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[–] 14 points 3 days ago (4 children)

Yes, people can do research on their own, and do

I used to be an advocate for people doing their own research for this stuff, but then people started injecting themselves with bleach and horse de-wormer. And that was before search results got sloppified

I'm as gay as they come and think HRT should be accessible to all (as with literally all healthcare), but I agree that it shouldn't be available OTC. Like, this is a class of medication that people desperately want to work for themselves, and there's a great risk of confirming biases and downplaying potential side effects.

There's also massive disinformation campaigns targeting the trans community so this is an especially difficult area to research for DIY and it makes it all the more depressing when that's the only option available to some

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  • [–] 9 points 3 days ago (2 children)

    The connection between politicized medical disinformation surrounding COVID-19, and potential disinformation campaigns targetting trans people is interesting. Is there something in particular you're referencing, or is this more speculation on a potential issue?

    I know my biggest barrier to care was indeed medical clearance and medication/tools restriction. Even with socialized coverage, it was about a thousand dollars and five months of my time to get started; let alone the years I spent waiting to even start the process because I knew that would be the most expensive hurdle. Hardly had to go through the same process for ibuprofen, which also carries fairly severe side effects if abused.

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  • [–] 6 points 2 days ago (1 child)

    Oh I didn't mean to imply that they were connected, the COVID-19 stuff was just a high profile and memeworthy example of how much harm people can cause when they can't or won't see a doctor

    I'm in a similar boat. Healthcare is free here, but the system is so slow (underfunded) that I joke I won't get help in my lifetime

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  • [–] 3 points 2 days ago

    Ahh okay, bringing it up in this context made it appear as though the motivations of either people who subscribe to that misinformation, or the groups that propagate it would align in some way with a potential misinformation campaign that would effect trans peoples' ability to access information. The systemic violence described below suffices, so I'd be surprised if there was such a campaign that actually worked on what is a substantially different target audience.

    I'm privileged to have had that money and time, many trans people do not. It's important to remember that many of us experience shelter- and other forms of material insecurity at disproportionate rates, and that is not disconnected from the overwhelmingly high suicide and self-harm rates for young trans people. Slow delivery of care with the caveat of privilege for access does literally constitute the systemic violence that perpetuates those rates.

    I mentioned this in another comment on this thread, but I think it is a perfectly acceptable cost to introduce a potential generalized risk by expanding access and substantially mitigating the preexisting and specific forms of violence that trans people experience. I don't see how it is reasonable to argue that a less immediate and threatening risk to a general population which regularly refuses us care is an unacceptable cost to address the needs of our own community. We already have information and support networks in place within our community for this very reason.

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  • [–] 3 points 2 days ago

    The people doing bleach and ivermectin were not doing their own research. They were screeching "do your own research" while denying the actual research and reading confirmation bias entertainment.

    Bioidentical hormones are safe, the big risks come from the older derivatives like premarin (synthetics with high blood clot risk) or taking hrt levels of birth control type estrogen- there's some parts of the world that's what they still prescribe. Another big avenue of risk is infection/contamination with injectibles, due to this a lot of DIY people are making transdermal gel.

    Anti androgens are expensive, estrogen is cheap. Anti androgens have high risks and dangerous side effects. Bioidentical estrogen has none. Doctors love to microdose the E and macro dose the AA. But mono therapy estrogen levels are enough to suppress testosterone without AA.

    I've read the research from a trans girl who simulated pregnancy hormones and took her body through it.

    Everything is risk assessment and reduction; cis people and trans people have different priorities on what those risks and reductions are. Such as the medical community wanting to give us the bare minimum, in dose, in care, in practice, in understanding.

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