthole. Dick size is the same. Appetite has dropped a bunch--I can't scarf down food the way I used to. I’m read as male all the time, haven’t been misgendered based on my appearance since like 2013. 120-125ish pounds.

Chest stuff: (I had keyhole btw)

Nipple sensation is back, I repeat, nipple sensation is BACK! They're healthy and super perky, which I used to be kinda insecure about since they stick out a bit, but also like, who gives a shit? I would say they feel about 90% as sensitive as they were before surgery, and after a bit of touching they do start feeling a little less sensitive, but they never go completely numb. I'd say they've been at this level of sensation since early 2017. Left nipple is more sensitive than my right. My right nipple used to kinda bulge outward on the bottom but I guess the scar tissue has broken down somewhat since it's lying a lot flatter these days. The numb chest patches are smaller and way less numb and it takes less pressure for them to register touch. Drain scars look kinda like bug bite scars. Under-areola scars are very hidden, basically invisible. 

Lower surgery??

It’s on my mind but it’s always been a little on my mind. It’s not a priority. A hysto/oopho may be in order someday. But I’ve been thinking about what I want my junk to look like and be like as I get older, and whether my current setup and how I relate to it is going to be sustainable. I genuinely don’t know whether I would rather get metoidioplasty or phalloplasty. There’s a lot more thinking to be done. 

Dose stuff: 

I started T in 2012 with .5 injections every other week. With 200 mg/mL that averages out to 50 mg of T per week, although I'm sure my levels were different from someone on a weekly schedule. Around the 2.5 year mark my bloodwork came back saying I had super low T. I upped my dose to .5 every week, so 100 mg/week (which is famously a pretty common dose, there's even some trans merch company called .5cc.) Over the next year or two (I really don't remember exactly when) my bloodwork showed me now at very high T levels, nearly and in some cases exceeding the upper threshold of my doctors' reference ranges, so I lowered my dose to .4 and then to .3 mL/week, or 80 and then 60 mg/week. Of course I worried about T aromatizing into E, but my doctor at the time didn't test my blood for estradiol until I had already reduced my dose down to .4, and said my E levels were fine (I don't remember the exact number.) 

Even at 60 mg/week my T levels were still high. I and my doctors chalked it up to the fact that I work out a lot and/or maybe my body was just like that The general consensus was that "if your period isn't coming back, your E levels are fine," usually followed with some question like “how are you feeling on this dose?” or “are you feeling good?”

And what I kinda knew then then, but what’s even clearer to me now, is that I HAD NO FUCKING IDEA. My I-guess-it’s-anxiety, my on-and-off idk-if-it's-depression, my garbage sleep cycle, my self-doubt and second-guessing and skewed perspectives, have all been around in some form or another, so it's very hard for me to parse out what I'm even Really Feeling sometimes, never mind what might be causing that feeling. For the last several years if I felt bad I would usually conclude one of the following:

I feel bad because I’m actually a shitty person and feeling bad is natural for how bad and awful a person I am.

I feel bad because the world is fucked and society is crumbling and feeling bad is natural for how literally everything we love will be swallowed by the sea and/or be salted and burned in worldwide conflict.

Which is obviously not conducive to trying to figure out any other external factors or triggers for my shitty mental health!!

Plus it’s not like I was exactly excited to have less testosterone in my body. I was genuinely nervous that lowering my dose lower than .3 a week would just be an experiment that wouldn’t do anything except make me less buff and maybe even bring back my period. And I’d always been a little skeptical about the extent of hormonal effects on mood. T certainly affected my mood positively when I started, that was an obvious cause/effect, but I figured (and still do think) that had SO much more to do with finally being seen as a guy and having a masculine body than any sort of direct T-on-brain action. I did notice some increased irritability, but it wasn't much, and also I was still 16 lol. I noticed changes over the course of months or years--never within the course of a week. I can’t relate at all to folks who talk about spikes or troughs in their levels or getting a rush or feeling low based on where they were in their shot cycle. So I'd always tell doctors that I felt fine on whatever dose I was on because, well...I guess I felt fine!!

