Post 9wFRCblXKYSvL2DPgO by nik@letsalllovela.in
(DIR) More posts by nik@letsalllovela.in
(DIR) Post #9wFQHiPFy5xhQZfJmi by nik@letsalllovela.in
2020-06-19T17:29:25.984330Z
3 likes, 2 repeats
i dont think you should start hrt until you've done plenty of research on the pharmacokinetics, effects, side effects, different medications, their effects/differences, basic endocrinology, and morehrt is not a toy and is a life long commitment, and though you can avoid health risks, you can't avoid them if you don't know much about how it works or what you're doing. a 15 minute informed consent chat with an endocrinologist is not enough information.do. your. research.
(DIR) Post #9wFQUuxEctBO6pr0JU by NeikoCat@blob.cat
2020-06-19T17:31:56.624366Z
4 likes, 1 repeats
@nik nah dude me and boys just gonna fuck around with our endocrinology for a bit of banter innit
(DIR) Post #9wFQcBloVJ1UI0ykcq by steph@iscute.moe
2020-06-19T17:32:12.136932Z
3 likes, 0 repeats
@nik 15 minutes is enough to cover the effects of hightened e and lowered tworrying about all the different medications and side effects and health is the job of the endo, supposedly. Yeah, they can get it wrong but you shouldnt be required to do their job twice to check for them.this is mostly a DIY-driven perspective which ends up being exclusionary
(DIR) Post #9wFQjPBT1w8vv1Q3Ae by nik@letsalllovela.in
2020-06-19T17:34:33.104942Z
1 likes, 0 repeats
@steph it's not a DIY-driven perspective it's a most-doctors-and-prescribing-endos-don't-know-shit perspective. sure if you're seeing someone like dr powers you don't need to worry at all, but from what ive seen the vast majority of docs/endos that prescribe hrt, though they may have individual experience with the drugs in question for other uses, don't know much about what they're doing.
(DIR) Post #9wFQkuxCOcaCjzSyyu by steph@iscute.moe
2020-06-19T17:34:23.996842Z
1 likes, 0 repeats
@nik I would never discourage people from learning more about HRT, but saying it's neccesary to basically become an endo to start HRT is definitely a massive overstatement
(DIR) Post #9wFQkvVEM5nyRXOA1g by nik@letsalllovela.in
2020-06-19T17:34:49.501776Z
1 likes, 0 repeats
@steph i never said to basically become an endo, you can cover all this learning in a month
(DIR) Post #9wFQlmZJ3fYb1WhfEm by benis@benis.freemyip.com
2020-06-19T17:34:59.018551Z
1 likes, 0 repeats
@nik i dont think you should start hrt
(DIR) Post #9wFQmK1Sg0gcmP87Ci by nik@letsalllovela.in
2020-06-19T17:35:05.070477Z
0 likes, 0 repeats
@benis too late
(DIR) Post #9wFQnVzvddQiD4yw5Y by pea@fuckonthefirst.date
2020-06-19T17:35:16.152767Z
1 likes, 0 repeats
@steph @nik +1 this, honestlythe fundamental information about HRT you need to know is "hey this is actual medication that does things other than just what we're using it to do, here's a list of side effects and things you need to be aware of" and "basically the point of this is to bring your hormone levels to that of a cis person of the gender you're wanting to transition to"
(DIR) Post #9wFQq5UEf99Cr7Nsu0 by pea@fuckonthefirst.date
2020-06-19T17:35:43.303681Z
0 likes, 0 repeats
@steph @nik both of which can easily be covered in 15 minutes
(DIR) Post #9wFQu1ztZtS9By4c7s by nik@letsalllovela.in
2020-06-19T17:36:29.262449Z
1 likes, 0 repeats
@pea @steph my endocrinologist (who supposedly specializes in trans medicine) didnt even cover spiro side effects in my informed consent chatthis is why people need to educate themselves
(DIR) Post #9wFR0ZP4HvEUXJxw5g by pea@fuckonthefirst.date
2020-06-19T17:37:36.218195Z
1 likes, 0 repeats
@nik @steph your endocrinologist failed you, that doesn't mean it's your responsibility as a trans person to delay your transition
(DIR) Post #9wFR5ezSwWVzJQPx3Y by steph@iscute.moe
2020-06-19T17:38:07.207294Z
2 likes, 0 repeats
@nik yeah, I can see that perspective. I'd encourage people strongly to learn about HRT and not trust their doctors entirely. I wouldn't say you *need to do it* to start HRT though cause its not like everyone can just do that
(DIR) Post #9wFRBVjkGCd0Lmr1Rw by steph@iscute.moe
2020-06-19T17:39:04.089573Z
1 likes, 0 repeats
@pea @nik well it's more the intended effects and their non-reversibility which are important to get across, for informed consent
(DIR) Post #9wFRCblXKYSvL2DPgO by nik@letsalllovela.in
2020-06-19T17:39:50.465748Z
0 likes, 1 repeats
@pea @steph delaying for a month is basically nothing in the grand scheme of things, and not being educated is more damaging than waiting a month -- someone i know (who was not told about the side effects of spiro) got horrible spiro brain fog and thought it was because of hrt in general and dropped it for a really long time because they became afraid of it.
