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bonefall · 1 year

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Moorland Research Notes

I usually let these sit in my drafts because they're kinda messy, but no one actually knows anything about moorland, including myself shortly before starting this deep dive. So I'm just going to post this in the hopes that it's useful in some way

This post is about moorland in the UK, I have not done any research into moorland in other places, and then I focused more specifically on lowland heath.

Feel free to use this information for anything you so desire, and check out the sources I put at the bottom of this list if you'd like to learn more. I really hope this helps out WindClan Fans in particular

I do plan to condense what I've learned and chosen into a "Welcome to BB!WindClan!" type post at some point, but this is a REALLY broad post on what moorland is.

What is moorland?

Moorland is a broad term that lumps together several completely unique biomes, most of which are partially or completely reliant on the management of human beings. They are defined by low-growing flora and acidic soils, which makes them difficult for non-specialist plants to grow in.

These can be sorted further into upland or lowland, dry or wet.

Because many types of moorland are dominated by heathers, they are also called heathlands. Though the terms Moor and Heath are sometimes used interchangeably (and this is where a lot of confusion comes from), usually, Moor refers to upland/wet, and Heath refers to lowland/dry.

I have to stress a that LOT of the confusion is coming from this. Heather will grow in both, and the terms get used interchangeably, but an upland/wet moor is FUNDAMENTALLY different from a lowland/dry heath, down to the very soil.

Most specialists will open up an explanation by defining how they're using the Moor/Heath distinction, and will stick to those terms, but just keep in mind that in casual language, ALL of these biomes get called moors, and places without any heather will get called heath.

They can also touch. There are locations where upland moor slopes into lowland heath, or upland heath kisses lowland moor, and there can be very special species that exist in the transitional space between these areas. This too is yuri.

It is not a prairie. It is not a savanna. Please for the love of god stop portraying moorland as prairies and savannas

lots of purple. why he ourple? heathers and purple moorgrass.

Common heather is also called ling, flowery bell heathers are sometimes called erica, and gorse can be called whin or furze

Maritime heath, dune heath, blanket bog, upland moor, transitional upland heath... these are all frequently lumped under the same term even though they are very different.

How are moorlands managed?

Above 700 meters of altitude and in harsh weather conditions, you get montane heath. Near coastlines, you can find maritime heath. These are the only two that are completely "natural" and require no human management.

In wet moors, the elements will beat the vegetation down into peat. Above the peat is turf, the top layer which grows the visible flora. Peat = below, Turf = above. Peat has historically been used as a fuel, and if that bottom layer catches fire, IT IS DISASTROUS.

Because of this, most upland moors (which are usually wet and PACKED with peat) are managed primarily through grazing. There are even breeds of sheep and cattle who have been specially bred to thrive in upland moors-- such as the iconic highland cow. (Though overgrazing can be a problem, too.)

Sheep are used to graze back the heather (sometimes called ling), and in good modern practice, goats are brought out along with the flock to eat pioneering shrubs and saplings. Pigs are also used to control bracken and combat ex-pine plantations with scattered needles, because of their ability to churn soil.

However, controlled burns are still done in some circumstances and when required (LIKE BEFORE A HEATWAVE). Because of the serious danger, it's considered inferior to good grazing management. It's done carefully, in controlled patches, both to not set the underlayer of peat on fire and to make sure there is differently-aged patches of flora in one area to support different species of animals.

If peat catches on fire, it will burn for days or weeks... and can even smoulder underground after you THINK it's been put out.

In DRY LOWland heath, proper burning is common. Gorse and heather grows strong, woody, and flammable, and the thin layer of peat below can combine to devastating results when a wildfire does eventually break out. Large swaths of dry heather and gorse is an ecological powderkeg, even if it was only growing on mineral soil.

Worse, the older heather gets, the woodier it becomes. Woody heather can cause high-temperature fires that absolutely devastates new growth, leading to a slower recovery and causing a controlled burn to become uncontrolled real fast.

Burns are typically conducted in winter, when it's cold, and grazing animals are deployed in summer.

Cutting is also important in lowland management, literally cutting out squares of turf to expose the ground. This is good for mason bees, specifically.

Moorland. Is. Flammable. Fire risk = HIGH.

If you do not manage the moorland, the moorland will manage YOU. with FIRE.

Do NOT set the peat layer on fire. Whatever you do, do NOT let the peat get set on fire. PEAT FIRE BAD.

The controlled burning of moorland is "swaling", or a "muirburn."

Pigs and goats have special abilities when used in grazing management

Pigs are a tactical nuke

Sheep will graze heather a lot harder than cattle, causing grassy "sward". They should be kept away from it in winter.

MOORLAND IS NOT GRASSLAND. Sward BAD.

Cattle will graze moorgrass a lot harder than sheep and bite back any sheep-induced sward, but trample the soil with their heavy hooves.

Bones tell me about the funny cat environments

Victoria Holmes (the original writer of Warrior Cats, for those who have just walked in, still in your bathrobe and perhaps comically eating some sort of breakfast bagel, on a cat giving a detailed ecological lecture to a bunch of other cats) has spoken about how she based the environment of the Forest Territories on New Forest, Hampshire UK.

[ID: New Forest's heathland on a misty morning. It's dominated by common heather with a few sparse trees, and a New Forest Pony grazing alone.]

That means that WindClan's moor was a lowland heath, characterized by sandy soils with excellent drainage. This is consistent with the thin layer of peat, deeper layers of sandy soil and clay (as encountered by tunnelers), and lush vegetation that's seen in DOTC and Tallstar's Revenge.

If that's not enough evidence, it's also described after its destruction in these terms;

New Forest boasts some of the widest swaths of well-managed lowland heath in the entire UK. It's been managed collectively for hundreds of years, and exists in tandem with bogs and old-growth forest for miles. The heath is just as important as the trees, here!

In TNP, the forest is tragically bulldozed to create suburbs. While they were at it, they also bulldozed the geography of Great Britain because, suddenly, there is a MOUNTAIN in Southeastern England; a region notoriously flatter than the Onceler's ass

So once the Clan cats get to the Lake territories, we could be dealing with a completely different biome. They might have gone from dry, lowland heath, to wet, upland moor.

However, descriptions of the new territory are scarce, to put it lightly. In spite of the Lake Territory being the setting for the past 20 years, WindClan's land is rarely shown. When we do get a glimpse of it, like in Crowfeather's Trial, we only get told about the presence of certain species such as gorse. Because of there being no tunneling, we don't know what's exactly below the surface, either.

Occasionally though we are made aware of the presence of "moorgrass" (possibly Molinia Caerulea) and the smell of peat, pointing towards it probably being upland moor. The bigger question is actually where all the sheep are? There should be a lot of sheep here, but instead, there only seems to be horses.

Aaaaand lastly before I close out on canon material, Lungwort.

Lungwort is a herb that becomes a plot device in A Vision of Shadows. ShadowClan becomes sick with a variant of greencough, and it is said that Lungwort would be its only cure. However, it "only grows in WindClan" and the leader, Onestar, has refused to let them have this medicine.

But lungwort doesn't grow on moorland. ESPECIALLY not wet, upland moor, which we might maybe possibly be dealing with now.

Lungwort is a FOREST plant, it needs the absolute opposite conditions of a moorland. It requires moist but well-drained ground, FERTILE soil, and full or partial shade. There's no way that WindClan has it and ShadowClan doesn't, OR its neighbor ThunderClan, in the WOODS, who Onestar has no power over.

It would also poison a cat but honestly 75% of the plants they use in canon would also do that, so, whatever.

What they SHOULD have gone for is great mullein which prefers full sun and well-drained soils, so it could feasibly be found best in some parts of WindClan, regardless of which sort of moor or heath primarily makes up their territory.

What sorts of plants are found in moorlands?

In moorlands, you'll find plants that can withstand poor soil quality and full sun. In upland moors, they also have to be hardy in frequent heavy rains and high winds. Because it has conditions that so few plants are able to handle, moorland is chock-full of specialists and unique species that aren't found anywhere else!

Historically, moorland could not be used for agriculture exactly because of this. With the invention of artificial fertilizers and introduction of (invasive) pines from America, moorland is under serious threat. Even if it's just next to a pine plantation, the trees will attempt to spread.

COMMON HEATHER, also called Ling, is the big bad boy associated with most moorland, and used for a bajillion different things. First of all, it was used in construction for thatching. Second of all, it can be used as a yellow dye, especially on wool. Third, honey made from heather pollen is as thick as jelly. It's found on all sorts of moorland, and is an extremely hardy species.

BELL HEATHER, sometimes called Erica, is more commonly associated with lowland heaths. It's one of the best flowers for pollinators in the entire world, and attracts tons of insects.

GORSE, also called Whin or Furze, smells overwhelmingly like coconut. It is also covered in wicked thorns. It's highly flammable and can burn ridiculously hot, making it excellent to collect as kindle.