For the last several months--maybe the last year and a half, tbh--my mental health has been pretty bad. Over the course of any given day, the things I felt were generally limited to annoyance, panic, self-pity, drunk, stoned, and horny, and usually in that order. And that's a relative statement, because I'm pretty functional and haven't ever hit clinical levels of whatever, have always been able to find enjoyment in some things and get endorphins from exercise and complete necessary tasks on time, but hey, if you're reading this and feel like it's normal to constantly have "I hate myself, I fucking suck, why don't I just die" churning around in your head even if you're "not going to act on it," or that it's normal to drink and smoke weed until you basically pass out 6 days out of 7, or that it's normal to feel convinced every bit of positive affirmation you're getting is out of pity, Honey You've Got A Big Storm Coming. Like, again, considering how shit awful our current sociopolitical climate (and also the literal Earth's climate) are, it's no surprise I felt these were understandable feelings, and like, I guess they kind of were? But just because a feeling is understandable doesn't mean it's a good thing that I'm having it. Which seems remarkably obvious in hindsight!

Anyway, about a month ago I underestimated how much was left in my vial and had to do a .2 mL shot instead of .3. That's 40 mg for that week: even lower of a dose than when I started T. As the week went on I noticed I actually felt consistently happy: not just "someone's giving me attention," not just "nihilistic fun," not just "I guess the things I'm looking at right now are pretty," but actually satisfied, content, grounded, having emotions that felt like they came FROM ME. 

And since I’m always one to consider alternative explanations, there’s plenty of other factors that might have led to this improved mood. When I lowered my dose, I had just gotten accepted to two new jobs. I’d met up with friends I hadn’t seen in a while. But it’s not as though before I lowered my dose I never felt happy. It just never stuck around. These days I’m able to retain a positive emotion beyond the precipitating event and not just have the same boring self-hating thoughts over and over again. Which is huge!! I feel like I’ve really broken the thought cycle that’s defined much of my thinking for the last few years. So many of my emotions have been about my emotions, and a big part of why I felt so awful was feeling so helpless against these thoughts, and understanding completely deep down that it was irrational, that it really didn’t make any sense for me to feel this awful. That of course tapped horribly into my endless guilt complex and fed it and it just went on and on. 

I haven’t gotten my levels tested again yet--that’ll happen later this month. (My doctor knows and is cool with this reduced dose.) I’m especially interested to see where my estradiol will be at. My T will probably be more reasonable for someone my age--I feel like my crazy 1000+ ng/dL T levels were okay when I was like 19-20 but now that I’m a whole 23 years old (yo!!!) it makes sense they should be a little lower. I’m not a doctor, though--but then again, real ass certified doctors have made hashes of my medical care in the past, so I’m comfortable trusting myself a little on this one. 

General life update and thoughts on being trans in this world:

I’m much more relaxed and much more okay with being trans these days. Comes with being a lot more sure about myself and who I am, which is a continuous process and one that was happening even before I lowered my dose and was suddenly way less depressed. While I still get hives at the thought of anyone outing me without my permission, I’m a lot more comfortable outing myself to people, even large groups of people, even folks who I might not really know. I’ve come to appreciate the parts of me that are definitely and absolutely because I am trans or that reveal I am trans, and the connections I can make with people by sharing those parts of me.

I’m not sure I’d say I have a career at this point, but definitely most of the work I’m doing these days is in social justice, non-profit, LGBTQ-related, activist work. My resume more or less outs me as at the very least a deeply committed trans ally, lol. I think growing up and realizing I was trans I hated the thought that it would define who I was and what I did. I didn’t want to touch activism or trans spaces in general with a trillion-foot pole. 

I’ve since gotten over myself and like...let myself enjoy things, I guess? I really do find nonprofit work super rewarding and I finally admitted to myself I fucking love chilling with other trans people and talking about trans shit and that I do love, if not the fact that I And My Body Am Trans, the existence of community and the thoughts and ideas that we share. And a lot of the time I do like my body. And I’m kinda ready for this newfound happiness to stop feeling so fresh and exciting, because I know it’s a bit weird and inappropriate to be talking about how happy I am that I feel great when, again, The World’s Some Shit Right Now. 

But I think in general--not just about being trans--I’m letting myself feel the happiness that I have, with so much less guilt and shame. I always knew intellectually but am finally putting into practice the fact that simply denying myself happiness or feeling bad that I feel happy doesn’t bring happiness to folks who don’t have it. 

that’s it for now !