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TOMORROW IS HALLOWEEN!!!

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Fun story. When I was actively being stalked (both online and IRL), I contacted the police exactly one time. I showed them the physical notes that had been left under the wiper blade on my car after I blocked the man on social media. I showed them the previous Facebook messages this man had sent me that described, in detail, what he wanted to do to me.

The police said they couldn’t help me because the man had not actually physically done any of those things to me. He’d just talked about his desires. They even made excuses for him. He’s awkward. He’s lonely. You’re pretty. It’s a compliment.

So friendly reminder that when a man with a record and weapons makes verbal/written threats against a woman, there’s nothing police can do.

But when a frustrated woman being denied medical coverage with no record and no weapons makes a “verbal threat” against a corporation, she’s arrested immediately.

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Can i buy the vowel? The letter e

****** *** ****** *e *** ***e ***e ** *e *** ***** ** ***** ***eee

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that time of year again

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Hey. People in my inbox saying you relate with intersex experiences because you were put on hormones as a kid for a hormonal condition.

Perisex people aren't put on hormones as children for a hormonal condition. You are intersex. You've been told your intersex traits are a disorder and you have been deprived of your community. I encourage you to learn more about the intersex community and participate if you'd like to. This community saved me.

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you can lead a jeff to killer but you can't make it the

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i love you visible brushstrokes. i love you glue warped scrapbook pages. i love you awkward poems. i love you junk journal with faded receipts. i love you poorly composed journal layout. I love you unintentionally blurry photographs. i love you asymmetrical beading. i love you curling freeform crochet. i love you fingerprints on pottery. i love you reused materials. i love you improvised instruments. i love you mistakes. i love you bravery to make it anyway. i love you creativity that hasn't been wiped clean of every drop of humanity and sanitized and commodified.

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Hey girl is that a cello in your pocket or did Lil Yachty misremember your penis

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A lot of younger people have no idea what aging actually looks and feels like, and the reasons behind it. That ignorance is so dangerous. If you don’t want to “be old,” you aren’t talking about a number of years. I have patients in their late 80s who could still handily beat me in a race—one couple still runs marathons together, in their late 80s—and I lost someone who was in her early 60s to COPD last year. What you want is not youth, it is health.

If you want to still be able to enjoy doing things in your 60s and 70s and 80s and even 90s, what you want to do, right now, is quit smoking, get some activity on a regular basis (a couple of walks a week is WAY better for you than nothing; increasing from 1 hour a day of cardio to 1.5 will buy you very little), and eat some plants. That’s it. No magic to it. No secret weird tricks. Don’t poison yourself, move around so your body doesn’t forget how, and eat plants.

If you have trouble moving around now because of mobility limitations, bad news: you still need to move around, not because it’s immoral not to, but because that’s still the best advice we have. I highly recommend looking up the Sit and Be Fit series; it is freely available and has exercises that can be done in a chair, which are suitable for people with limited mobility or poor balance. POTS sufferers, I’m looking at you.

If you have trouble eating plants because of dietary issues (they cause gas, etc.) or just because they’re bitter (super taster with texture issues here!), bad news. You still want to find a way to get some plants into your body on a regular basis. I know. It sucks. The only way I can do it is restaurants—they can make salads taste like food. I can also tolerate some bagged salads. On bad weeks, the OCD with contamination focus gets so bad I just can’t. However, canned beans always seem “safe,” and they taste a bit like candy, so they’re a good fallback.

If you smoke and you have tried quitting a million times and you’re just not ready to, bad news. You still need to quit. Your body needs you to try and keep trying. Your brain needs it, too. Damaging small blood vessels racks up cumulative damage over time that your body can start trying to reverse as soon as you quit. I know it’s insanely, absurdly addictive. You still need to.

You cannot rules lawyer your way past your body’s basic needs. It needs food, sleep, activity, and the absence of poison. Those are both small things and big asks. You cannot sustain a routine based on punishment, so don’t punish your body. Find ways to include these things that are enjoyable and rewarding instead. Experiment. There is no reason not to experiment—you don’t have to know instantly what’s going to work for you and what won’t, you just need to be willing to try things and make changes when things aren’t working for you.

You will still age. Your body will stop making collagen and elastin. Tissues you can see and tissues you can’t see will both sag. Cushioning tissues under your skin will get thinner. You’ll bruise more easily. Skin will tear more easily. Accumulated sun damage will start to show more and more. Joints will begin to show arthritis. Tendons and ligaments will get weaker and get injured more easily, as will muscles. Bones will lose mass and get easier to break. You’ll get tired more easily.

But you know what makes the difference between being dead, or as good as, in your 60s vs your 90s? Activity, plants, and quitting smoking. And don’t do meth. Saw a 58-year-old guy this week who is going to have a heart attack if he doesn’t quit whatever stimulant he’s on. I pretended to believe it was just the cigarettes, and maybe it is, but meth and cocaine will kill you quicker. Stop poisoning yourself.

Baby steps; take it one step at a time; you don’t need to have everything figured out right now. But you do need to be working on figuring things out.

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So today I want to talk about puberty blockers for transgender kids, because despite being cisgender, this is a subject I’m actually well-versed in. Specifically, I want to talk about how far backwards things have gone.

