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1. Embed this notice
   goatsarah (goatsarah@thegoatery.dyndns.org)'s status on Thursday, 30-May-2024 21:50:33 JST goatsarah

   A thing I have noticed. 2 decades ago, there was decent pharmaceutical knowledge in the trans community. We knew what GnRH agonists were and how they work. We knew that for trans girls, if you couldn’t get them, then a cocktail of spironolactone and finasteride would do a pretty good job as a replacement. We knew that cyproterone acetate worked even better than spiro, but was hepatotoxic, so be careful.

   I feel like that’s all been … lost?

   I suspect that until this sentence, most currently transitioning people won’t even know that GnRH agonist is the proper term for what is frequently and misleadingly called a “puberty blocker”.

   How did we let all this knowledge get lost? We, as a community, used to know how to outflank attempts to stop us accessing medication.

   Now the British government just go, “we’re banning prescription of puberty blockers” and everyone throws their hands up and goes, “oh well, no alternative but unopposed testosterone I guess”.

   We were better than this. Why did that go away?

   • Embed this notice
     goatsarah (goatsarah@thegoatery.dyndns.org)'s status on Thursday, 30-May-2024 21:55:19 JST goatsarah

     in reply to

     THERE ARE THINGS YOU CAN DO TO GET ROUND GOVERNMENTS TRYING TO KEEP TRANSITION MEDS AWAY FROM YOU.

     WE USED TO DO IT ALL THE TIME.

     TALK TO TRANS ELDERS. WE KNOW THIS STUFF.

   • Embed this notice
     Astryr the Seiber-Swynwraig (alexandria@mastodon.gamedev.place)'s status on Thursday, 30-May-2024 22:40:14 JST Astryr the Seiber-Swynwraig

     in reply to

     @goatsarah (u know this already but just in case - the chance of hepatotoxicity of cypro reduces as the dose lowers, while the anti-androgen effects actually increase with lower doses,)

     goatsarah likes this.
   • Embed this notice
     goatsarah (goatsarah@thegoatery.dyndns.org)'s status on Thursday, 30-May-2024 22:43:29 JST goatsarah

     in reply to

     • Astryr the Seiber-Swynwraig
     @alexandria This is good info. I was never on the stuff because I was able to get goserelin. My GP just prescribed it. Can you imagine that today?
   • Embed this notice
     goatsarah (goatsarah@thegoatery.dyndns.org)'s status on Thursday, 30-May-2024 23:14:28 JST goatsarah

     in reply to

     • Katie Fenn

     @katiefenn anyone wanting to know this stuff should find a trans woman who transitioned in the 2000s or 1990s and ask. We will at the very least provide signposting.

     Meanwhile I’ve got a lifetime ban from r/transgenderUK for simply stating that self medication happened. Wasn’t even advocating it. Just speaking about it existing is sufficient for other trans people to want to shut me up.

     Our social media used to have entire communities dedicated to it.

   • Embed this notice
     Katie Fenn (katiefenn@front-end.social)'s status on Thursday, 30-May-2024 23:14:29 JST Katie Fenn

     in reply to

     @goatsarah That said, I do agree that DIYing has been somewhat pushed underground. Having made the decision to switch to the NHS in the mid-2000s (I was transitioning at university and broke), I’ve always got my prescriptions from an NHS GP.

     I wouldn’t even know where to start with DIY, which is playing on my mind, I admit.

   • Embed this notice
     Katie Fenn (katiefenn@front-end.social)'s status on Thursday, 30-May-2024 23:14:30 JST Katie Fenn

     in reply to

     @goatsarah My feeling is that the Cass report has given politicians in the “centre ground”, the ones that we knew we couldn’t trust, a cover story to move away from supporting trans people on this. The Wes Streetings who were phoning in their allyship all along.

     I’d be happy to be corrected, but nobody who seriously campaigns for better trans healthcare is happy about the proposed ban, it’s the chancers who don’t stand for anything that have abandoned us.

     goatsarah likes this.
   • Embed this notice
     goatsarah (goatsarah@thegoatery.dyndns.org)'s status on Friday, 31-May-2024 00:41:05 JST goatsarah

     in reply to

     • blan©k.
     @sonyablanck 2016 was 8 years ago. A different world! There were TV programmes in which we were portrayed as human beings and everything.
   • Embed this notice
     blan©k. (sonyablanck@babka.social)'s status on Friday, 31-May-2024 00:41:06 JST blan©k.

     in reply to

     @goatsarah as recently as 2016 my trans ex was essentially compiling her own HRT regimen based on internet forums and WPATH

   • Embed this notice
     goatsarah (goatsarah@thegoatery.dyndns.org)'s status on Friday, 31-May-2024 10:45:14 JST goatsarah

     in reply to

     • Llwynog
     @llwynog Testosterone is a controlled substance. Makes things somewhat more complicated.
   • Embed this notice
     Llwynog (llwynog@eupolicy.social)'s status on Friday, 31-May-2024 10:45:15 JST Llwynog

     in reply to

     @goatsarah what about self-medding for trans men? Are there any options at all? I can't find much online.