PURPLE MOORGRASS is associated with upland moor, but will grow basically anywhere nothing else could. It's scary hardy, surviving in acidic soil down to a PH of 2 (THAT IS THE SAME LEVEL AS YOUR STOMACH JUICE), and can grow as tall as 4 feet (and even taller, apparently, next to its bestie girls heather and gorse).

In heath, tormentil, milkwort, and heath bedstraw are indicator herbs, and wavy hair-grass, bristle bent, and vernal grasses are found here and there.

PLEASE remember that moorland is not grassland. When grasses go from sparse to common, it's a very bad sign. It means the soil is losing its acidity, and converting into a different biome.

Bramble, bracken, nettles, perennial ryegrass, and broadleaf plantain are some of the species that can indicate that a heath is becoming a grassland. A few patches or examples are fine, but if they're eating into the gorse/heather/moorgrass, it's time to call in some management.

There's also the fascinating, parasitic plant called dodder. Dodder likes to twirl around heather before suffocating it to death. Cool plant! I don't know where else to mention dodder. I just think it's neat.

Threats to Moorland

I mentioned the problems in passing through this whole post, but to restate, these are some of the major problems that moorland faces.

AFFORESTATION: When trees are added.

[ID: A sitka spruce plantation on upland moor in Scotland, followed by a clip of Markiplier who condemns it in no uncertain terms.]

American pines, such as the douglas fir and sitka spruce don't belong here. These are commercial plantations and they exist to make money, but are touted as "eco friendly" because uneducated rubes think 1 Tree = 1 Ecology Point. They provide diddly or squat to native wildlife, destroy valuable moorland which can negatively impact carbon capture, and let fools pat themselves on the back for doing nothing but put government money into a logging company's pocket.

(there are also only 3 native conifers to Great Britain-- the scotch pine, the common juniper, and the yew. All others are introduced.)

But even worse than being a wooden blight, these are wooden blights that spread. If there's a plantation nearby, it WILL begin to encroach on the surrounding moorland, and the traditional sheep and cattle will not eat the saplings. GOATS are being added to herds in modern grazing management to combat this new problem.

The native birches (silver and downy) plus the scotch pine will also move in when moorland is not managed! They are pioneer species, which success the moor into secondary woodland.

OVERBURNING: When moorland is burned too much.

Even if you don't set the peat on fire and cause an even bigger problem, too much burning is bad for the biome as well. This is often done to serve hunters, who want to perpetually keep common heather in the youngest state possible to support grouse populations... and grouse populations alone.

Properly managed moorland will be burned in sections, NOT all at once, so that there's a healthy mix of plants in different ages to provide shelter and food to the animals that live in the environment. Too much burning will decimate the insect population, and prevent peat buildup.

("Hold on Elder Bones, why is peat good?" Carbon capture and soil acidity! It's super efficient at combating global warming, and peaty soils will prevent the moor from quickly succeeding into a grassland.)

NUTRIENT ENRICHMENT: De-acidifying the soil and making the soil welcoming to other species

Specifically from dog and horse droppings, but also from the addition of fertilizers. The biggest thing that can be a problem here is how conservationists try to balance public access to these spaces with the "recreation pressure" from having too many visitors.

SOURCES

I have had to do SO MUCH READING. OH my god, this was not easy research, please appreciate this big, beautiful list of resources I am giving to you

GREAT BRITISH LIFE: A really good intro to heathland (This article was written by Katie Piercy from the Cheshire Wildlife Trust)

WILDLIFE TRUST: Heathland and Moorland, Moorland, Lowland Heath, Cheshire Heath, Bell Heather, The Roaches

BUGLIFE: Upland heath as it relates to insect populations (website contains insect-centric guides to many unique UK biomes)

NEW FOREST: Heathland information and history

NATIONAL TRUST: Bickerton Hill and the Restoration Work

WIKIPEDIA: The Roaches, Yorkshire Dales, Heath, Moorland (listen kids, wikipedia is always a great place to start. Just make sure to double-check the claims you see there.)

COUNTRY LIFE: A flowery article that describes the North York Moors (this one's just really pleasant!)

AN ACTUAL LOWLAND HEATH ECOLOGIST: Dr. Sophie Lake's Presentation for the NPMS (This is the most detailed and proper source on this list, if you want to learn some serious info, PLEASE check this one out)

#Moorland #Lowland Heath #WindClan #hello everyone I hyperfixated on this for 12 hours straight

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befemininenow · 1 year

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A quick, basic guide towards Hormone Replacement Therapy (HRT) and its changes for transgender women and other identities

Note: This guide is primarily for transgender women/girls who are looking for gender affirming therapy and resources. However, if any transgender men, non-binary, and other gender identities are reading this, please share this post as you may end up helping someone who is considering transitioning into a woman (or girl). Note that this guide may be uncomfortable to some as I will discuss about topics like gender dysphoria or use a few words that may feel triggering, but never in a transphobic manner. I am trans myself and considering gender affirming therapy. However, my knowledge about this topic is still limited, so please bare with any mistakes that I may end up writing throughout this guide. You are more than welcome to write additional information provided it helps with this guide. Links to sources will be provided at the end of the guide. Use them for more detailed and more accurate information.

Do not use this HRT guide or resources to fulfill some “sissy task” or fetish, nor to harm or discredit trans people.

So, you have tried on the clothing, practiced voice training, applied makeup, etc. You have tried everything you can to “feminize” yourself. But no matter how you look on the outside and feel on the inside, you still see someone different looking at you in the mirror and feel distress to the point where you lose sleep. As much as you hate admitting it, you probably have gender dysphoria. If you’re at this stage, it’s time you start finding gender affirming therapy. The problem is, where do you start?

Diagnosing Gender Dysphoria and recognizing its signs

As I have stated in one of the guides I reblogged in the past, it is not necessary to have gender dysphoria to be transgender. However, many transgender people deal with this distress and it can detrimental to their overall health. For instance, if you’re dressed as a girl and feel like a girl, but you see someone in “drag” looking back or focus on signs of “masculinity”, you will definitely feel uncomfortable and have feelings of “impostor syndrome”.

Some signs of gender dysphoria include, but not limited to, hiding any facial and body hair, dislike towards your “assigned parts”, dysphoric when presenting as a male (or other assigned gender different from preferred identity), etc. If you have more than two of these signs and recognize them, you most likely have gender dysphoria and should start looking for help ASAP. Untreated gender dysphoria can escalate towards more detrimental consequences, such as neglect, isolation, depression, anxiety, and even $ui(ide. If you’re suffering from the latter symptom and are not under any form of care, please stop reading this article and call your nearest lifeline center now!

That being said, if you’re experiencing some signs of gender dysphoria even after socially transitioning and desire to feminize your body, the best solution will be taking hormone replacement therapy.

What is Hormone Replacement Therapy (aka HRT)?

Hormone Replacement Therapy, short for HRT (this, is a type of medical solution given to patients who lack sufficient estrogen or testosterone levels due to a hormonal imbalance caused by menopause or due to surgeries such as a hysterectomy. [1] HRT is also provided to transgender individuals as a way to help their physical body adapt to their gender identity. Known as feminizing hormone therapy, the transitioning person will develop secondary sex characteristics typical of cisgender females with the help of various types of medication. [8] Gender specialists typically (but not always) use gender dysphoria as a main reason to provide the patient with gender affirming therapy.

Why do transgender people take HRT?

The point of HRT is that it helps transgender people develop physical traits that are more in line with their gender identity when the right hormones take place in the body. In the case of transgender females, taking HRT will feminize their physical characteristics into that of of their cisgender female relatives. Not only does transitioning decrease the trigger of gender dysphoria, but it also boosts the mental health of trans people as they become more comfortable with their body aligning into their gender identity. In fact, a study done by a team of researchers based on Stanford University School of Medicine found that the earlier trans people commence their transition, the less likely they are to develop characteristics of their assigned birth gender since their puberty cycles become more active during adolescence. Those who commence transition into adulthood are more likely to fall into bad habits, mental issues, and social isolation. The researchers concluded after finishing of survey of over 20,000 participants that the best treatment towards gender dysphoria is to take HRT as some of the participants felt their livelihood vastly improve once they received hormone therapy. To summarize, HRT is the only effective solution for trans people to finally feel comfortable with their bodies once they develop their gender identity’s characteristics.

The different types of HRT medication

Once you’re deemed eligible to receive gender-affirming therapy, you will definitely want to celebrate your new milestone. Now it’s time to identify the different forms of medication you may be provided for your transition.

Pills: This one is the most common type that is prescribed for transgender people due to its affordable cost and ease to make. However, taking oral medication requires you to take daily as the feminizing effects are slower and less evenly-distributed.

Injections: This one is the most effective form since the hormone medication goes directly to the bloodstream and rarely comes with the side effects of hormone pills. However, it is more expensive to produce and purchase, as well as being the most difficult to ingest as it involves piercing your skin with a needle.

Patches: By far the most convenient and very effective method of hormone medication as it fluctuates less in hormone distribution and evens it out throughout the body. You are only required to change patches every 3 to 4 days. Unfortunately, HRT patches aren’t convenient if you have experienced irritation with patches in the past. Consult your physician if HRT patches are right for you.