This story starts almost 20 years ago, and it’s kind of long, but I think it’s important to give you the full history. At the time, I was working as an administrative assistant for a pediatric endocrinologist in a red state. Not a deep deep red state like Alabama, we had a little bit of a purple trend, but still very much red. (I don’t want to say the state at the risk of doxxing myself.) And I took a phone call from a woman who said, “My son is transgender. Does your doctor do hormone therapy?”

I said, “Good question! Let me find out.”

I went into the back and found the doctor playing Solitaire on his computer and said, “Do you do hormone therapy for transgender kids?” It had literally never come up before. He had opened his practice there in the early 2000s. This was roughly 2006, and the first time someone asked. Without looking up from his game of Solitaire, the doctor said, “I’ve never done it before, but I know how it works, so sure.”

I got back on the phone and told the mom, who was overjoyed, and scheduled an appointment for her son. He was the first transgender child we treated with puberty blockers. But not, by far, the first child we treated with puberty blockers, period. Because puberty blockers are used very commonly for children with precocious puberty (early-onset puberty). I would say about twenty percent of the kids our doctor treated were for precocious puberty and were on puberty blockers. They have been well studied and are widely used, safe, and effective.

Well. It turned out, the doctor I worked for was the only doctor in the state who was willing to do this. And word spread pretty fast in the tight-knit community of ‘parents of transgender children in a red state’. We started seeing more kids. A better drug came out. We saw some kids who were at the age where they were past puberty, and prescribed them estrogen or testosterone. Our doctor became, I’m fairly sure, a small folk hero to this community. 

Insurance coverage was a struggle. I remember copying articles and pages out of the Endocrine Society Manual to submit with prior authorization requests for the medications. Insurance coverage was a struggle for a lot of what we did, though. Growth hormone for kids with severe idiopathic short stature. Insulin pumps, which weren’t as common at the time, and then continuous glucose monitoring, when that came out. Insurance struggles were just part and parcel of the job.

I remember vividly when CVS Caremark, a pharmaceutical management company, changed their criteria and included gender dysphoria as a covered diagnosis for puberty blockers. I thought they had put the option on the questionnaire to trigger an automatic denial. But no - it triggered an approval. Medicaid started to cover it. I got so good at getting approvals with my by then tidy packet of articles and documentation that I actually had people in other states calling me to see what I was submitting (the pharmaceutical rep gave them my number because they wanted more people on their drug, which, shady, but sure. He did ask me if it was okay first).

And here’s the key point of this story:

At no point, during any of this, did it ever even occur to any of us that we might have to worry about whether or not what we were doing was legal.

It just never even came up. It was the medically recommended treatment so we did it. And seeing what’s happening in the UK and certain states in America is both terrifying and genuinely shocking to me, as someone who did this for almost fifteen years, without ever even wondering about the legality of it.

The doctor retired some years ago, at which point there were two other doctors in the state who were willing to prescribe the medications for transgender kids. I truly think that he would still be working if nobody else had been willing to take those kids on as patients. He was, by the way, a white cisgender heterosexual Boomer. I remember when he was introduced to the concept of ‘genderfluid’ because one of our patients on HRT wanted to go off. He said ‘that’s so interesting!’ and immediately went to Google to learn more about it. 

I watched these kids transform. I saw them come into the office the first time, sometimes anxious and uncertain, sometimes sullen and angry. I saw them come in the subsequent times, once they were on hormone therapy, how they gradually became happy and confident in themselves. I saw the smiles on their faces when I gave them a gender marker letter for the DMV. I heard them cheer when I called to tell them I’d gotten HRT approved by insurance and we were calling in a prescription. It was honestly amazing and I will always consider the work I did in that red state with those kids to be something I am incredibly proud of. I was honored to be a part of it.

When I see all this transgender backlash, it’s horrifying, because it was well on the way to become standard and accepted treatment. Insurances started to cover it. Other doctors were learning to prescribe it. And now … it’s fucking illegal? Like what the actual fuck. We have gone so far backwards that it makes me want to cry. I don’t know how to stop this slide. But I wrote this so people would understand exactly how steep the slide is.

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i better see the same fucking energy from leftists as when that black boy had his locs forcibly cut off at a ball game or when native american boys have their hair forcibly cut off. this is assault and a race based hate crime.

broadway barber shop in fair lawn, NJ, btw. i hope the mom lawyers up and starts a gfm for it.

https://vinnews.com/2024/12/11/hate-in-fairlawn-barber-intentionally-chops-off-orthodox-jewish-boys-peyos/

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you guys made luigi mangione trend for days and I need to see the same energy for brianna boston. she is a 43 year old mother of three who ended a phone call with blue cross blue shield (after being denied a claim) “delay deny depose, you people are next” and is now being held under a 100,000$ bond and could face FIFTEEN years of prison if charged. she has no weapons, her record is clean, and yet she is being held behind bars. they are afraid of the public and are trying to subdue. do not let them!!!! be outraged that our freedom of speech is being threatened!!!!! deny defend depose! free brianna boston!

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Apropos of (almost) nothing: I'm the kind of pedant who dislikes calling tentacle porn "tentacle porn" not because I think it's aberrant but because, 98% of the time, what's being depicted are octoform arms or tendrils, not tentacles. Tentacles are defined by the clubbed ends, which are the only part that have suckers. If it's tapered and has suckers all the way down, it's an octoform arm; if it has no suckers at all, it's a tendril.

You're welcome.

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why are yall not talking about the information yall don’t know? yall fake