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This article is from last year but since I posted about detransitioners earlier this week I think this is relevant
Testosterone Therapy in a Transgender Male Patient as a cause of Acute Ischemic Stroke (P2-5.011)
Christina Tan, Lauren Kim Sing, Ron Danziger, Alex Aw, Chae Kim, Stephen Avila, Vilakshan Alambyan, Angud Mehdi, Michael Gezalian, Maranatha Ayodele, and Shahed ToossiAuthors Info & Affiliations
April 25, 2023 issue
Objective:
To share an intriguing case of a young transgender male patient receiving testosterone therapy who developed locked-in syndrome due to an acute ischemic stroke and to highlight potential risk factors for stroke in the LGBTQI+ community
Background:
There are many studies identifying risk factors for stroke in racially and ethnically diverse populations. However, there is little existing data for stroke risk factors in the LGBTQI+ community. Prior research has shown testosterone therapy in cis-gender men with initially low levels of testosterone increases the risk of stroke, especially in the first 2 years of use1. While testosterone therapy has been shown to increase the risk of venous thrombosis, its role in arterial thrombosis is unclear2. A proposed mechanism for thrombosis with testosterone replacement includes erythrocytosis, but the potential contribution of an independent pro-coagulant effect is yet to be determined3.
Design/Methods:
Literature review and case report.
Results:
An otherwise healthy 23-year-old transgender male on one year of testosterone therapy presented in an obtunded state. Examination revealed complete quadriplegia with sparing of vertical eye movements, consistent with locked-in syndrome. Imaging revealed complete occlusion of the basilar artery with distal reconstitution at the superior cerebellar arteries, and a large bilateral ischemic infarct of the pons. Computed tomography angiography did not demonstrate other large vessel disease or structural vascular abnormalities. Unfortunately, the patient was out of the time window for any acute stroke interventions. A hypercoagulable workup was performed but results were unrevealing and hematocrit was normal. Further investigation with transthoracic echocardiogram, transesophageal echocardiogram, and telemetry were negative for thrombus, patent foramen ovale, and atrial fibrillation.
Conclusions:
Acute ischemic stroke may be an under recognized complication of testosterone therapy in transgender males independent of degree of erythrocytosis. Further research is needed to establish a safety profile of testosterone therapy in this understudied population.
Disclosure: Dr. Tan has nothing to disclose. Mrs. Kim Sing has nothing to disclose. Dr. Danziger has nothing to disclose. Mr. AW has nothing to disclose. Dr. Kim has nothing to disclose. Dr. Avila has nothing to disclose. Dr. Alambyan has stock in Teleflex. Dr. Alambyan has stock in Natera. Dr. Alambyan has stock in Labcorp. Dr. Alambyan has stock in Veracyte. Dr. Alambyan has stock in Vicarious Surgical. Dr. Alambyan has stock in Unity Biotechnology. Dr. Alambyan has stock in Scynexis. Dr. Alambyan has stock in Stryker. Dr. Alambyan has stock in Eli Lilly. Dr. Alambyan has stock in DaVita. Dr. Alambyan has stock in Invitae. Dr. Alambyan has stock in Pfizer. Dr. Alambyan has stock in Bristol-Myers Squibb. Dr. Alambyan has stock in Johnson and Johnson. Dr. Alambyan has stock in Merck. Dr. Alambyan has stock in Medtronic. Dr. Alambyan has stock in AbbVie. The institution of Dr. Alambyan has received research support from Albert Einstein Healthcare Network. Dr. Mehdi has nothing to disclose. Dr. Gezalian has nothing to disclose. Dr. Ayodele has nothing to disclose. Dr. Toossi has nothing to disclose.
#testosterone and women#Acute ischemic stroke#locked-in syndrome#potential risk factors for stroke in the LGBTQI+ community#testosterone therapy has been shown to increase the risk of venous thrombosis#The patient was a 23-year-old transgender male
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One Love Party founder & president Ankit Love's interview with Bharat Monitor News has over 240,000 views on Facebook.
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Watch this Among Us Impostor Gameplay... what happens when a Big Brain becomes Impostor in Among Us. #AmongUs #AmongUsImpostor #AmongUsGameplay #Impostor #AmongUsImpostorGameplay #Vilakshan #VilakshanGamer #GamingVideos #Games #Gamer
#amongus#AmongUsImpostor#AmongUsGameplay#Impostor#AmongUsImpostorGameplay#Vilakshan#VilakshanGamer#GamingVideos#Games#Gamer
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Vilksa Rihani fleet profile.
vilakshan - Hindi for "Singular."
birihani - Amharic for "Light."
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omg this is adorable! if you'd like to do mine, my name is Maria but I like to go by Nannerl as well. have a nice day!
Heyy!!! I’d love to do yours!! I think Maria and Nannerl just both hit me as a very “secret garden” vibes haha. Here are some phrases and words I associate with your name:
- Smmedium [Scottish Gaelic for determination and spirit]
- La vérité vaut bien qu’on passe quelques années sans la trouver [French for truth is more valuable if it takes you a few years to find it]
- विलक्षण pronounced as vilakshan [Hindi for exceptional]
- alaw [Welsh for melody]
- Aere Perrenius [Latin for love is more lasting than bronze]
Thank you, and you have a nice day too!
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विलक्षण अवसर, स्वामी रामसुखदासजी, Vilakshan Avasar, Swami Ramsukhdasji
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To promote the launch of the label, a club night will be thrown. People playing at the night are mostly people who are releasing music on the label itself. This has has been done to make the event more personal to those involved.
