Just your average Dionysian Girl
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TRANS WOMEN: HERE’S SOME SHIT YOUR DOCTOR WONT TELL YOU ABOUT HRT
1. Progesterone: not for everyone, but for many people it may increase sex drive and WILL make your boobs bigger. Also effects mood in ways that many find positive (but some find negative). Most doctors won’t prescribe this to you unless you ask. Most trans girls I know swear by it.
2. Injectible estrogen: is more effective than pill or patch form. Get on it if you can bear needles bc you will see more effects more quickly.
3. Estradiol Cypionate: There is currently a shortage of injectible estradiol valerate. There is no shortage of estradiol cypionate. Functionally they do the same shit.
4. Bicalutamide: This is an anti-androgen that has almost none of the side-effects of spironolactone or finasteride. The girls I know who are on it are evangelical about it.
Are there HRT medications that don’t increase blood clot risk? I’m already at risk because of my blood pressure, and my doctor won’t prescribe HRT that increases clot risk while I’m on the medication - and I may never not be on the medication.
Absolutely.
The concerns surrounding venous thromboembolic events as a side-effect of hormone replacement therapy can mostly be traced back to one particular study known as the Women’s Health Initiative. This study was an enormous undertaking which, unfortunately, demonstrated significant adverse effects of the hormone therapies studied. As a result of this the use of hormone replacement therapy in postmenopausal cis women was dramatically reduced as the medical community began to question whether or not the therapy caused more harm than good.
Naturally, trans women have been suffering from this fall-out ever since.
What physicians seem to fail to recognize is that the study examined a very specific hormone regimen which was, arguably, outmoded at the time the study was conducted: It examined the use of conjugated equine estrogen (Premarin) with or without the use of medroxyprogesterone acetate. Neither of these drugs is regularly used for the treatment of transgender women.
The estrogen most commonly used to treat transgender women nowadays is 17β-estradiol either in pill form or in the form of a sticky patch that you apply to your skin. Esters of estrogen (e.g. estradiol valerate) are also sometimes used either in a pill form or as an intramuscular injection.
Transdermal estradiol patches are the gold standard when it comes to treating women who are at high risk of a venous thromboembolic event. It simply does not increase the risk of developing a venous thromboembolism. The only thing you should keep in mind is that patches are not always well tolerated because of the lifestyle changes required to keep them from falling off and the fact that they tend to irritate the skin.
Fortunately, oral 17β-estradiol appears to be safe, regardless of the increased risk. At least one large study has shown that the use of oral estradiol in trans women is not associated with venous thromboembolic events. An individual woman’s risk would need to be substantial in order to contraindicate the use of oral estradiol.
For those who have significant risk of venous thromboembolism because they have had a previous thromboembolic event, because they are paralyzed, or because of some other factor it is good to know the relative risk between oral and transdermal estrogen. The latest research indicates that the use of transdermal estrogen lowers your risk of a thromboembolism to 80% of what your risk would be using oral estrogens.
It’s difficult to find hard numbers regarding the relative risk of venous thromboembolic events with regards to hypertension. The best I could find after an hour or so of searching was this study regarding VTE in lung cancer patients. Hypertension increased the risk by a factor of 1.8.
However, to put that into perspective being of African descent increases your relative risk for deep vein thrombosis by a factor of 1.3 when compared to Europeans. Europeans are, themselves, at increased risk when compared to Asians and Pacific Islanders by a considerable margin: a four-fold increase.
I should point out that being ‘male’ is also a risk factor for developing a thromboembolism and hormones are likely to be a contributing factor. Also, menopause is another serious risk factor. Given this information it is likely that the use of transdermal estradiol will lower your risk of thromboembolic events significantly.
As far as the anti-androgen is concerned: The primary use for spironolactone for cisgender people is as an antihypertensive.
Even if the risk of thromboembolism was truly significant with modern hormone replacement therapy it wouldn’t justify what your doctor is doing to you. The fact is that mortality in the transgender community from suicide–caused in part due to the lack of access to hormone therapy–is substantial. The quality of life lost when a trans woman is denied hormone therapy is substantial. The fact that your doctor does not appear to be taking this into consideration when they weigh the risk of thromboembolism against not receiving necessary medical care is deeply concerning.
I strongly recommend that you seek a doctor who is more sensitive to your medical needs as a transgender woman.
Edit: Fixed a minor, but embarrassing, error.
oh wow this is so helpful & good info
Everyone who cares about transfem people please reblog this
this was really fucking helpful
I know a lot of trans women dont have acess to information like this and its very helpful.
