Apicnic

I'm not saying it implies that. I'm saying that trans people and established research both say that. Your minimal experience with one of the detrans subreddits is not more substantial of a source than first hand accounts and peer reviewed papers.

Did you spend substantial time in /r/detrans and /r/actualdetrans? Were you aware of drama around when that split happened? Discussed it in the other trans communities on the sites? Because right now, your comments make it seem like you're a passerby who has popped into a trans community and tried to say that your interactions with one community known for astroturfing are more meaningful than decades of research.

I'm sorry, but if you think that there aren't huge portions of the trans population who have no support system, then it doesn't really feel possible to have a meaningful discussion about this with you.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8213007/

Here's one of the more recent meta analysis papers on it. When people who detransition are asked, the majority of the cite external factors like the ones here.

It's not even people being offended that creates the rules a lot of the time. If you don't have strict and clear cut rules, it's going to eat up a ton of mod time trying to keep out trolls and people asking the same things repeatedly in bad faith. I liked the split that was on Reddit between an asktransgender group and the groups meant for community.

For me though, I've just never wanted to be in that particular kind of place as a trans person. It takes a lot of energy to constantly answer the unintentionally offensive and invasive questions from all the people in your family, job, and just general day to day life. It's hard to find people who consistently can and want to give time to helping slowly warm people up to the same basic facts that they could find on their own.

Part of the issue it seems like people are having in this thread is that it's really unclear what you mean by nonpolitical help.

I've never experienced any communities calling gender dysphoria beautiful, but I also see that idea as distinct from acknowledging it as a real problem that affects people. I don't think it's in any way political to talk about the fact that gender affirming care is well supported by medical research.

NK Jemison is a great new scifi author who always includes a trans character in her stories in really natural ways. Not sure they'll be what you're looking for, but they're also incredibly good books.

To me it's the best value for price bourbon I've found, and it's very good. I haven't tried very many of their higher end or limited offerings though.

I recently had to build out my business casual wardrobe as well. Madewell has taken so much of my money for both regular clothes and business ones. Decent deals on sale and generally a great quality. I'm also tall, and they tend to offer a tall version of everything which is so lovely.

Zara on sale had some decent deals of meh quality stuff, and I did some last bit of filling out with h&m stuff since the clothes budget was blown. H&m has some stuff that will look good for a bit, but long-term quality isn't great.

Go fiddle with the calculator on the website I linked to see how injecgion time changes peak-trough gap in the hormone curves. But generally I want stable levels because research shows we need a minimum amount of estrogen in order to have feminizing effects. We don't want to overshoot it because your body will create SHBG at too high of levels. I've never seen any research that hints at varying levels be more effective.

For me personally, I got mood swings right before my next dose until I changed the frequency because my levels would drop. But in general, the goal with feminizing hrt is to change your hormone profile to something approximating that of a cis woman in order to get the changes you want. With a long enough gap between doses, the short half life of EV means that you'll have very low levels of estrogen right before your next injection, below your goal range.

It's also important to note when in your injection cycle you tested. I'm mostly interested in what my trough values will be (so immediately prior to the next injection), since that's the best approximation of steady state tissue levels. Especially on a two week injection cycle of EV, I'd be worried about my levels dipping quite low by the end of the cycle.

I really don't know why some of the more conservative dosing recommendations still give two week dosing schedules for EV. It has a lower half life than cypionate and should be injected more often, assuming you're aiming for stable levels (most people are). A lot of our original recommendations for transfem people were based around studies for populations with prostate cancer and menopause, and it seems like dosing strategies for them have stuck around.

I personally wouldnt ever go over a week long dosing of ev, and would likely switch to twice weekly injections if were I on it. The people over at transfemscience.org put together a neat way to visualize the difference in esters for achieving a steady state dose based on the pharmacokinetics of them all. Basically, at this point if I get a recommendation from a doctor for 14 day dosing of EV, I'm going to assume they're not up to date on current feminizing hrt research and are likely going to also be giving old information about things like IM vs SubQ injections.

Finally, nobody should ever be paywalled from medical information (and it's pretty abhorrent that this research even has to have hoops to jump around to get through). Just as an fyi for anybody else reading this, most articles that aren't brand newwill have a copy of it you can access by its doi number on sci-hub.ru (or another mirrored domain, searching scihub normally gives a list of current working addresses). In the case where it isn't available yet, the journal should provide a way to email them asking for specific articles for patient access.