The poster was designed by Zenji who made the poster based upon previous work done for Bass Militia. The colour scheme was chosen as to represent the creation of something new, signifying brain waves and ideas. However, after the creation of the poster it was decided that there was too much information on the poster for people to read meaning to the reader, it is increasingly harder for important information to be gathered clearly and decisively. Kumar Dash’s (2009) study supports the conclusions made and discovered in relation to colour schemes in relation to how posters should be designed.
The reason the poster could not be altered was due to the fact that the time scale of running a good promotion was running out of time and posters needed to be printed allowing ground and online promotion to be conducted. For future posters and artwork more concise and filtered down information will be designed so that it is easier for the viewer to take in important information.
Ref
Kumar Dash, S. (2019). Role and Importance of Colour in Marketing. Vilakshan, XIMB Journal of Management, [online] 15, p.105. Available at: http://eds.a.ebscohost.com/eds/detail/detail?vid=3&sid=2907b2ba-1df7-4310-8dbd-0fc0b525fb64%40sessionmgr4009&bdata=JnNpdGU9ZWRzLWxpdmU%3d#AN=133693646&db=buh [Accessed 5 Jan. 2019].
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मनुवाद, ब्राह्मणवाद और सवर्णवाद के खिलाफ “बहुजन छात्र कन्वेंशन”
बढ़ते मनुवादी, ब्राह्मणवादी, और सवर्णवादी वर्चश्व के खिलाफ और न्यायप्रिय लोकतान्त्रिक समाज को बढ़ावा देने के लिए 28.07.2019 को बहुजन छात्र कन्वेंशन का आयोजन किया गया.
“हम हैं बहुजन छात्र’ के बैनर तले डॉक्टर भीमराव अंबेडकर कल्याण छात्रावास संख्या 2, में शिक्षा के निजीकरण, भगवाकरण, छात्रवृत्ति व फेलोशिप में कटौती, शिक्षण संस्थानों में बढ़ते मनुवादी और सवर्णवादी दबदबा, लोकतंत्र पर बढ़ते हमले, बढ़ती बेरोजगारी, आरक्षण पर बढ़ते हमले एवं अन्य ब्राह्मणवादी और सवर्णवादी हमले के खिलाफ 28.07.2019 को बहुजन छात्र कन्वेंशन का आयोजन किया गया.
इस मौके पर मुख्य वक्ता डॉ…
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#Author Sonam Kumar#Bahujan Chhatra Convention#Brahmanwad#Dr. Vilakshan Raviidas#Hum Hain Bahujan Chhatra#Manuvad#Nationalism#Rashtrawad#Swarnawad#न्यायप्रिय लोकतान्त्रिक समाज#ब्राह्मणवादी#मनुवादी#राष्ट्रवाद#वर्चश्व#सवर्णवादी
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Series by one my close friend "Celebrity Chef Vilakshan Shekhar" Do watch and subscribe https://www.instagram.com/p/CA5SoPyg-tc/?igshid=m0naklf85crd (at Dehra Dun, India) https://www.instagram.com/p/CA5eanwnA_r/?igshid=y6cpjzqijiv8
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प्रेरणा कथा 2061: विलक्षण प्रतिभा 2061: Vilakshan Pratibha
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RTI Activists Call on CIC Jammu,: Today a delegation of RTI activists and lawyers including Balvinder Singh, convener of Sangarsh RTI Movement, Dewaker Sharma, Deepak Sharma, Raman Sharma, and Adv Vilakshan Singh called on Chief Information Commissioner Sh. Khurshid Ahmed Ganai at Jammu Secretariat of the Commission. The delegation members assured their fullest cooperation to the newly appointed CIC and hoped that his huge past experience would be of great help in ensuring proper implementation of all the provisions of the RTI Act in letter and spirit. The delegation also urged the RTI Chief to take up the issue of appointment of two other Information Commissioners with the government so that pending cases of appeals and complaints before the Commission are disposed of expeditiously. They also asked the CIC to direct the government functionaries and other public authorities to start RTI sensitization programs for officers and general public as well , as per the mandate of section 23 of Jammu and Kashmir right to information Act 2009. CIC gave a patient hearing to the delegation and asked them to continue their mission with honesty and dedication so that RTI becomes a mass movement and a tool to curtail corruption from the society. http://ift.tt/2njyvRA
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Call Of Duty Rank Push : Elite 1 to Elite 2 | Call Of Duty Mobile Gameplay
#CallOfDuty #CODRankPush #CODmobile #RankedMatch #HindiGameplay #VilakshanGamer #TLP #TheLegendaryProtector #Vilakshan #IndianGamer #ActionGame #VideoGame #callofdutymobile #callofduty ➤ Subscribe our YouTube channel - http://www.youtube.com/TheLegendaryProtector?sub_confirmation=1
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तिलका मांझी भागलपुर विश्वविद्यालय में बहुजन शिक्षकों डॉ. योगेंद्र महतो और डॉ. विलक्षण रविदास पर अखिल भारतीय विद्यार्थी परिषद् (ABVP) के भगवा गुंडों के हमले के खिलाफ आज भागलपुर स्टेशन चौक पर विभिन्न संगठनों के प्रतिनिधियों-छात्रों-नागरिकों ने साझा प्रतिवाद-प्रर्दशन किया और हमले के दोषियों की अविलंब गिरफ्तारी की मांग की.
इस मौके पर सामाजिक न्याय आंदोलन,बिहार के अर्जुन शर्मा ने कहा कि डॉ.…
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#ABVP#Author Sonam Kumar#Dr. Vilakshan Raviidas#Dr. Yogendra Mahto#Tilka Manjhi Bhagalpur University#तिलका मांझी भागलपुर यूनिवर्सिटी
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