Benjamin Ryan Profile picture
Oct 28 6 tweets 3 min read Read on X
Because Harvard Law School clinical instructor Alejandra Caraballo @Esqueer_ can't defend the falsehoods she utters when I fact check them, she instead resorts to ad hominem attacks. Her go-to smears of me are that I am creepy, obsessive and a pervert. These are not the claims of a serious person.Image
The reason I fact check Harvard Law School clinical instructor and activist Alejandra Caraballo is because she has a wide platform and the falsehoods she tells about pediatric gender medicine have an impact. She was centrally responsible for spreading the false claim that the Cass Review discarded all non-randomized controlled trials. Hilary Cass later denounced the misinformation that she and Mallory Moore spread and said it was harming children.Image
Reporters are by their nature dogged. Harvard Law School clinical instructor and activist Alejandra Caraballo @esqueer_ is a public figure in the area I cover for my work. Her public statements are fair game for fact checking, and I will continue to correct her false claims. Image
Here Harvard Law School clinical instructor and activist Alejandra Caraballo @Esqueer_ complains that I use an alt account to screenshot her tweets in a tweet thread in which she had used her alt account to screenshot my tweets. She makes reference to the fact checking of the false claims that Erin Reed and Ari Drennen made in the spring.

And she repeats the false claim that the reason why I fact check the falsehoods she utters is because I have a sexual fixation on her. I can assure you this is false.Image
I presume that one of the reasons Alejandra Caraballo @Esqueer_ tries every trick in her book to scare me off, as she has unsuccessfully for two years, is because she now knows that she cannot make false claims about pediatric gender medicine on X without my correcting her.
In April, Alejandra Caraballo, Erin Reed and Ari Drennen all announced one day that I was "obsessive" and "creepy" and counted the number of times I mentioned Caraballo on X. It was a lot. Because the Cass Review came out April 9, and I soon made a pledge to myself to fact check every single false claim Caraballo @Esqueer_ made about the review. There was a flood of material. To hear Caraballo tell it, I am the one in this equation with something to answer for.

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More from @benryanwriter

Oct 25
The use of puberty blockers for precocious puberty was not sold by the medical establishment as having a mental health benefit.

The drugs' use for pediatric gender dysphoria was sold as having a mental health benefit. This pitch helped spawn an entire global medical field.Image
This is the 2011 Dutch study that helped spawn the global pediatric gender medicine field, given its findings that puberty blockers for gender dysphoric minors were tied to mental health benefits: "Behavioral and emotional problems and depressive symptoms decreased, while general functioning improved significantly during puberty suppression."
It found: "pubmed.ncbi.nlm.nih.gov/20646177/Image
Inspired by the 2011 Dutch study, clinicians at the newly launched UK pediatric gender clinic, GIDS, sought to replicate its findings. They failed. Puberty blockers were not tied to a mental health benefit in their study. So they hid their findings for years until Oxford's Michael Biggs rooted them out and the GIDS team was compelled to publish.
Read 11 tweets
Oct 24
The Global Pediatric Medicine Field Has a Clear Habit Of Hiding—And Discouraging—Inconvenient Research Findings
🧵I report: What NYT reported about Johanna Olson-Kennedy sitting on her null findings on puberty blockers is but one such story in a field in which many researchers prioritize the mission over honest science.Image
LINK: The Global Pediatric Medicine Field Has a Clear Habit Of Hiding—And Discouraging—Inconvenient Research Findings
benryan.substack.com/p/the-global-p…Image
Some of the biggest names in the pediatric gender medicine field are part of an entrenched global trend in which they prioritize the transgender advocacy mission over honest and direct science. They hide inconvenient research findings. And they seek to prevent other researchers from even asking questions that might yield inconvenient answers. Supporting them is a cabal of activists and LGBTQ nonprofits standing at the ready to bully and cancel any scientists or journalists who might bring to light any of the more questionable aspects of pediatric gender medicine.
READ MORE: benryan.substack.com/p/the-global-p…Image
Read 20 tweets
Oct 23
NEWS: U.S. Study on Puberty Blockers Goes Unpublished Because of Politics, Doctor Says
The leader of the long-running study said that the drugs did not improve mental health in children with gender distress and that the finding might be weaponized by opponents of the care.

An influential doctor and advocate of adolescent gender treatments said she had not published a long-awaited study of puberty-blocking drugs because of the charged American political environment.

The doctor, Johanna Olson-Kennedy, began the study in 2015 as part of a broader, multimillion-dollar federal project on transgender youth. She and colleagues recruited 95 children from across the country and gave them puberty blockers, which sthttps://www.nytimes.com/2024/10/23/science/puberty-blockers-olson-kennedy.htmlave off the permanent physical changes — like breasts or a deepening voice — that could exacerbate their gender distress, known as dysphoria.

The researchers followed the children for two years to see if the treatments improved their mental health. An older Dutch study had found that puberty blockers improved well-being, results that inspired clinics around the world to regularly prescribe the medications as part of what is now called gender-affirming care.

But the American trial did not find a similar trend, Dr. Olson-Kennedy said in a wide-ranging interview. Puberty blockers did not lead to mental health improvements, she said, most likely because the children were already doing well when the study began.Image
“They’re in really good shape when they come in, and they’re in really good shape after two years,” said Dr. Olson-Kennedy, who runs the country’s largest youth gender clinic at the Children’s Hospital of Los Angeles.