Here are the types of feminizing hormones you will be provided by your physician and/or medical provider. Each one is crucial to your transition:

Estradiol: Used among cisgender women for causes such menopause and hysterectomy, it is also used among transgender women/girls to promote physical changes on their appearance. This results in their bodies to develop a feminine appearance in line with cisgender women. Depending on their hormone levels, trans women usually take 2mg of Estradiol to take effect of their feminization.

Anti-androgen: This medication is a testosterone blocker and is very helpful to one’s transition if their hormone levels indicate a high level of testosterone. Although it doesn’t completely deplete all of your testosterone, anti-androgens help neutralize your levels to an acceptable rate. Estradiol cannot be effective without balancing your hormone levels. Spironolactone is the most common form of anti-androgen.

Progesterone: This medication is used in later stages of transition. Once your therapist and/or physician see your estrogen levels reach a certain level, progesterone is added as an estrogen booster. This will promote other feminizing changes, such as increasing breast volume, tissue softening, and allegedly, mental changes. This medication, however, is controversial since modern endocrinologists have found the alleged effects of progesterone being almost ineffective. In part, this is due to advancement of medicine and better access to effective solutions. Despite this, several physicians still prescribe progesterone to transgender women/girls as an option.

DHT blockers: For those who produce more testosterone to the point where it converts into a stronger androgen called dihydrotestosterone (DHT), these medications are necessary. There are two types of DHT blockers used: Finasteride and Dutasteride. Both medications are vital for your transition as they block excess androgen, reduce scalp hair loss, and may thin out facial and body hair. Check with your insurance provider as this medication may not be covered by them.

Cause and effect of HRT

This is where many people want to know the effects of feminizing therapy among trans women and trans girls. Keep in mind that a transition is that: a timeline of several changes that occur within a period of time. Most trans women/girls take about a year to notice any change in their appearance, but it wouldn’t be until 2 to 3 years until they notice a drastic change on their timeline.

The following changes are what trans women and trans girls physically experience during transition:

Skin: Your skin would start to soften a bit within 3 to 6 months, but its maximum effect varies by individual. Your skin will glow and oil will reduce while color tone may even change to that of a cisgender girl.

Legs and feet: Muscles will start to atrophy while body fat will be more retained. Your legs will start to slender while your foot size may shrink due to the thinning of the cartilage. This process takes around 3 to 6 months to take effect.

Hair: Scalp hair will start becoming voluminous while body hair will start to thin out and fall off. Process takes 6 to 12 months. Facial hair may thin, but will still retain even after months on HRT. Electrolysis will be required if you desire to eliminate any remaining facial and body hair.

Arms and hands: Upper arms start atrophying about 3 to 6 months and hands and arms thin out to a more feminine shape. Nails become more brittle while arm hair may even fall off.

Breasts: Areolas and nipple area start expanding while bust starts to enlarge. Process usually takes at least a year to see any effect and maximum growth can take up to 5 years.

Genital area: Penile length and testicles shrink and atrophy within 6 months and infertility may occur even sooner.

Body fat: Estrogen will increase the amount of body fat you will store and will be noticeable in the thighs, back area, and waist.

Height: This factor may vary on the individual. Based on a few testimonies, trans women usually lose an inch or two (~5cm) from their pre-transitioning height. This is due to the thinning of the feet’s sole and possibly the arching of the back. This process takes up to even 2 years before it becomes noticeable.

Body odor: Your body odor starts to change after a few months under HRT. Your body odor starts smelling sweeter and more metallic, similar to a cisgender woman.

Here are areas where transition may not change your physical appearance and traits:

Voice: Despite popular belief, HRT does not alter the voice at all. While you may experience a slight change in pitch, hormones do not feminize the voice of trans women in the same manner hormones masculinize the voice of trans men. The best solution is to take voice feminizing therapy through exercises. Voice feminizing surgery is also a consideration, but has its own risks.

Bone structure: Unless HRT is taken at a younger age, preferably during puberty, there is no way to change your skeletal system without costly and risky surgeries. Hip surgeries exist to expand the narrow hip area while HRT may promote a shrinking height as pointed earlier. Unfortunately, there is no effective surgery to reduce broad shoulder length.

Remaining body hair: While HRT may reduce the amount of body hair, it does not eliminate facial hair and some body hair may remain after thinning. Electrolysis is required if you desire to permanently eliminate any type of body hair and is costly and time-consuming.

Other changes where HRT may provoke a change is also present in the way we think. Here are some of the mental changes we may experience under HRT:

Emotions: You become more sensitive to feelings and are more prone to cry under certain circumstances. For instance, you may take a small compliment either to heart or feel offended while a dramatic scene in a movie may feel very heartbreaking.

Sleep: It becomes much easier for you to fall asleep while waking up becomes more energetic. This is due to a boost of melatonin present in estrogen. Sleep depravation is surprisingly common among trans girls and trans women prior to transition.

Mood swings: There will be occasions where you may experience nausea and even feelings similar to hot flashes.

Smell: You become more sensible to smell and some odors become either very pleasant or very intolerant.

Sexuality: This one is more controversial. There have been cases where HRT affects one’s sexuality, not just by sexual orientation/attraction, but by function. For instance, you may find your interests shift into that of a heterosexual cisgender woman while your expressions become more receptive. You may not even find any changes at all under HRT. Many argue that it’s not HRT that affects your sexuality, but rather by accepting your inner, true feelings and detecting gender envy.

Social changes during transition (non-HRT related, but very important)

This process is a very challenging stage for transgender people of all identities and is one that prevents many from ever coming out. As someone who is still in this stage, I sympathize with many of you. As unfortunate as it sounds, here are some of the challenges you may end up facing as a trans woman or trans girl:

Acceptance: This is perhaps, the most difficult stage of one’s coming out. You’re not just coming out of the closet to your family members, but to friends, neighbors, co-workers, colleagues, etc. Do not be surprised if anybody from this list does not accept you. We’re currently living in a time where transphobia is being heavily promoted among social circles who attempt to persuade the neutral or uninformed into believing false stereotypes of trans people. The best you can do should you face an unaccepting member is to cut them off until they are ready to accept you.

Legal document changes: This varies depending on the country or region you live. Although name changes are usually allowed, gender or sex markers are much more difficult to change. You can live in a place like Washington State where changing your marker from M to F can be a breeze while states like Oklahoma bar you from changing your marker at all. [3] Some countries like the UK can take years to change your marker while some countries of Asia do not allow any sex marker change unless you submit documents verifying a sex change (i.e. SRS). [4]

Appearance and adaptation: Adapting yourself as a trans woman in today’s world can have variable results. While some areas such as San Francisco are accepting of anyone LGBTQ+, transphobia still exists in those areas. Whether it’s the bathroom or even outside your home, you always want to make sure you are safe from any transphobic attack. One effective way to prevent that is by “passing”, which is the process of presenting yourself as your internal gender as close as possible. Many trans women make the effort to feminize their appearance through clothing, movements, voice training, makeup, and even interests. Not only does it help trans women appear more feminine outside, but it also gives them a sense of gender euphoria, a feeling of happiness and peace where they see and feel like themselves. If you know anyone supportive of your transition, especially a woman, don’t be afraid to ask for any tips on how to present yourself, how to apply the right blush, and other things that may benefit with your social change.

Surgeries to consider

After a certain amount of time, there is a chance you want to improve the look of your body to a certain degree. As powerful as HRT can be, it won’t remove the thing down there nor would it blow your chest to a D-cup unless your female family members are bustier than that. Whether its to help your gender and/or body dysphoria, whatever options you choose should make you feel great. It’s recommended you have at least 24 months under HRT before commencing these surgeries. Here are the options for feminizing surgery:

Breast augmentation: Let’s face it: we’re never going to get a nice pair of boobs unless our genes defy it or if our mom or female cousins also have big breasts. Many cisgender women also have that trigger of not having a desirable size on their chest. Breast augmentation is an option for those who want to increase their size without resorting to placebos or who are tired of wearing breast forms all the time.

Hip and butt enlargement: Most trans women have an inverted triangle body shape. Because of that, their hip area is not as wide as they desire to be. In some cases, you may not even have a large bum and want to grow bigger. Hip enlargement is available for those who desire a curvier look and the results are very pleasant. However, you can only stretch the hip area to a limit. As for the bum, there are surgeries that help enlarge and feminize the appearance. The most popular is the Brazilian Butt Lift (BBL). If you’re going that route, I highly recommend looking for a professional surgeon as many BBLs tend to look botched after a certain period.

Lip Filler: This surgery is made to enhance your lips to a more feminine appearance. Although HRT may alter your lip shape, it won’t make you look like Kylie Jenner either. This is done through a form of injections and will help your appearance look more feminine. This is recommended for those who only want to feminize their lips and are not interested in the following procedure.