(via catboy-beb0p)
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Hello, Denizens of Tumblr!
At the suggestion of our beloved intern, we have expanded public relations to the Omninet. We hope this will help us foster a deeper relationship between the spacefarers that make our galaxy turn and the best-in-class equipment that makes it possible.
We look forward to hearing from you!
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My boyfriend is trying to explain cricket to me again. “He’s only got two balls to make 48 runs”, he says. The camera focuses on a man. Underneath him it says LEFT ARM FAST MEDIUM. A ball flies into the stands and presumably fractures someone’s skull. “There’s a free six”, my boyfriend says. 348 SIXES says the screen. A child in the audience waves a sign referencing Weet-Bix
The first time he showed me this I assumed he was pranking me
if people haven’t been exposed to cricket before, here is the experience. The person who likes cricket turns on a radio with an air of happy expectation. “We’ll just catch up with the cricket,” they say.
An elderly British man with an accent - you can picture exactly what he looks like and what he is wearing, somehow, and you know that he will explain the important concept of Yorkshire to you at length if you make eye contact - is saying “And w’ four snickets t’ wicket, Umbleby dives under the covers and romps home for a sticky bicket.”
There is a deep and satisfied silence. Weather happens over the radio. This lasts for three minutes.
A gentle young gentleman with an Indian accent, whose perfect and beautiful clear voice makes him sound like a poet sipping from a cup of honeyed drink always, says mildly “Of course we cannot forget that when Pakistan last had the biscuit under the covers, they were thrown out of bed. In 1957, I believe.”
You mouth “what the fucking fuck.”
A morally ambiguous villain from a superhero movie says off-microphone, “Crumbs everywhere.”
Apparently continuing a previous conversation, the villain asks, “Do seagulls eat tacos?”
“I’m sure someone will tell us eventually,” the poet says. His voice is so beautiful that it should be familiar; he should be the only announcer on the radio, the only reader of audiobooks.
The villain says with sudden interest, “Oh, a leg over straight and under the covers, Peterson and Singh are rumping along with a straight fine leg and good pumping action. Thanks to his powerful thighs, Peterson is an excellent legspinner, apart from being rude on Twitter.”
The man from Yorkshire roars potently, like a bull seeing another bull. There might be words in his roar, but otherwise it is primal and sizzling.
“That isn’t straight,” the poet says. “It’s silly.”
“What the fucking fuck,” you say out loud at this point.
“Shh,” says the person who likes cricket. They listen, tensely. Something in the distance makes a very small “thwack,” like a baby dropping an egg.
“Was that a doosra or a googly?” the villain asks.
“IT’S A WRONG ‘UN,” roars the Yorkshireman in his wrath. A powerful insult has been offered. They begin to scuffle.
“With that double doozy, Crumpet is baffled for three turns, Agarwal is deep in the biscuit tin and Padgett has gone to the shops undercover,” the poet says quickly, to cover the action while his companions are busy. The villain is being throttled, in a friendly companionable way.
An intern apparently brings a message scrawled on a scrap of paper like a courier sprinting across a battlefield. “Reddy has rolled a nat 20,” the poet says with barely contained excitement. “Australia is both a continent and an island. But we’re running out of time!”
“Is that true?” You ask suddenly.
“Shh!” Says the person who likes cricket. “It’s a test match.”
“About Australia.”
“We won’t know THAT until the third DAY.”
A distant “pock” noise. The sound of thirty people saying “tsk,” sorrowfully.
“And the baby’s dropped the egg. Four legs over or we’re done for, as long as it doesn’t rain.”
The villain might be dead? You begin to find yourself emotionally invested.
There are mild distant cheers. “Oh, and with twelve sticky wickets t’ over and t’ seagull’s exploded,” the man from the North says as if all of his dreams have come true. “What a beautiful day.” Your person who likes cricket relaxes. It is tea break.
The villain, apparently alive, describes the best hat in the audience as “like a funnel made of dove-colored net, but backwards, with flies trapped in it.”
This is every bit as good as that time in Australia in 1975, they all agree, drinking their tea and eating home-made cakes sent in by the fans. The poet comments favorably on the icing and sugar-preserved violets. The Yorkshire man discourses on the nature of sponge. The villain clatters his cup too hard on his saucer. To cover his embarrassment, the poet begins scrolling through Twitter on his phone, reading aloud the best memes in his enchanting milky voice. Then, with joy, he reads an @ from an ornithologist at the University of Reading: seagulls do eat tacos! A reference is cited; the poet reads it aloud. Everyone cheers.