(DIR) Post #9wFRHe3OFe8Dsky4pM by pea@fuckonthefirst.date
2020-06-19T17:40:43.020322Z
0 likes, 0 repeats
@steph @nik I mean, I think anyone with half a brain cell understands that if you're inducing a natural, irreversible process, the natural, irreversible process is irreversible
(DIR) Post #9wFRI5QMULY8lovIsi by nik@letsalllovela.in
2020-06-19T17:40:50.264108Z
0 likes, 0 repeats
@steph @pea informed consent ("permission granted in the knowledge of the possible consequences") explicitly requires covering side effects
(DIR) Post #9wFROZHkNXWJ7Vz6GW by steph@iscute.moe
2020-06-19T17:41:50.703665Z
1 likes, 0 repeats
@pea @nik you'd be surprised
(DIR) Post #9wFRTrM0cvoybiV8Rk by pea@fuckonthefirst.date
2020-06-19T17:42:56.403793Z
0 likes, 0 repeats
@nik @steph once again, your endo failed youliterally speaking, informed consent, as you just noted, requires covering side effects explicitlythe failure of a doctor does not mean it's every patient's responsibility to do their doctor's job, it means you need to get a new doctor
(DIR) Post #9wFRVulEvmSrkkHZuC by steph@iscute.moe
2020-06-19T17:42:46.426297Z
1 likes, 0 repeats
@pea @nik like, it's possible to know something and see it as obvious but not *think about it* until its pointed out It's not about brain cells it's about awareness
(DIR) Post #9wFRWKNNh6pRCHJtKK by pea@fuckonthefirst.date
2020-06-19T17:43:23.030386Z
0 likes, 0 repeats
@steph @nik fair enough i suppose
(DIR) Post #9wFRWkcs68fUbqld56 by steph@iscute.moe
2020-06-19T17:41:16.045757Z
0 likes, 0 repeats
@nik ultimately the effective message of your post is that hrt has serious side effect risks, where in reality the risks are fairly low compared to other commonly prescribed medication.
(DIR) Post #9wFRWm8SUBWrI6YMxE by nik@letsalllovela.in
2020-06-19T17:43:28.300639Z
0 likes, 0 repeats
@steph the risks are fairly low when compared to other medications over the same time period, but most people dont take those medications for the rest of their lives
(DIR) Post #9wFRaz5IHf4ybs51l2 by nik@letsalllovela.in
2020-06-19T17:44:15.216331Z
1 likes, 0 repeats
@pea @steph people can't know if their doctor failed them unless they're educated is my point
(DIR) Post #9wFRgHkmIf9dxW0mxM by steph@iscute.moe
2020-06-19T17:44:54.603086Z
2 likes, 0 repeats
@pea @nik though if most doctors are this incompetent there definitely should be messaging on the trans community on how to recognise this. If you don't know, you can't tell you have a bad endo. I'm not sure it needs to be "a month", but having a resource out there covering side effects which can be read in an hour would be very useful. Especially if it converted how to spot a bad endo.