Facial Feminization Surgery (FFS): This is one of the most common surgeries done when undergoing transition. It not only involves lip enhancement, but also involves reshaping the jawline, removing most of the brow ridge, slight enlargement of the eye area, reducing Adam’s apple, and nose reduction. This surgery can be very painful and requires extensive care for about two weeks before showing signs of healing. The benefits will outweigh the cons, however, if your aim is to feminize your appearance.

Sexual Reassignment Surgery (SRS) or Gender Reassignment Surgery (GRS): This is by far, the most notable surgery when it comes to feminizing transition. SRS/GRS is a process that involves reconstructing the trans woman’s penile area into a functioning neovagina. SRS/GRS is a life-changing surgery for trans women and in many cases can alleviate genital dysphoria. It can also improve sex life and makes it easier for trans girls to fit into garments and clothes without the need of gaffs and tucks. However, it is not without its drawbacks. Not only is SRS/GRS a difficult surgery to perform, but it’s also a very costly surgery to pay for and recover from. The amount of time it takes for a trans woman’s new organ to fully heal can take up to a year and involves constant dilation therapies that are painful and time-consuming. If not done right, it can even be life threatening. Although many trans women are comfortable living with a male organ, some states and countries do not allow you to change your gender/sex marker without performing this surgery.

Electrolysis (aka. Hair removal): Unlike the previous surgeries, electrolysis does not require you to be under HRT. This is a type of surgery that you can get even before starting transition. Electrolysis is highly recommended if you are planning to eliminate any excessive or thick body hair or if you’re planning to remove facial hair.

Where to find HRT

There are many ways someone can find HRT to commence their transition. However, many resources are currently being threatened by politicians, zealots, and transphobes around the world. It is very important you find the proper help as some spots that promise “HRT” are either placebos or medication that may even harm you! For those living in the US, here are some of the resources I found for those looking for HRT:

Planned Parenthood: This is the most accessible spot to receive gender affirming therapy and may even be free if your healthcare provider is compatible. Almost anyone is eligible and very safe compared to other resources. There are a few cons, however. Not every state has these centers and some are either too far away or may not even provide HRT at all. Sometimes, those that do provide HRT may not have enough medication to provide and are placed on a waiting list. The best solution I can give is to either contact your closest Planned Parenthood for available HRT medication or look up at this link below to see where you can receive the nearest help: https://www.plannedparenthood.org/get-care/our-services/transgender-hormone-therapy.

Online providers: For those that live outside of public health centers, online providers for HRT is another solution. The most popular sources are Plume and Folx. Each plan provides you a checkup of lab tests, gender evaluation, and access to clinical care. Some have their advantages and cons that make them different. While Plume offers letters of references to doctors and physicians, Folx offers quarterly lab checkups that are crucial to your feminizing transition. The big drawback is that both are not covered by healthcare providers and require you to pay a monthly free of 100 US dollars. They are also not available at every state.

DIY: Although I don’t recommend DIY HRT, this is a route many trans girls and trans women often take due to a lack of resources around their area, as well as the attack on HRT therapy on states such as Florida. It is very important you connect with a close circle knowledgeable in obtaining safe HRT alternatives. There are many blogs here on Tumblr that sell you hormones, but they are questionable due to their varying levels of estrogen that may either be incompatible with your body or may even affect you. If someone approaches you with a message selling you HRT, whether it’s here or on any social site, avoid them at all costs, especially those whose blog’s main target are “sissies, traps, femboys, transvestites, etc.” You may end up buying ashwagandha in high doses, which is not only a testosterone booster, but can even cause irreversible harm if taken for too long.

Resources and support

As much as I would love to be a help, not everyone has the same outcome when it comes to transition. Some of us have circumstances that prevent us from transitioning, such as lack of medical resources, unsupportive peers such as family, persecution and/or lack of protection, economic problems, health issues, questioning, etc. This is where a few solutions can be provided to you.

In the US (and Canada to some extent), Trans Lifeline is a beneficial resource for those who are in need of support, especially in these harsh times. Trans Lifeline is a non-profit run by trans people and aims as a safer alternative to other resources who are more likely to invalidate or even oust gender identities to authorities. If you would like to know more about Trans Lifeline, click on this link here. If you or someone else you know is trans are in deep need, call/save this number: US Hotline (877) 565-8860. Canada Hotline (877) 330-6366⁣.

For those outside the US, if you live in a situation where your life may be in danger for being trans or any identity under the trans umbrella, check out Rainbow Railroad as they are a non-profit whose main objective is to provide safe sheltering for anyone who identifies as LGBTQ+. Although they are based in the US and Canada, they have presence in various parts of the world and can help you relocate to a safer spot, as well as provide resources to put you on track. Click on this link if you would like to learn about Rainbow Railroad or share it to someone in need

Conclusion

I hope this guide gave you an idea of what MTF hormone therapy is and what to expect of its effects. HRT is a very helpful method for transitioning people when done effectively through medical help and emotional support. Even if you’re not looking to transition under HRT or may not even be trans yourself, it’s very important we have at least a clear knowledge of what trans people are going through and what we can do to help without subjecting them to prejudice. Please give a like and/or reblog as you may never know if one basic guide like this can be a great help for someone in need. If you’re looking to research more about transgender hormone therapy and resources, I left a few links on the sources below as they are much more insightful than what I provided. If you have any questions, find blogs and sites specialized in transgender help such as Trans Lifeline or even blogs such as Reddit’s r/asktransgender. Thank you!

Sources:

https://www.nhsinform.scot/tests-and-treatments/medicines-and-medical-aids/types-of-medicine/hormone-replacement-therapy-hrt

https://www.plannedparenthood.org/planned-parenthood-great-northwest-hawaii-alaska-indiana-kentuck/patients/health-care-services/hrt-hormone-therapy-for-trans-and-non-binary-patients?gclid=EAIaIQobChMI5eSPucLUgAMV_izUAR1uYAEyEAAYAiAAEgIuoPD_BwE

https://www.lgbtmap.org/equality-maps

https://med.stanford.edu/news/all-news/2022/01/mental-health-hormone-treatment-transgender-people.html

https://ourworldindata.org/grapher/right-to-change-legal-gender-equaldex

https://www.hrc.org/resources/attacks-on-gender-affirming-care-by-state-map

https://transcare.ucsf.edu/article/information-estrogen-hormone-therapy

https://www.folxhealth.com/gender-affirming-care

https://www.mayoclinic.org/tests-procedures/feminizing-hormone-therapy/about/pac-20385096

https://www.rainbowrailroad.org/

https://translifeline.org/

https://transcare.ucsf.edu/transition-roadmap

#transgender #feminine #trans hrt #guide #helpful #mtf hrt #trans #trans girl #gender affirming #be informed #trans rights #lgbtq #lgbtq pride #here to stay #trans pride #ally

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thatshowthingstarted · 2 years

Photo

“Harpole” Necklace,

A 7th century burial discovered in the Northamptonshire village of Harpole contains a gold and gemstone necklace that is the richest ever discovered from the period.

The necklace turned out to be part of the bed burial of a high-status individual who had died between 630 and 670 A.D. The bones have long since disintegrated, but the necklace is evidence that the deceased was female, as is the bed burial itself, a funerary practice almost exclusively reserved for elite women in the Saxon period. She was not wearing the necklace when she was buried. It was placed next to her on the bed.

Few of these burial sites date back earlier than the 7th century AD, when burials of high-status men were more common, and as Christianity took root, later graves rarely featured valuable objects because being buried with ornate jewelry, such as the necklace, was frowned upon by the early Christian Church, said Lyn Blackmore, a senior finds specialist at MOLA.

The woman buried in this exceptional grave was a leader in an early Christian community during the short transitional period between pagan burials with all their grave goods and the burials of established Christianity which explicitly eschewed grave goods. She was wealthy and powerful, likely born to a prominent family and held an important religious position like an abbess.

Text courtesy: The History Blog

#art #design #necklace #jewellery #jewelry #harpole #gold #gemstone #burial #northamptonshire #united kingdom #grave #saxon period #mola #history #style #thehistoryblog

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opencommunion · 1 month

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“Under the proposed model of medical management associated with DSD, surgery is not completely eradicated as an option for treatment of intersex, although it is generally recommended that it be avoided in most cases. Based on the debates around surgery among various players within the medical field, it is apparent also that the boundary between what is cosmetic and what is medically necessary surgical intervention is still in dire need of clarification. It is also apparent that even in current practice, this boundary is strategically blurred both by medical practitioners and by intersex activists/allies, so that what is actually culturally desired is posited as medically necessary.

When an intersex individual is surgically ascribed a discrete male/female sex, this individual often requires lifelong ‘management’ in order to continue to pass as that sex. ... In the late twentieth century, a lucrative market emerged from lifelong treatment of the post-surgical intersex body via hormonal and behavioral therapy/training, continuous aesthetic surgeries and medical surveillance. The never-ending drive to fit within a normative sex category is what Cheryl Chase has described as the ‘intersex treadmill’. Thus, the shift to DSD protocol begs the questions: How will the body that is afflicted with a disorder of sex development and which is posited as continuously in need of maintenance actually be maintained in a non-surgical treatment landscape? What new types of post-disciplinary (self-)management techniques—be they psychological/psychiatric, behavioral, hormonal, steroidal, or even neurological or genetic—will become the new modus vivendi for intersex care? What will come to fall under the rubric of ‘at-risk’ psychological symptoms, social behaviors, or types of embodiment when it comes to holding intersex in abeyance or keeping it in remission, and how will ever-expanding teams of medical specialists preemptively deal with these ‘at-risk’ individuals and their symptoms?