You are honestly - against your will - kind of into it! but also: weirdly enraged.
“Was that … it?” you ask, deeming it safe to interrupt.
“No,” says the person who likes cricket, “This is second tea break on the first day. We won’t know where we really are until lunch tomorrow.”
And - because you cannot stop them - you have to accept this; if cricket teaches you anything, it is this gentle and radical acceptance.
I don’t have notes enabled in my tumblr activity so sometimes when I open the app it just shows me one of my own old posts (that’s gotten a note within the past 30 seconds) and then vanishes. Today it showed me the gracklesong cricket graphic.
(via vorpalrabbit)
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is there anyone out there with a nyt cooking subscription
will they send me the chamomile tea cake with strawberry icing recipe
This buttery, chamomile tea-scented loaf is a sweet pop symphony, the Abba of cakes. A pot of flowery, just-brewed chamomile isn’t required for drinking with slices of this tender loaf but is strongly recommended. In life and in food, you always need balance: A sip or two of the grassy, herbal tea between bites of this cake counters the sweetness, as do freeze-dried strawberries, which lend tartness and a naturally pink hue to the lemony glaze. This everyday loaf will keep on the counter for 3 to 4 days; be sure the cut side is always well wrapped.
Ingredients
Yield: One 9-inch loaf
½ cup/115 grams unsalted butter
2 tablespoons/6 grams chamomile tea (from 4 to 6 tea bags), crushed fine if coarse
1 cup/240 milliliters whole milk
Nonstick cooking spray
1 cup/200 grams granulated sugar
½ teaspoon coarse kosher salt
2 large eggs
1 large lemon
2 teaspoons baking powder
1 teaspoon pure vanilla extract
1½ cups/192 grams all-purpose flour
1 cup/124 grams confectioners’ sugar
½ cup/8 grams freeze-dried strawberriesPreparation
Step 1
In a small saucepan, melt the butter over medium heat. Add 1 tablespoon chamomile to a large mixing bowl. Pour the hot melted butter over the chamomile and stir. Set aside to steep and cool completely, about 1 hour.
Step 2
Use the same saucepan (without washing it out) to bring the milk to a simmer over medium-high heat, keeping watch so it doesn’t boil over. Remove from the heat, and stir the remaining 1 tablespoon chamomile into the hot milk. Set aside to steep and cool completely, about 1 hour.
Step 3
Heat oven to 350 degrees. Grease a 9-by-5-inch loaf pan with the nonstick cooking spray and line with parchment paper so the long sides of the pan have a couple of inches of overhang to make lifting the finished cake out easier.
Step 4
Add the sugar and salt to the bowl with the butter, and whisk until smooth and thick, about 1 minute. Add the eggs, 1 at a time, vigorously whisking to combine after each addition. Zest the lemon into the bowl; add the baking powder and vanilla, and whisk until incorporated. Add the flour and stream in the milk mixture while whisking continuously until no streaks of flour remain.
Step 5
Transfer the batter to the prepared pan and bake until a skewer or cake tester inserted in the center comes out clean (a few crumbs are OK, but you should see no wet batter), 40 to 45 minutes. Cool in the pan on a rack for 30 minutes.
Step 6
While the cake cools, make the icing: Into a medium bowl, squeeze 2 tablespoons juice from the zested lemon, then add the confectioners’ sugar. Place the dehydrated strawberries in a fine-mesh sieve set over the bowl and, using your fingers, crush the brittle berries and press the red-pink powder through the sieve and into the sugar. (The more you do this, the redder your icing will be.) Whisk until smooth.
Step 7
If needed, run a knife along the edges of the cake to release it from the pan. Holding the 2 sides of overhanging parchment, lift the cake out and place it on a plate, cake stand or cutting board. Discard the parchment. Pour the icing over the cake, using a spoon to push the icing to the edges of the cake to encourage the icing to drip down the sides dramatically. Cool the cake completely and let the icing set.We out here torrenting recipes now? Reblog
(via inneskeeper)
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i made your favorite dish. i made you something you’ve never tried before. i love you. i spent twenty minutes chopping. my grandmother made this for me when i was little. i made this dairy free for you. i love you. i want to eat together. the onions made me cry. i love you. i learned this recipe for you. i love you. i made this special for your birthday. i love you. i know you don’t like peppers. i love you. i love you. i love you.
(via dee-the-red-witch)
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I have begun to very much enjoy drawing mechs. I have Lancer on the brain pretty bad
(via dragonkid11)
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