there's a special place in hell reserved for people who sell trans girls fake DIY estrogen
@YKantRachelRead It is one circle away from doctors and nurses who under-dose trans girls.
@steff "here's your 2mg oral estradiol and 200mg spironolactone" no. you. hell. go there.
@YKantRachelRead The cis fear of feminization is too real

@steff @YKantRachelRead I find trans people who defend underdosing even more depressing

"but they're a doctor, they know best" girl please 

@anhedonie @steff @YKantRachelRead more like “they’re a doctor, and therefore afraid of getting sued for giving you cancer, or liver damage…. cos estrogen pills used to do that because they were made from horse pee, it’s way safer now but the fear hasn’t caught up”

@anhedonie @steff @YKantRachelRead just also remembering the one video from mardipantz where she casually drops that a bunch of her friends died from cancer given to them from estrogen overdosing.

I think it *used* to happen a lot but, near as i can gather the problem was it was not bio identical to human estrogen and also… estrogen pills are just kind of a bad way to do it cos the liver tries to process the estrogen. Estrogen being a normal thing for a liver to encounter in the course of digestion of animals and plants.

It can be synthesised to perfectly match human hormones, and near as i can gather it’s made from beef fat. i think. or from taro. it’s hard to tell- at a certain point it’s just “estrogen” and impossible to know where it came from

@bri7 @anhedonie @YKantRachelRead
I feel this is stretching intentions a bit. Bio-identical estrogen has been available since the mid-70s, though perhaps not as commonly prescribed for GAHRT. The only concerns of legal liability I've heard raised by physicians have been focused around "trans regret". It would also strike me as odd that prescribers would single out E2, while they hand out GLP-1s like candy, when long term side effects and reactions are barely known.

@steff @anhedonie @YKantRachelRead every doctor is different and, well, I am not trying to defend intentions or defend under dosing. Just that doctors are human and i have noticed, hold on to wildly outdated medical information like pet superstitions all the time; patients , especially trans patients need to be constantly vigilant about all kinds of wrong outdated nonsense their doctors believe

and well, if they’re *worried about regret*, then cancer risk can be a convenient legit sounding excuse for that

@steff @anhedonie @YKantRachelRead or in other words the doctor might just be stupid not malicious