Anonymous #1 4w

There’s a lot more research than people act like there is I promise, unfortunately though your question is individual and can’t be answered from mass research. It depends how long you’ve been on it and what your blood tests say rn.

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Anonymous #2 4w

And half the time they don’t even do that 😂 A doctor told my friend he shouldn’t get on testosterone because he has diabetes mind you testosterone is actively being used as a research backed treatment for type 2 diabetes

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Anonymous #1 3w

https : / / transfemscience . org / articles / transfem - intro /

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Anonymous #4 3w

it’s true that doctors will often misinform you based on transphobic bias / overstate potential harm as a form of gatekeeping—I do ofc agree with the “do your own research” part. but it’s also true that HRT can worsen several kinds of specific health issues in ways that may at first seem made up or counterintuitive

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Anonymous OP 3w

I also recommend ensuring that the population being compared to is the general rates of the gender the individual is transitioning to. Many risk factors outlined in research (though important to emphasize anyway) are the same risks as the average person born with those hormones.

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Anonymous OP 3w

ah, I definitely should’ve checked the citation on the claim I shared, my bad. it looks like the increase in LDL-cholesterol isn’t well-supported. a more recent study does however confirm that taking T tends to decrease HDL-cholesterol and can increase triglyceride levels by up to 37% https://www.sciencedirect.com/science/article/abs/pii/S1933287422003294

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Anonymous #4 3w

This is where the second comment comes into play, though important to emphasize for your client’s health considerations, it’s also important to compare rates to the general population of cis people with similar hormone levels. The increase in triglyceride levels goes from the typical range for cis females to the typical range for cis males. It’s similar to the cardiovascular health issues on testosterone where the risk does increase but at a level that is also true if you were born male.

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Anonymous #4 3w

It is also important to mention risks and benefits at the same time, if you are doing one its even more important to do the other https://pmc.ncbi.nlm.nih.gov/articles/PMC10037582/ https://www.thelancet.com/journals/landia/article/PIIS2213-8587(20)30367-3/abstract

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Anonymous #4 3w

The ideal research obviously would be on transgender individuals who already have diabetes measuring a variety of related factors and remission rates but since we do not have that research it’s misleading and inaccurate for doctors to be calling testosterone unsafe for transgender individuals with diabetes.

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Anonymous #4 3w

(thank you so much for the conversation everything being brought up is very important and helpful)

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Anonymous OP 3w

the comparison re: cis people’s baselines according to gender is very often relevant, but the bottom line here is that if you’re already dealing with t2 diabetes, you have reason to want to carefully avoid increased risk of cardiovascular issues. higher triglycerides and lower HDL-cholesterol exacerbate that risk. so if a diabetic trans man is wary of starting T for this reason, that’s perfectly sensible

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Anonymous #4 3w

Boooo strawman

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Anonymous OP 3w

the second link isn’t loading for me, I’ll have to circle back and try again. probably just an issue with how my phone copies links from screenshots. but for the first link, I don’t trust research based exclusively on cis men to be applicable wrt trans men’s health on HRT. I agree that it would be wrong for a doctor to gatekeep T access based on the available data! I’m just saying that people who aren’t comfortable starting HRT due to their existing health issues aren’t all simply being misled

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Anonymous OP 3w

??? trans men with t2 diabetes exist, I am one of them

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Anonymous #4 3w

Okay hell yeah, I was never talking about trans men concerned about their own triglyceride levels so it came off as an intentional strawman

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Anonymous OP 3w

that was a weirdly bad faith dismissal on your part when I explicitly stated in my first reply chain that 1) I agree doctors can misinform us for transphobic reasons and 2) I was merely arguing that some of us have reason to be concerned about potential health consequences in the future, avoid jumping to the conclusion that someone’s posing a strawman just bc they highlight issues faced by a particular chronically ill demographic

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Anonymous #4 3w

“but the bottom line here is” implies your following statement retorts something I said. Im glad you clarified, it was bad phrasing, that’s fine, pretending I don’t want people with diabetes to care about research when I was the one that brought it up is absolutely insane be decent. Goodbye

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