(DIR) Post #9wFRlFiHJUAB4xD8oy by nik@letsalllovela.in
2020-06-19T17:46:05.092659Z
0 likes, 0 repeats
@viomi @steph you don't need to spend money to study this, it's all available
(DIR) Post #9wFRqT0XJPgll7Emci by pea@fuckonthefirst.date
2020-06-19T17:46:58.706482Z
0 likes, 0 repeats
@nik @steph sure, I agree with that. it sucks. people also can't know if their house's foundation was built correctly, but we put it out of mind and trust that they are because we can't be actively concerned about everything in our livesI'm sorry your endo failed you but unless you're telling me it's the common case for trans people, it's not reasoning that every trans person needs to take time out of their life and their transition to do this
(DIR) Post #9wFRu7VXBslmEhTjJg by nik@letsalllovela.in
2020-06-19T17:47:42.380409Z
1 likes, 0 repeats
@pea @steph ive encountered too many people to count where their endos failed them, so yes, it is a common case from what i've seen
(DIR) Post #9wFRwO5WW2k8ErORqi by viomi@cybre.space
2020-06-19T17:47:18Z
0 likes, 0 repeats
@nik @steph available where? The internet, which requires some kind of service provider and an expensive electronic device to operate, and to live in a first world country?
(DIR) Post #9wFRwQD2d3weokvTqS by nik@letsalllovela.in
2020-06-19T17:48:05.628153Z
1 likes, 0 repeats
@viomi @steph if someone has access to the money for hrt they most definitely have access to a public library with a computer
(DIR) Post #9wFS4mF4azMBT3rPvc by steph@iscute.moe
2020-06-19T17:49:09.310606Z
1 likes, 0 repeats
@pea @nik its pretty common. I will say that.
(DIR) Post #9wFS9AuynEUn9nYj0i by pea@fuckonthefirst.date
2020-06-19T17:50:22.219310Z
2 likes, 0 repeats
@steph @nik Mm, fair enough. That's not my experience at all.That said, the research doesn't necessarily need to be done before getting on HRT regardless, it can be done while on it.
(DIR) Post #9wFSMYmrMNAiwy8xaS by null@pl.devfs.xyz
2020-06-19T17:50:33.482422Z
1 likes, 0 repeats
@nik @pea @steph me too, actually. I can't tell you how many times I've helped people educate their doctors
(DIR) Post #9wFSTdhjTYuuEC7Z2m by 361.xj9@social.sunshinegardens.org
2020-06-19T17:54:03.403434Z
2 likes, 0 repeats
@steph @nik I don't think there's anything wrong with encouraging self education. *especially* if your endo isn't a specialist in trans health. i've had enough experience with ignorant doctors that I can't recommend trusting them blindly.if you can't self educate for whatever reason, make sure you have a reason to trust your endo and don't do so blindly. ideally you can have an intelligent discussion about your HRT regimen with an experienced specialist, but at the very least you need to read the relevant literature if your endo doesn't care to.
(DIR) Post #9wFSufLLUSrL86XLpw by steph@iscute.moe
2020-06-19T17:58:09.396162Z
2 likes, 0 repeats
@xj9 @nik yeah I completely agree
(DIR) Post #9wFTv36XFNJImHM8lU by bub@iscute.moe
2020-06-19T18:08:23.188709Z
0 likes, 0 repeats
@nik no i do not care about my health i will die before i am 30
(DIR) Post #9wFTv6LtAkNGqlYwc4 by nik@letsalllovela.in
2020-06-19T18:10:16.532396Z
1 likes, 0 repeats
@bub id rather u dont
(DIR) Post #9wFUAQL19C9PBASf9E by 9vVlQ7B44mOHOY3BhY.kino@springbo.cc
2020-06-19T18:13:04.020560Z
0 likes, 0 repeats
@bub @nik statistically accurate
(DIR) Post #9wFUEoPhZpW10SkFDE by karolat@stereophonic.space
2020-06-19T18:13:51.315474Z
1 likes, 0 repeats
@nik this shouldn't be a hot take. also this advice should be taken for most medications, especially psychiatric ones
(DIR) Post #9wFUYBgvFru4hf2SIK by bagofshit@pleroma.mouse.services
2020-06-19T18:17:21.272299Z
2 likes, 1 repeats
@karolat According to fediverse lore you can drink fluoride and get the same results. Delicious and comes with boobs. @nik @bub @kinoimage.png
(DIR) Post #9wFUZF87xHHperGbDs by sampo@pleroma.soykaf.com
2020-06-19T18:17:32.225984Z
2 likes, 0 repeats
@nik tfw "use your brain" is a hot take and you've got people disagreeing never change feddy verse
(DIR) Post #9wFUfOTE8nY2Md4KVU by karolat@stereophonic.space
2020-06-19T18:18:39.629746Z
1 likes, 0 repeats
@bagofshit @bub @kino @nik never tag me again :ablobrage: