Holy shit. I just talked a cis guy on the internet down from "Let kids be kids" and got him to see why gender-affirming care for teens absolutely cannot wait.

This is one of my greatest achievements. I have a legitimate urge to take a victory lap.

The thing that persuaded him, if you're curious:
@Impossible_PhD this stupid society kept me from tranitioning until my hair was a total disaster, I feel this in my bones

@rachel If you ever find a time machine, give finasteride a try. It's technically a androgen blocker, but because of the roundabout way it does its work, it's usually not gatekept for AMAB girls (at least the closeted ones), and a GP might be willing to prescribe it as a hair preservation medicine. But it has (mild) other benefits for people who are not particular fans of dihydrotestosterone on their brains, too.

[email protected]

@rachel Sometimes, I really wish retroactive advice could be more helpful. 
@riley @rachel anecdotally, for anyone reading this from the closet, I know a gender fluid person who found finasteride at higher doses (2.5mg+) beneficial for mental health the way hrt is for a lot of people

@legumancer Makes sense.

Because of the way finasteride works, it might possibly lead to a more optimal hormone balance for some people's brains than binary HRT. I reckon most of these people would be enbies of some sort, but, hey, Biology Is Messy, And Sometimes There's Exceptions.

@rachel

@riley @rachel yeah, I imagine there'd be a lot more enbies if society had more of a place for them.

The person I'm thinking of has never tried feminizing HRT to know if that'd be a better balance, but wants to try one day to find out.

@legumancer @riley I'm currently taking dutastride+Minoxidil which is helping I think, but maybe not quite enough
@legumancer In a better world, transition trial kits would be a thing that curious people can get at a corner pharmacy and see if they like them. @rachel
@riley @legumancer Ok vaguely related....

I found a forum thread a while back about "guys"* who were desperate to "fix/save" their hair from hairloss that they were trying basically DIY-HRT.

Hundreds of forum pages latter.... some of the "guys" were happily identifying as non-binary. Others experienced so much dysphoria from the HRT that they dropped it, or scaled it back. Turns out cis guys don't like the feminizing effects very much at all, not to mention brain fog from wrong hormones.

@rachel Yep. Finasteride is mainly accepted as a cis medicine because it leaves plain testosterone untouched (well, directly, anyway) and enough DHT around that most cis men can tolerate it relatively well, unlike binary transfem estrogen HRT.

@legumancer

@riley @rachel and that's probably why they won't let you have 5mg dose for hair loss here in Ireland - in a cis guy, it'd probably increase the risk of getting depression and other bad side effects substantially.

Really interesting about the forum HRT experiment!

@legumancer But it's not a controlled substance, so you might get away with self-increasing your dosage and refilling it a bit more often than prescribed.

@rachel

@legumancer The primary difference between finasteride and dutasteride, btw, is, finasteride only blocks two of the three main T->DHT conversion enzymatic pathways. The third one stays functiona with finasteridel, even if taking a high dosage. Dutasteride also blocks the third pathway.

@rachel

@riley @rachel thank you, this is really good to know!