Foxdie

Great, do you maybe want to cover the fact Wes Streeting keeps asking people who openly practice conversion therapy for their input in trans healthcare now?

Questions that urgently need to be asked to Wes Streeting.

1) Who authored these reviews, and what were their qualifications?
2) What external advisors or agencies were involved with these?
3) Who decided the intervention subsets chosen for the review?

This is absolutely what will happen when young trans people rationally stop seeking NHS "care" that offers nothing more than conversion therapy appointments.

Where this subsetting of patient groups breaks down entirely is in the review for non-binary interventions. All six of the reviews on non-binary interventions have 0 publications included.

THey are pretending it is different and finding no evidence for any intervention!

The very first paper in the very first review (Allen et al
2019) found a huge decrease in suicidality, from 45% of subjects suffering from suicidality prior to HRT, to just 13% after, p<.001. But it didn't test for boys and girls separately, so this result appears in neither of the relevant reviews.

They already have:

as well as excluding any studies where cohorts included people on just E or E + gnrhas but didn't differentiate between these groups in analysis from both reviews

YEP :)

Obviously ignorining that everyone produces T and E.

and it also acknowledges cis teen boys are sometimes given E but actually that's totally different so it's different. Also this is actually helping decrease healthcare disparity :)

it's also just. incorrect. If you are administering them to someone they are exogenous.

Oh, also they left a note in that suggests the adult reviews are already done (or mostly done) and are subject to the exact same slice and dice bullshit

They also *appear* to have excluded any study where:

1. Median age was above 16-17y/o
2. Patients recieved GNRHas to block puberty
3. Patients took anti androgens as well as estrogen
4. Probably more I have only looked at the feminising stuff

Sugar being quite obstructive in terms of humans gaining access to the upper stairs

THE GUARDIAN OF THE STAIRS DEMANDS TRIBUTE

BUTT SCRITCHINGS WILL DO

Also yes, any study that includes multiple of the seprate groups they've made up (I.e. trans girls on just E and trans girls on E and AA) and doesn't fully differentiate them gets excluded from evidence for both groups.

THat's really a tiny nitpick I understand they're trying to invoke gendered souls a la hilton but it's also illustrative of how much fuck you we don't need to have a good argument it is

OH also whoever wrote the EIA doesn't seem to understand that exogenous means anything from outside the body. THat includes cis people prescribed hormones that "match" what would be expected for them. They are insisting cis children are prescribed endogenous hormones.

and then they discount Boogers et. al. who point out that high E doses can reduce final height in transfem people becuase they were all subjected to PBs and used EE as well as bioienticla E to compare.

There is evidence for masculinising effects but not every single effect ever (e.g. it complains about height not changing) which. Yes, height doesn't change generally for people who went through E dominant puberty after age ~16.

and also that there's no studies on if genital surgery can still happen after T, despite this not being a point anyone has ever raised ever, and T being arguably nessicary for most people who want meta specifically.

For masculinising HRT they seem to be counting increased haematocrit/haemaglobulin as a safety issue despite this being completely expected with an increased in T, and no adverse effects as a result of this increase.

They're also complaining it doesn't increase final height in 16-17 year olds

They also *appear* to have excluded any study where:

1. Median age was above 16-17y/o
2. Patients recieved GNRHas to block puberty
3. Patients took anti androgens as well as estrogen
4. Probably more I have only looked at the feminising stuff

But what can I do – Dr Ruth Pearce Posts about But what can I do written by Ruth

There are two things you can do right now to support young trans people in England.

1) Engage in political advocacy and community support. I've got *loads* of advice on this in my blog post and zine "But what can I do? How to fight the trans panic".

We've just learned that the person at the MHRA whose letter caused Wes 'I follow the clinical evidence' Streeting to cancel the puberty blockers trial is Professor Jacob George, the GC who enjoyed mocking trans people on his social media account.

Why did Wes Streeting cover up his name?

it was after this yes :) we did point out the obvious finacial COI too given her other work...

well. quite.

I do suspect that personal and not institutional emails may have been used inappropriately to avoid FOIs for part of it, but yes, the idea they have 0 is beyond belief.

When this was brought to her along with testmony from multiple people who had been mistreated by her at GIDs we were repatedly told there was no conflict of interest and she was merely choen to advise and would have no influcence on design. lol. lmao.

Uni of York claimed to have no information on the appointment of Kaltiala to the board too!

you can take it from me, almost everyone in society would prefer that you be a masc cis lesbian or femme cis gay man rather than a trans person, and the way they treat you when they are forced to confront the fact that you're trans leaves you in zero doubt about that

Also when the Cass Review says it relies on the York studies for its systematic review of evidence, how clear is it that Cass herself chaired the advisory group for the York studies

n 2022, SEGM helped organize a conference at Tampere University in Finland, although Abbruzzese stressed that it was not an official SEGM event. Attendees included Dutch clinicians like Thomas Steensma and Annalou de Vries, whose research helped establish the Dutch protocol,

He stated as such here (archive link for shitty website)
web.archive.org/web/20240521...