... According to ['DSD' medical researcher Robert] Blizzard, ‘In most instances of an intersex problem, a medical emergency is not present but a mental and/or social emergency very likely is’ (italics in original). … Thus, the new medical protocol associated with DSD takes the specter of intersex very seriously, as a threat to be guarded against. It positions the pre-/post-/intersex body as a haunted body that must be constantly surveilled and preemptively managed, so that the individual’s at-risk status is never realized, the ambiguity is kept in (profitable) remission, and the (hetero)normative identity remains secure. Who stands to profit from this production of intersex as a problem necessitating perpetual medical management, surveillance and securitization must be considered with the proposed transition to DSD. How are decisions to be made, and what is at stake in these decision-making processes—for Western technoscientific medicine, for a culture founded upon institutionalized (hetero)sexism, and for pre-/post-/intersex individuals who invariably become patients, and perhaps more importantly, become consumers in a late capitalist climate?"

Alyson K. Spurgas, "(Un)Queering Identity: The Biosocial Production of Intersex/DSD", in Critical Intersex ed. Morgan Holmes, 2009

#intersex #intersexism #library

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coochiequeens · 9 months

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Its chief executive officer instructed those members who have leadership roles within the organization — but who are employed by medical practices or universities — only to use personal email accounts for AAP (American Academy of Pediatrics) -related correspondence. This could protect such emails from freedom-of-information requests and employers’ document-retention policies."

Well that sounds like they have nothing to hide

By BENJAMIN RYAN Thursday, December 21, 202322:44:51 pm

The American Academy of Pediatrics, under fire for its policies on gender-transition treatment for minors, is taking steps that might limit its legal exposure — or at least minimize public scrutiny — in the face of a lawsuit by a woman who at 14 underwent a medical gender transition that she later regretted.

This month, the highly influential medical association, which has about 68,000 pediatrician members, shelved a pending book on the care and treatment of children who identify as transgender. Its chief executive officer instructed those members who have leadership roles within the organization — but who are employed by medical practices or universities — only to use personal email accounts for AAP-related correspondence. This could protect such emails from freedom-of-information requests and employers’ document-retention policies.

An AAP representative told the Sun that neither move was related to the litigation it faces and that the board’s decision to enact the new email policy predated the filing of the lawsuit in question.

“The AAP has been under scrutiny for a couple of years now because of its gender policies,” said a fellow at the Manhattan Institute, Leor Sapir. He speculated that the organization’s new email policy could have been motivated by such ongoing external pressures, which also predated the lawsuit.

Dr. Jason Rafferty, a leading specialist in pediatric gender transitions, is named in the detransitioners’ lawsuit. He also contributed commentary to a forthcoming book that’s been pulled by the American Academy of Pediatrics. Brown University

Mr. Sapir argues that the AAP and the American medical establishment more broadly have failed to establish “in a thoughtful and scientific way” its guidelines for pediatric gender-transition treatments. Consequently, he said, he supports controversial state laws that ban the prescription of puberty blockers and cross-sex hormones to children to treat gender dysphoria — a psychiatric diagnosis that involves significant distress over a conflict between an individual’s gender identity and their biological sex.

A number of states with Republican-controlled legislatures have passed these laws since 2021 as part of a concerted pushback against medical care practices, first imported to the United States from the Netherlands in 2007, for children who identify as the opposite gender. The Republican-dominated Ohio legislature last week passed a bill that would make the state the 22nd to ban such medical treatment. The governor of Ohio, Mike Dewine, a Republican, has yet to decide if he will sign the contentious bill. If he does not sign or veto it by December 29, it will become law.

The AAP has maintained full-throated support for the availability – and legality – of medical gender-transition treatments for children. Its influential journal Pediatrics on Wednesday published an essay by a pediatrician at Seattle Children’s Hospital, Dr. Emily Georges, and two colleagues arguing that banning such medicine is “a form of child maltreatment.”

“These legislative efforts operate under the guise of protecting children,” Dr. Georges and her coauthors wrote. “In reality, they punish caregivers and physicians when they choose to support children.”

The AAP Faces a Lawsuit

In October, a Dallas law firm filed a lawsuit against the AAP on behalf of a biological woman, Isabelle Ayala, who beginning at age 14 was treated for gender dysphoria with testosterone by a group of Rhode Island health care providers; they are also named as defendants. On this team was a child psychiatrist and pediatrician trained by and affiliated with Brown University, Dr. Jason Rafferty, who is the sole author of the broadly influential policy statement on pediatric gender-transition treatment that the AAP published in October 2018, a few months after Ms. Ayala left his care.

“In hindsight, that makes me feel like a guinea pig,” Ms. Ayala, 20, said in a YouTube video posted last week by the Independent Women’s Forum, a conservative nonprofit.

Jordan Campbell, Ron Miller, Josh Payne, and Daniel Sepulveda of newly founded law firm Campbell Miller Payne, PLLC. They say they established their firm to represent ‘individuals who were misled and abused – many as children – into psychological and physical harm through a false promise of “gender-affirming care.”’ Campbell Miller Payne, PLLC.

A retired pediatrician, AAP member and volunteer professor of pediatrics at the University of Cincinnati College of Medicine, Dr. Christopher Bolling, defended the AAP’s integrity from what he said was a “talking point from transgender care ban advocates” that Dr. Rafferty “somehow wrote the whole thing and forced everyone else to just sign it.” Dr. Bolling was not himself involved with developing the policy statement in question, but said, “Writing those statements are some of the most collaborative labor-intensive, careful processes I’ve ever been involved with.”

Ms. Ayala ultimately “detransitioned,” reverting from considering herself a trans male to identifying as her birth sex. The law firm representing her, Campbell Miller Payne, was recently established by four white-shoe attorneys solely to represent such regretful so-called detransitioners. The firm is behind five of the nine known medical-malpractice detransitioner lawsuits.

Time Magazine reported Thursday that the threat of such litigation is already driving up malpractice insurance premiums for providers of pediatric gender-transition treatment, shutting out some smaller gender clinics.

The lawsuit takes on the powerful American Academy of Pediatrics, which has enormous influence over pediatric care in the U.S. Campbell Miller Payne, PLLC

Ms. Ayala’s suit accuses Dr. Rafferty and his colleagues of malpractice for prioritizing treating her gender dysphoria over her myriad other psychiatric diagnoses and for allegedly causing her lasting physical harm.

“I don’t even like to think about my fertility,” Ms. Ayala said in a voice over in the YouTube video as she looked at a baby crib, addressing concerns about the long-term impacts of testosterone treatment. “It is my greatest fear to go to the gynecologist and have them tell me I can’t have children over some decisions that were made when I was fourteen.”

The suit further alleges that Dr. Rafferty and others engaged in a conspiracy with the AAP to develop methods for treating gender dysphoric children while Ms. Ayala was the physicians’ patient that are not evidence based and are grounded in what a scathing peer-reviewed critique published in 2019 argued was a misrepresentation of the relevant scientific literature.

In their new Pediatrics essay, Dr. Georges and her coauthors countered such a premise. Referring to what supporters of such treatment call gender-affirming care, they wrote: “Although some individuals make it seem that GAC is a new, experimental area of medicine, GAC is evidence-based.”

They continued: “The benefits of GAC, most notably on mental health, self-esteem, and development, outweigh the risks in the majority of circumstances. GAC is, for many, lifesaving.”

Isabelle Ayala appears with her attorney in a new YouTube video in which she discusses her gender transition treatment. Independent Women’s Forum

This a reference to suicide prevention. Advocates of medical gender transitions for children argue that gender dysphoric youth are at high risk for death by suicide if they are not able to medically transition if they so choose.

The AAP Pulls a Book on the Gender-Affirming Care Model

During the fall, the AAP began taking pre-orders for a 320-page book on pediatric gender-transition care and treatment that was set to be published on January 30. Dr. Rafferty was listed first among the authors of the book’s commentaries.

On December 6, the day after the Sun published an article about Ms. Ayala’s suit and another malpractice suit filed against Dr. Rafferty and his colleagues by a detransitioned adult patient, the AAP emailed those who had pre-ordered the book, alerting them: “Due to an upcoming policy review on this topic, the publication of this book has been placed on hold.”

A representative for the organization confirmed to the Sun that the email referenced the AAP leadership’s announcement in August that it would commission an independent systematic literature review — the gold standard for assessing scientific evidence — of the research regarding pediatric gender-transition treatment. The AAP said at the time that it was prompted to take this step out of “concerns about restrictions to access to health care with bans on gender-affirming care.”