That conclusion seemed to contradict an earlier description of the group, in which Dr. Olson-Kennedy and her colleagues noted that one quarter of the adolescents were depressed or suicidal before treatment.

In the nine years since the study was funded by the National Institutes of Health, and as medical care for this small group of adolescents became a searing issue in American politics, Dr. Olson-Kennedy’s team has not published the data. Asked why, she said the findings might fuel the kind of political attacks that have led to bans of the youth gender treatments in more than 20 states, one of which will soon be considered by the Supreme Court.

“I do not want our work to be weaponized,” she said. “It has to be exactly on point, clear and concise. And that takes time.” nytimes.com/2024/10/23/sci…Image
Read 9 tweets
Oct 19
Pain, confusion and compassion: How the US has reached a trans ‘tipping point’
I report for @NYPost. See the🧵⬇️Image
LINK: Pain, confusion and compassion: How the US has reached a trans ‘tipping point’
I report for @NYPost: 🧵⬇️
nypost.com/2024/10/19/us-…
🧵The past three years have been painful for transgender-identified young people. Republicans have blanketed the nation with bans on gender-transition treatments for minors, often pairing them with restrictions on trans bathroom access and sports participation. The latter has become of national interest as athletes like Lia Thomas and @Riley_Gaines_ battle for each side in public.

These laws have descended many families into crisis and even drove some to flee to bluer states.

The years to come are expected to bring more turmoil for these vulnerable youths as the walls close in on pediatric gender medicine, I report for @NYPost: nypost.com/2024/10/19/us-…Image
Read 20 tweets
Oct 17
BREAKING: The State of Texas has sued Dr. May C Lau, a pediatrician at UT Southwestern for allegedly prescribing testosterone to at least 21 natal girls under the age of 18 contrary to state law.

🧵The stage alleges Dr. Lau "has engaged in deceptive trade practices, including by misleading pharmacies, insurance providers, and/or patients by falsifying medical records, prescriptions, and billing records to represent that her testosterone prescriptions are for something other than transitioning a child’s biological sex or affirming a child’s belief that their gender identity is inconsistent with their biological sex."Image
Image
The state of Texas alleges that since the state's ban of pediatric gender-transition treatment went into effect, Dr. May C. Lau, "has violated the law by providing, prescribing, administering, or dispensing testosterone to minor patients for the purposes of transitioning their biological sex or affirming their belief that their gender identity is inconsistent with their biological sex."

Dr. Lau is a pediatrician at University of Texas Southwestern Medical Center (“UT Southwestern”) in Dallas, Texas, who holds hospital privileges at Childrens Medical Center Dallas and Children’s Medical Center Plano.
texasattorneygeneral.gov/sites/default/…Image
The state of Texas alleges that Dr. May C. Lau, a pediatrician at UT Southwestern,
"has in the course of trade and commerce engaged in false, misleading, and deceptive acts and practices declared unlawful in violation of" state law.

"Lau deceptively misleads pharmacies, insurance providers, and/or the patients by falsifying patient medical records, prescriptions, and billing records to indicate that the use of puberty blockers for minor patients are for something other than transitioning their biological sex or affirming their belief that their gender identity is inconsistent with their biological sex," the state alleges. texasattorneygeneral.gov/sites/default/…Image
Image
Read 4 tweets
Oct 16
🧵Minors cannot consent to receiving puberty blockers and cross-sex hormones, which pose the risk of rendering them infertile and with lifelong sexual dysfunction. They are too young to be able to predict their future fertility desires or even to know how an orgasm feels and to be able to weigh those future needs against their desire to treat their current gender dysphoria. Only their parents or guardians may consent on their behalf. Therefore adults must decide on behalf of children whether the presumed benefits of this treatment outweigh the risks, known and unknown. These decisions must be made even with an evidence base that can provide no clear conclusions as to the actual benefits of treatment, according to a half-dozen systematic literature reviews—the gold standard of scientific evidence. Also, the one study that directly assessed whether these treatments were tied to a difference in the suicide death rate found they were not. Therefore the claim that the treatments are a matter of life and death is not evidence-based. @KristopherWells makes such a claim despite being an academic who is well versed in evidence-based-medicine principles. @tylerblack32Image
Here is Marci Bowers, the president of @WPATH, describing how natal males with gender dysphoria who under go pubertal suppression and estrogen treatment have no sexual function whatsoever. This child was going in for a vaginoplasty and didn’t even know what an orgasm was. alabamaag.gov/wp-content/upl…Image
Tyler Black, however, says that “Parents do not have absolute rights” when their kid wants gender-transition treatment. He dismisses various qualms about such treatment, such as the fact that its efficacy is unknown. And he makes a false comparison to cancer care, neglecting to note that absent treatment, cancer is typically certifiably fatal; whereas the same cannot be said about pediatric gender dysphoria. There is considerable evidence, in fact, that most minors with GD will grow out of it. Also, cancer surgery, such as an orchiectomy (testicular cancer does occur in teenage boys), removes a part of the body that is diseased. Gender-transition surgery removes a healthy part of the body that might have been used for a specific purpose if left in place (eg: sexual reproduction, breastfeeding). Lastly, saying that “Parents do not have the right to do whatever they want to kids” is moot when parents are arguing *against* doing something to their child and *for* leaving their child’s body alone to experience its own endogenous puberty.Image
Read 8 tweets

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