Trans kids on puberty blockers maintain pretty stable bone density during a period when cis kids rapidly gain bone density. Researchers conclude "there was no significant change in [bone density]," further scans are not needed, and trans kids should have their own reference group https://twitter.com/will_malone/status/1148000551608750080 …
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This is just so *dishonest.* If there's evidence that puberty blockers reduce bone density relative to the gains expected, we should be figuring out whether kids catch up once they're either taken off of them or switched to hormones, whether the effect can be mitigated, etc.!
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I'm sure I look anti-trans to some folks when I post this stuff, but I'm just ALARMED by the extent to which it seems like some researchers/clinicians feel a greater loyalty to the *current* transition process than to scientific rigor or actual trans people, including KIDS.
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Follow up: a friend shared a press release from a professional medical org citing research showing that cross-sex hormones corrected bone density to normal or "near normal" measures. Seeing if she can get the paper/data, this is an important qualifier: https://www.endocrine.org/news-room/press-release-archives/2013/medical-intervention-in-transgender-adolescents-appears-to-be-safe-and-effective …
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I feel like this thread (esp. my replies re: fertility) might give the impression that I'm strongly against child transition. I actually have strong suspicions that chronic stress in childhood (inc. unmanaged dysphoria) is more harmful to lifelong health than we currently assume
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My worry is that these treatments are so politicized that it distorts the research environment & advocacy/education in favor of underplaying or dismissing risks/tradeoffs. I'm a big advocate of personal fertility awareness and the relative silence there is what first concerned me
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This isn't to say that I feel positioned to tell children or their families what they should do, that I've reached a stable perspective or even just have the info I'd need to do that. I just wish more of the information available, academic and popular, looked fully truth-seeking.
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I do feel sort of compelled to cap this off with a message I've put out in other contexts: if a kid tells you that they're consistently unhappy, that's a problem. It can be a tough problem, because the causes can be complex & quite stable, but it's not something to write off.
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Replying to @webdevMason
Dunno why docs in study giving sumptin like Lupron to F2M without T. Bones change and don’t mineralize as well in adulthood
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