An AAP member and a pediatrician at Carmel, Indiana, Dr. Sarah Palmer, criticized the academy’s expressed motivation, which she said centered the pending review “in the political realm instead of in the clinical and scientific realm where doctors should apply their expertise.”

The AAP representative said that the book contains research previously published in the academy’s journals and no new guidance. It does, however, contain the new commentaries. The representative said the AAP decided to delay publication “to avoid confusion” during the “ongoing” work on the review, the findings of which the academy plans to share publicly. However, the book went on sale for pre-order well after the literature review was announced. The representative declined to respond to detailed questions about the review’s progress, including whether the AAP would observe typical scientific protocol for a systematic literature review and publish its criteria in advance.

In reference to the AAP’s publication of Dr. Georges’ unsparing and politically charged new Pediatrics essay, Mr. Sapir said, “It’s weird that they would pull the book on the grounds that there is an ongoing systematic review, but in their own peer-reviewed journal they would publish this document.”

The AAP’s move to conduct the systematic review came after three years of efforts led by an AAP member and Gresham, Oregon-based pediatrician, Dr. Julia Mason, to compel the organization to do so. She, Dr. Palmer, and Mr. Sapir all expressed concern about what they characterized as the AAP’s lack of transparency during the four months since announcing it would commission the systematic review.

“I think the pressure of the lawsuit led to their pulling the book. Because they suddenly realized that they might be held responsible for what that book said in a court of law,” said Dr. Mason, who is a board member of the Society for Evidence Based Gender Medicine. Founded in 2020, the society is a collective of clinicians and researchers who share concern that, as multiple systematic reviews of the relevant evidence have found, pediatric gender-transition treatment is based on a low or very low quality of scientific evidence while it comes with considerable risks, including infertility and sexual dysfunction.

In conflict with the Pediatrics essay, such reviews have also not found evidence that withholding puberty blockers and cross-sex hormones from gender dysphoric youth is associated with a higher suicide death rate. Additionally, Dr. Mason and numerous other critics have called into question the validity of the findings of a 2022 University of Washington and Seattle Children’s study often cited by supporters of such treatment, including in the new Pedatrics article’s authors, as evidence that medical gender-transition treatment reduces suicidal thoughts and behaviors in gender-dysphoric adolescents.

The American Academy of Pediatrics headquarters outside Chicago. The AAP is the target of a lawsuit about its policies regarding transgender care for minors. AAP

Transgender activists have called the Society for Evidence Based Gender Medicine an anti-trans group and highlight how commonly other medical treatments are backed only by low quality evidence. The type of randomized, placebo-controlled trials that would produce the highest quality of evidence, trans advocates argue, would not be ethical for pediatric gender-transition treatment.

A sprawling Southern Poverty Law Center report published December 12, “Combatting LGBTQ+ Pseudoscience,” places the Society for Evidence Based Gender Medicine at the nexus of what it portrays as an interconnected conspiracy by various organizations to undermine support for pediatric gender-transition treatment and harm trans youth. The Southern Poverty Law Center has come under criticism from social conservatives in recent years for, they argue, unfairly and egregiously classifying some conservative groups as “hate groups.” The Society for Evidence Based Gender Medicine, however, bills itself as an apolitical science organization.

Maintaining Ownership of Internal Emails

Earlier this month, the AAP’s chief executive officer, Mark Del Monte, and chief medical officer, Dr. Anne R. Edwards, sent a letter to what the AAP representative reported was all of the academy’s staff and hundreds of non-staff members in leadership roles, alerting them to a new correspondence policy, effective January 1. It ordered the members only to use personal email accounts, such as Gmail, for leadership level AAP-related business.

The AAP representative told the Sun that the decision to enact this new policy was unrelated to Ms. Ayala’s lawsuit and predates its filing, having been made at an AAP board meeting in May; minutes from the meeting indicate as much.

Mr. Del Monte and Dr. Edwards differentiate in the letter between the public nature of the AAP’s “policy, advocacy positions, and educational resources” and the “confidential, internal discussions” pertaining to these documents’ development.

“To protect the internal deliberations of our member experts,” the letter states, “the AAP Board of Directors has approved new prudent steps to keep internal communications under the control of the AAP and its member leaders.”

The letter continues: “While we regret that this action is necessary, members do not ‘own’ their work email and so do not necessarily have the decision-making authority about whether or not to release it publicly.”

The use of institutional or workplace email accounts, the letter further states, creates “multiple vulnerabilities for AAP and our members.” This includes the fact that “employer-sponsored email platforms are subject to the document retention and release policies of external institutions, including in response to subpoenas or Freedom Of Information Act (FOIA) requests.”

The board’s decision to enact this policy, the AAP representative said, “followed a lengthy deliberation by board members to ensure the AAP manages records in compliance with applicable federal and state laws, while meeting operational needs.”

A medical doctor and tort law expert at the University of Baltimore School of Law, Dr. Gregory Dolin, said he anticipated that a shift from workplace to personal email accounts for such correspondence would not frustrate any attempts by Campbell Miller Payne to obtain internal AAP emails through discovery in its suit against the academy. However, Dr. Dolin said that by forbidding communicating via email accounts subject to FOIA requests, the AAP “may reduce non-litigation related, but nevertheless embarrassing disclosures” by, for example, journalists.

Protecting Children

A professor of epidemiology and biostatistics at the University of California, San Francisco, Dr. Vinay Prasad is an outspoken critic of what he has characterized as unscientifically sound Covid-19-mitigation public-health policies. On Monday, he published an essay on the Sensible Medicine Substack criticizing the AAP for asserting that for obese patients, pediatricians “should offer” adolescents and “may offer” children ages 8 to 11 weight-loss drugs such as Ozempic.

Meanwhile, the United States Preventive Services Task Force asserted in a draft guidance released December 12 that evidence was insufficient, in particular concerning the long-term impacts of such medications, to make such a recommendation. The task force called for more research.

In an email, Dr. Prasad argued that the AAP’s policies regarding gender-transition treatment represent a pervasive lack of adherence to evidence-based standards.

“I am deeply concerned that, across all their recommendations, the American Academy of Pediatrics does not rely on the highest quality of evidence, and worse, they do not call for better studies,” said Dr. Prasad. “Instead, they’re very happy to make strong recommendations based on their own biases in the absence of evidence. And that harms children.”

Dr. Georges, by contrast, wrote in Pediatrics that any state law denying children gender-transition treatment “not only represents medical neglect, but it is also state-sanctioned emotional abuse.”

BENJAMIN RYAN

Benjamin Ryan is an independent health and science reporter who also contributes to The New York Times, The Guardian and NBC News and has also written for The Atlantic and the Washington Post.

#usa #The American Academy of Pediatrics #gender-transition treatment for minors #freedom-of-information requests #Dr. Jason Rafferty #Dr. Emily Georges is OK with giving children life altering treatments #Campbell Miller Payn PLLC #So it's trans people and so called detransitioners?#Women who speak up against the gender cult are TERFs #And now professional men who speak up against the gender cult are white shoe attorneys #the Society for Evidence Based Gender Medicine #The Southern Poverty Law Center and the gender cult #Ms. Ayala was 14 when she was given cross sex hormones

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republicanidiots · 19 days

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So this is...a bounty.

The Orange Liar destroying records:

..."President Trump continued his document destruction “despite being urged by at least two chiefs of staff and the White House counsel to follow the law on preserving documents. ”According to oficials familiar with these actions, “[h]undreds of documents, if not more, were likely torn up,” spanning “a range of topics, including conversations withforeign leaders[.]

”Reportedly the problem was “particularly acute at the time of the transition to the Biden administration.”Although the Trump White House instituted “special practices” to deal with his shredded records, including attempting to tape them backtogether, the article notes that it is “unclear how many records were lost or permanently destroyed through Trump’s ripping routine.”...

Spy Stuff:

..."The FBI also battled the Kremlin on the counterintelligence front.199 In1985 — dubbed the Year of the Spy, the FBI arrested 11 U.S. citizens for espionage, — including former U.S. warrant officer John Walker, who provided the Soviets highly classified cryptography codes during a spying career that began in the 1960s.The FBI also arrested Larry Wu-Tai Chin, a CIA employee, a spy for the People’sRepublic of China; Jonathan Pollard, a Naval Investigative Service intelligence analyst who stole secrets for Israel; and Ronald Pelton, a former National SecurityAgency communications specialist who provided the Soviet Union classified material.200 More recently convicted spies include FBI Special Agent Robert P.Hanssen, who spied on behalf of Soviet Union and, subsequently, Russia, and pleaded guilty to 15 espionage-related charges in 2001; and former Defense Intelligence Agency analyst Ana Belen Montes, arrested in 2001 and subsequently convicted for spying for Cuba."...

