1. Medicines produce effects
Patient leaflets list some effects as beneficial effects & some as side effects

E.g. semiglutude was originally developed to amplify the insulin response in diabetics

Originally, listed as a side effect is that it makes you feel …
2. … full more quickly when eating, & so you tend to less, & you may lose weight

Now semiglutude is listed as having the beneficial effect of losing weight, & a side effect can be ‘low blood sugars’ as it improves your insulin production but you are not diabetic …
3. … Similarly Oestrogen is listed as relieving menopausal symptoms, vaginal atrophy, prevention of osteoporosis.

Th side effects if taken by male bodied people are described as decreased libido, erectile dysfunction, reduced ejaculation, body fat redistribution, softer …
4. … skin, & less muscle mass; in other words, the effects sought by Trans women - which to them are beneficial

Similarly the side effects of Testosterone if taken by female bodied people are the beneficial effects Trans men are seeking;
voice deepening, hirsutism …
5. … including beard growth, increased muscle mass, cessation of menstruation & clitoral enlargement.

Because a medicine may produce effects you don’t want, that does not make those effects necessarily dangerous.

They instead become medicines that are beneficial for …
6. … another group of patients.

Testosterone gives TM strong bones, a beard, a deep voice, hirsutism, gained muscle mass & an increased libido

None of that is negative to to TM, in fact they are the desired effects

Making value judgments based upon stereotypes …
7. … as to what a woman or man ‘should’ look like in your world, completely misses the point of the hormone treatments of TP

Furthermore, GPs are perfectly capable of reading about all the effects of such treatments in TP.

Ordinary GPs can safely prescribe oestrogen …
8. … to TW, or testosterone to a TM

It isn’t Rocket Science - I know you would prefer if it was, but it is exactly what it says on the box only the other way round

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More from @stephenwhittle

Dec 5
1. Growth in numbers of TP (of all ages) started much earlier, 1996 to be precise

That growth in numbers has gradually slowed in the last 4 years, now being replacement rate

The first factor in growth was visibility - people could see others who felt as they did. …
2. Second is the change in parental attitudes. They are more open to listening & letting teens be their own people
Third is the change in rights - no longer being refused employment or college place/ or facing instant dismissal if found to be trans
Fourth society’s acceptance …
3. … of TP as co-workers, as parents at the playground gates, as neighbours has enabled a larger feeling of personal safety

The growth in numbers with a later steadying of numbers was expected.

That that growth would eventually steady off was also expected

Figures from …
Read 6 tweets
Nov 15
1. 1971 GnRH agonists (PBs) discovered

1982 first used to lower sex hormones when treating hormone-sensitive cancers eg prostate & breast cancer. Still the most significant use of GnRH agonists

Mid-1980s were trialed to stop precocious puberty in kids age 0 to 11. This …
2. … is still the 2nd most common use of PBs

1990 Netherlands Utrecht GI clinic first used to pause puberty in trans youth.
TY must be
- at serious risk of significant self harm.
- have long term gender incongruence,
- supportive school, parents, & peers
3. 2000 NHS GIDS first prescribes to pause puberty in gender incongruent young people

According to Cass by 2021 GIDS had seen 9000 young people

By 2021, according to evidence submitted o the appeal court in Bell v GIDS, the NHS Prescribed PBs to 8% of the..,
Read 6 tweets
Nov 8
1. I agree.

All gender clinics can do is offer detrans services on the same basis as trans services, which ATM are not good, but nowadays all gender clinics do provide detrans services

Re complaints of lack of follow up:

(a) Until 2000s most NHS services just wanted TP …
2. … out the door

Underfunding & lack of research funding, & anti-trans attitudes meant TP were a Clnician’s sole responsibility. Once treatment/surgery provided it was ‘goodbye’ as quickly as possible

(b) research has no benefit to Hormone manufacturers, They already have …
3. … a big market for products. TP are a tiny sideline, & previous research means they already know the side effects, which as it turns out are exactly the effects TP require.

(c) as a researcher in the field, funding was (& still largely is) non-existent. …
Read 13 tweets
Nov 5
1. You accused me of living a “segregationist lifestyles & go to pricey schools, deliberately getting as far away from the poor as they can get

How could they know the issues important to working/poor ppl, if they NEVER associate w/us?“ …
2. Am I not allowed to speak in my defence?

Despite constant prejudice, discrimination & hate crime victimisation, I have done my level best to live a decent life.

I have pursued public service as my employment, and throughout the rest of my life as a volunteer. …
3. You have judged every part of my life, falsely without evidence

I went to a public school being 1 of 30 children who achieved high enough grades in the 11+ exam to be given a full scholarship place

My mother sent me there to save me being suffocated by my 2 older sisters …
Read 8 tweets
Nov 5
Long 🧵👇🏼
1/18. Internally revealed” makes it sound like a spiritual experience, as in the revealing of God, Christ or Faith

I have never had faith, but I did wonder why, if those exist, they were not revealed to my mother, who died in terror having never received faith. …
2. Of course I know why, & it is that those things are fanciful myths revealed, if at all, & experienced as ‘real’ through spiritual experiences as described so well by William Temple

I understand why some trans people will talk of a revealing of an inner essence - the …
3. … language of spiritual revelation serves well to explain the otherwise inexplicable

Other trans people , such as Jan Morris, use the trope of travel from one experience of, or place, life to another

Others will talk of a ‘break through’ experience, such as a …
Read 18 tweets
Nov 4
Newnham college is allowed to decide, whether, how, when, where & to whom it provides its educational services

University Education does not meet the EqAct’s requirements that define a single or seperate sex service

To be able to claim to b single sex service The EqAct …
2. … requires one of the following conditions be met:

a. that only persons of that sex have need of the service

b. the service is also provided jointly for persons of both sexes, and
the service would be insufficiently effective were it only to be provided jointly. …
3. c. a joint service for persons of both sexes would be less effective, & the extent to which the service is required by persons of each sex makes it not reasonably practicable to provide separate services

d. the service is provided for, or is likely to be used by, two or ….
Read 6 tweets

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