#NSA #National Security #white house #government #american history #traitor #spies #jonathan pollard

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religion-is-a-mental-illness · 5 months

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By: Suzanne Moore

Published: Apr 9, 2024

The alarm bells have been ringing for some time, but now the entire narrative around adolescent gender dysphoria is breaking apart

I remember as a teenager reading about a strange disorder called anorexia. I had never heard of it – and then I noticed one of my best friends cleaning her teeth several times a day and exercising manically. And it wasn’t just her that was acting weirdly. Several girls I knew were clearly suffering. Then came bulimia, which turned the school loos into sad places in which certain girls spent worrying amounts of time.

Then, as a mother of daughters, I remember reading about an epidemic of cutting among teenagers. Surely this highly unusual behaviour was not rampant? Well, the internet told me it was and an NHS psychiatrist informed me about self-harm circles in certain schools.

These thoughts occur because I am trying to understand how we started talking of “trans children” and thought this was somehow some kind of “progress”. This, after all, is a new phenomenon. In 2010, for instance, with the Equality Act, which made gender reassignment a protected characteristic, the intention was surely to avoid discrimination against adult transsexuals. This is a laudable aim, but no one was talking about children then. The phrase “gender dysphoria” was not bandied about. It was rare to come across a child who had such severe gender issues they needed specialist services. Indeed, in that year, only 75 children were referred to Gids (the NHS’s Gender Identity Development Service, based at the Tavistock Centre in north-west London). By 2021 it was 5,000.

Now we are in a situation where celebrities wear T-shirts saying Protect Trans Kids and where schools, even primary schools, are colluding with the idea that children are whatever they say they are, that their bodies are somehow wrong and that they can change their names without parental consent.

The alarm bells have been ringing for some time about Gids. What was most alarming was this sudden spike in girls presenting with gender dysphoria and the increasing evidence of the harms of puberty blockers.

When Dr Hilary Cass was commissioned to report on standards of care within the NHS, it was as if finally an adult had stepped into the room. She and her team have looked at the evidence and practices that had recently evolved the affirmative model (designed to support and affirm an individual’s gender identity) and found much wanting. She also signalled the high levels of comorbidities with gender dysphoria. A high proportion of these girls who did not want to be girls were autistic. Many had troubled childhoods or had been in care. Many were gay. All of this resulted in the unravelling of Gids and a ban on puberty blockers.

In the full report, which is due to be published this week, Cass is not only concerned with medical intervention (puberty blockers, cross-sex hormones, surgery) but is also expected to come out against “social transition”. Though this is not something that happens within the health service, it is, she says, an “active intervention because it may have significant effects on the child or young person in terms of psychological functioning. There are different views on the benefits versus the harms of early social transition… it is not a neutral act and better information is needed about outcomes.”

Some believe that socially transitioning kids will lock them into a gender identity and medical pathway that is detrimental. Cass emphasises that gender expression is indeed fluid and changeable for adolescents and that many may take till their mid-20s to settle. In other words, leave these kids alone.

Indeed, faced with this huge increase in kids saying they are trans, many schools have acquiesced. Yet teachers are not clinicians, nor are they there to diagnose children. Do they understand what they are doing? The entire narrative around trans children has been imported from America, but it is breaking apart.

Those who want to see themselves as compassionate and modern have embraced some seriously dodgy ideas. The evidence against puberty blockers, which were sold as “a pause” and reversible, mounts up. The Mayo Clinic has suggested that these drugs can lead to cancer. There is a court case coming up in Italy, and many predict that once the dam breaks, many who have been prescribed these drugs will sue their doctors.

This has all been allowed to happen because children have been lied to. They are told they can change sex; they are told that puberty will be awful; they are told they will feel suicidal. Anyone who challenges this has been deemed a pariah. So we end up with newly qualified English teachers now deciding that they are doing the right thing by keeping a child’s fantasy identity secret from their parents.

Many are terrified of this issue and go along with what they must know to be dubious. We have yet to see where the Labour Party will go on this, because it too quakes in front of its own activists. Yet any serious person must address the issues around safeguarding. The gender dysphoric child must be protected, of course, but so must the other kids in the class who have a right to single-sex changing rooms.

Now is the time to step back and ask ourselves how we got here. The trans child is a manifestation of a recent story that the culture has told itself. This is a story of social contagion combined with the genuine distress of mostly young girls.

Children cannot be blamed for acting out, but the adults who have encouraged this, while patting themselves on the back for their progressive views, still need to be challenged. Cass is but the start.

#Suzanne Moore #Hilary Cass #Dr. Hilary Cass #Cass report #social contagion #mass psychogenic illness #ROGD #rapid onset gender dysphoria #anorexia #anorexia nervosa #gender ideology #gender identity ideology #queer theory #intersectional feminism #religion is a mental illness

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penny-anna · 1 year

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this is where I'm currently at w my dry eyes flare up:

current routine is eye ointment (oil based) morning + night, preservative free hylo-forte (sodium hyaluronate) drops as needed, carbomer gel also as needed but as sparingly as possible bcos it's not preservative free. I'm also doing 10 minute warm compresses 3-4 times a day.

I'm also using moisteriser around my eyes a lot + mild steroid cream twice a day due to skin irritation which I think is being caused by the volume of eye drops I'm using.

trying to transition to a preservative free carbomer drop as the carbomer is currently the only thing getting me any significant relief but the only brand I've been able to try so far (Ocufresh) is no good.

any eye drops that contain preservatives or aren't specifically marketed as high intensity/for severely dry eyes are no good rn, a lot of them make my eyes start stinging and burning. I've tried Systane Complete and Thealoz Duo this week neither of which offered any relief but I'm going to try and stick with the Thealoz drops a couple of times a day as they've got some extra meds in them.

I've ordered every other brand of preservative free gel drops I can find.

I've started taking antihistamines as it struck me that the current difficulties started around about the same time I stopped taking them for seasonal allergies so will see if that does any good. I've also just started taking fish oil supplements.

I've had my eyes examined by my regular optometrist (Specsavers unfortunately) and spoken to a different optometrist practice who have a specialist dry eye practice and have got some actionable advice that I'm following. Both optometrists have agreed that there's no sign of anything actively wrong with my eyes such as an infection.

I've dusted & aired out my whole flat and have ordered a humidifier but it won't arrive till tommorrow.

I'm reducing screen time as much as I can but due to being a full time hybrid office worker that essentially means I'm doing as little work at my job as I can get away with. I had to do a full 8 hours in front of the computer on Monday and it fucked up my eyes so badly that I didn't cover from it all evening.

I can currently manage maybe 10-20ish minutes in front of a computer before things start getting progressively more uncomfortable with the end result being blurred vision.

I've had flare ups of this severity or even worse in the past but usually it takes me maybe 2-3 days of stepping up my eye drops and doing regular warm compresses to get it back to a manageable level so the fact that this time it's been over a week with basically 0 relief is very very scary. I'm getting concerned about my job as I can't do full time office work if I can't use a computer & I have no other employment prospects.

the 20:20:20 rule isn't currently hugely helpful for me due to how dry my eyes get using a computer and I've been advised by an optometrist that I need to take full breaks at least once an hour.

absolutely exhausted & honestly can't tell if it's the fatigue I had previously flaring up or if I'm just That Stressed Out.

feel like I'll regret throwing this problem out for advice as asking for medical advice on tumblr never goes well but figure it's worth a shot in case I'm missing something obvious here!!

I'd ask that you don't reply if you haven't read all of the above ^ in case whatever you're suggesting is already mentioned & that you don't recommend things that work for you unless you also have severely dry eyes.

:'(

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cerislabnotes · 6 months

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Research Note 351: Consultation Conflicts

CW: this one is going to be a lot of me just yelling and cursing. I'm mad and will put it in something no one will read for a few years.

It finally happened. Dr. Dipshit called GNDC and invited us to his clinic to help him "Figure out the mess." The mess. The absolute dumpster-fire of a shitshow he created is more like it.

Patients being delayed due to "verifying lifestyle concerns." Patients just being slammed straight into treatment before consultation and evaluation. My favorite, Unlicensed, unchecked, unqualified gene splice experimentation on PUBLIC, UNCONSENTING, UNKNOWING OF THE EARLYNESS OF THAT TREATMENT PATIENTS. You know, where someone has a species that isn't actually… on the plane of existence, and so you fuze like… 40 things together to get close? Yeah, that kind of chucklefuckery. Lastly, sadly, A patient is in the ER due to the early development of the organs for dragons, which is an entirely avoidable circumstance with proper monitoring. jnjfdknsk. -I'm leaving that; I had to walk away from the computer for a second. More on that one last.

"Lifestyle concerns" No one just fucking jumps into this. No one wakes up on a Monday and is like, "Dragon time," or "I wanna lose my sight and be a bat for fun." Most patients spend YEARS fighting themselves before they walk in the door. And those who don't are so easy to weed out in consultation. But no, fuckhead just decides some patients have to wait fucking months living as their preferred species just to "see if it's right." No, none of that. Follow the field best practices YOU HAVE READ AND AGREED TO FOR OFFERING THIS TREATMENT then FOLLOW THEM.

Slammed through patients: So Chuclkefuck does the above shit, then we find that there are other patients that started treatment the same day they walked through the door. No genesight (<-this shit is real and great for making sure meds vibe with your body chemistry) No pre-diagnostics. Just get pleaded to and slam them into the fucking machine. Damn the consequences, damn their body chemistry, damn the reactions, fucking YOLO bitches. With his patients!!!! If we did that in the lab, we'd be in big-time jail. Ridiculous.

The "getting close" bit: I found the chart where the SMD gene was like… 5 species long. Fine. Sure. That would be okay in the lab, where it would be more heavily monitored and checked by a team that can treat it. Not some guy that orders the procedure, gives some pills, and says see you in 6 months. The dude should know better. Dude knows now. The lab president screamed for 10 minutes about it.

Lastly, The whole reason he called was for our opinion on a patient who ended up in the ER. Something that should never, EVER, happen with this treatment. He said he had followed all the procedures he knew for spicing two species together. He didn't, because he never qualified his clinic for this type of treatment. For the better of things in the community, I know that will get swept under the rug. Bullshit. The patient was informed of the risks, signed waivers, and so on. But an avoidable mistake annuls all of that. The patient should have had more rigorous observation, like every couple of weeks instead of months. The patient could have applied through the labs for a free consultation. But no, just Yolo again. Hybrids are complex, but not this complex. So, now we get to finally test how to unfuck what happens when you accidentally go all in on internal organ targeting before working the rest of the body. Our hybrid specialist worked with the Doctor to come up with solutions in a timely manner. Solutions that not only should save them, but not set all of the community back. I hope Devin, the patient, forgives us for what's going to have to happen. None of the outcomes seem to be what she wanted. But hopefully, we can save them and their transition to their authentic self. I'll be checking in directly with her once Dr. Airhead and our team do the chosen procedures.

So. For Dr. T.H. to Err. His excuse? He kind of understands, took the classes, and joined one of the clinics because it was a job. Did one patient that spread the word, and now is in WAY over his head. At least he asked for help. So, we are going to give him 70 hours of updated training, two of our staff who have worked with all types of patients, and a hotline number to the lead scientist here at GNDC. He should be able to lessen his load, learn some things, and be able to handle many more situations. I wish him the best at the end of the day. He's been able to help a lot of people. We need more doctors that are willing to try. I also wish he had called sooner, but at least we can try to make things better now. That's always the goal, right? Make things better, for everyone. -Ceri

#therian #species hrt #animal hrt #therian hrt #nuclenetic hrt #transformation

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mortalityplays · 1 year

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even allies within the uk often don't understand how bad healthcare experiences are for trans people here. I count myself pretty lucky to have had GPs who were generally understanding and supportive of my transition, but I have still dealt with:

my local GIC quoting me a 3-year wait for a first appointment in 2018. when I contacted them again in 2022, they again quoted me a 3-year wait, citing Covid backlogs and increasing pressures as other GICs were closed down. I started my transition in my late 20s, and it's likely I will be closer to 40 before I see a specialist for the first time.

my GP telling me they are unable to prescribe any kind of gender affirming care until I have been through a GIC. When I told them about the above wait times, they offered to call the clinic on my behalf. After calling, they told me they were sorry they couldn't do anything more and (unofficially) that they understood why people in my position transition 'under the counter'

another GP stopping the SSRI I had been on for 5+ years when they learned I was trans, and requiring me to go through every step of a mental health assessment again before they would approve the reissue of my prescription.

another GP telling me that even though I had self reported as being on testosterone, they could not order blood tests for me because they hadn't been sufficiently trained in best practice for transgender healthcare (??)

being misgendered every single time I see a health professional of any kind, because for absolutely no good reason at all NHS computer systems are set up to assign each person an ID number at birth that is hard-coded with their assigned gender. I cannot change this without a full legal sex marker change, which I couldn't do (even if I wanted to) without approval from a GIC. I get misgendered at the dentist.

like this is non-exhaustive, this is off the top of my head. can you blame any of us for just shrugging and living with chronic illness.

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elfilibusterismo · 2 years

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"For the baylan and catalonan—female ritual specialists of animist practice—the introduction of Christianity by male Spanish priests brought a more catastrophic loss of power and status. Such women had earned respect, authority, and their livelihood by conducting public ceremonies, making diwata and anito, treating the sick and dying, and attending women in childbirth. All these activities came under attack by friars in what Carolyn Brewer terms “holy confrontation.” Beginning with the arrival of Magellan, the friars relentlessly pursued the destruction—and sometimes desecration—of anito in their effort to displace the old religion and its practitioners. Brewer refutes the conventional picture of peaceful transition from indigenous religion to Catholicism by high-lighting the violence of this process. When anito and other ritual instruments were broken, dragged through villages, burned, or defecated upon by young boys, as encouraged by parish priests, it had the effect of “depowering, dishonoring and defiling the religion of the ancestors.”"

— Patricio N. Abinales and Donna J. Amoroso, State and Society in the Philippines

#philippine history #philippine literature #spanish colonization #catholicism #the philippines #pilipinas #my curations

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niivconsultancy · 3 months

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#Growth strategy consulting #Business growth marketing consultant #Management consulting for entrepreneurs

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ignitesthestxrs · 1 year

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Ssince your askbox is open: give us an update on life? You moved out some time ago to your first place if I remember correctly, how’s it going? What ya up to? You like your job?

wah this is cute anon, thank you! and also a reminder of how very long i have been on this webbed site phew

in hindsight i think moving out was a rough transition for me, although i handled it the best way i could at the time. like it was necessary and ultimately good for me, but i can also clearly see now that this was the start of increasing issues with undiagnosed adhd where i went from a very rigid environment where i had a lot of structure imposed on my life by an external source, to an environment where everything was up to me, and it turns out i was not a super reliable person to give that job to!

that was: a while ago though. these days my living situation is genuinely wonderful and it happened almost entirely accidentally. one of my flatmates had to move out a couple of years ago, so i asked a younger friend who was ready to leave home herself if she was interested in moving in. there was a brief Blip where our third flatmate (TRULY A CUNT) started a campaign of terror that ultimately ended in me kicking her out, which is how we acquired a newer, gayer flatmate. after like a year? her partner moved in, and this is now a 4 lesbian household with one full time cat and three part time cats that just come in through our cat door at will.

nothing is perfect obvs but the difference between living in a house where i was not friends with anyone there and one person actually actively hated me, vs living with people whom i love, who are similarly queer and neurodivergent (this is a 3/4 adhd household, yes it is a mess), who have understanding and community, is the kind of life-changing, revitalising experience i could not have imagined before i had it. like i spent most of my life being alone and enjoying being alone, and i still do spend a lot of time by myself, but it's with the knowledge that like,,,not only can i wander down into the lounge and chill with someone, but that sometimes i will in fact want to do this. this was a revelation for me! i could not have predicted this for myself, and im very glad things unfolded in this way, because there were a couple of moments there where i was very tempted to make simpler, lonelier choices that would have involved taking less of a Chance, and my life would have been duller because of it.

my job is my job! i still work at the same place i always have (15 year anniversary next may lol). i work from home 4/5 days a week (i go in on a monday with my team and don't have to deal with the rest of the company, which suits me well). i make databases of consumer information acquired from surveys that then gets sold to media companies and advertisers, it is not exactly a world-saving endeavor, but we have a solid privacy policy in place so it's ethically survivable LOL.

one thing that has changed over the past few years is that i basically grabbed a metaphorical crowbar and started insisting that we needed more DEI (diversity, equity, inclusion) work happening in our business. this is also not a world-saving endeavour, but it is a way of bringing something that i care about into my workplace in a way that makes practical, effective policy change. white collar workplaces are very good at saying the right thing and doing nothing, and while my workplace is better than many, it has been and continues to be a bit of a fight to drag them into the 'doing things' arena. but i am having gradual success, and my ultimate goal is to create a DEI specialist position for myself if i have to like, carve it out with a butter knife. my boss is on board with this and will throw his weight around as requested, and doing this work definitely brings some interest and purpose to what is a pretty standard tech-adjacent job otherwise.

2023 has been a year of gently trying new things for me. i had a necessary surgery that has given me a new lease on life. i feel like myself again. i have been going to concerts and plays, i have done some volunteer work at a helpline (although i need to follow up on this, a thing that i am notoriously bad at doing). i am trying to reframe my relationship with creativity and writing, a big part of which has been like,,,reading again. my attention span was Shot for a few years though, and this is the first year of being medicated and like, Well enough overall in a long time that i have been able to sustain a pretty regular turnover of books.

i had a period of time there where i was kind of desperately, hysterically unhappy with myself in a way that resulted in me being Incredibly Fucking Needy because i didn't have anything to fill myself up with, i guess? so i have been on a journey of like, well to be interested by yourself it helps to do interesting things, so there has been a lot of re-connecting with hobbies and doing things because i might enjoy them, not because i want to talk about them on the internet. for real, i do think i killed my soul with twitter there for a while.

SO YEAH overall it has been a ride and a life, but i am in a really lovely place right now, even with the bumps and the hardships and the State Of Living. we grow and we go, right?

#hannah answers asks

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