Only I'm not a resident. I've been practicing for 11 years

100%

Has the association of internists ever been asked to opine on proper mental health care for minors? Does your association author opinions about things outside of their field of practice? Or are you simply blessings us with yours?

Dumb absolutists are normally rookies in their field, more experienced professionals rarely opine certainty. Guess you never grew up, Peter Pan.

You saying that I'm not entitled to have an opinion? I'm not allowed, as a private citizen, to see what is happening to the youth of this country and am not allowed to have a point of view on that?
Have I personally attacked you even once in this thread? Yet you call me dumb and Peter Pan. Is that because you're a mental midget who has come to the realization that I may actually know more than you and you no longer have anything useful to say?
Go play in traffic.

I'm not saying there's no debate, but there is certainly a consensus opinion amongst experts in these organizations who have been evaluating the available evidence for decades. Although, I will say that nobody is advocating for surgeries for children.

And giving hormones isn't really "pumping them full" of hormones. Why resort to using the most biased language you can instead of something more neutral? The reason people typically do this is to appeal to others' emotions instead of just sticking to facts.

I’m not sure why you think you re not entitled to an opinion, as a private citizen or an alleged medical professional. You have almost 400 posts in here giving us you valued opinions.

The only reason we know you are allegedly a doctor is because, in your attempt to engage in an appeal to your (self) authority, you felt the need to claim your opinions carry greater weight because of your profession (even to the humorous point of sending a mod a medical degree as some type of proof of your credentials). I simply keep pointing out that among your medical peers, nobody is seeking out your personal medical opinions or your professional peer groups opinions on what is the proper treatment, care to proper timeline for care from a specialty area in which you have no training or experience.

Your “opinions” regarding proper medical care of transgender youth seems to be deny them all medical care other than mental health therapy because you have provided us with the only true and proper diagnosis for their condition - that they are mentally ill. If you had your way, you would prohibit any hormone therapy or surgery because you know better. You support making such treatment illegal. You think your opinion should be adopted by 370 million people in the USA because you know better than the patients, their parents and treating doctors. So yes, when you try to introduce your opinion as the only possible solution to a medical issue outside of your training and certainly outside any practical experience, for people who aren’t your patients, I have no problem bringing up your lacking of credentials and making fun of you.

And then we can move onto your opinions about activists forcing you to use improper pronouns, sex indicators on drivers licenses and bathroom usage - none of which have anything to do with your reliance on scientific certainty. You “opinions” here border on stupidity at best and, as others have pointed out, transphobic, at worst. Your opinions in this area reminds me of the saying “opinions are like aholes.... But you insist on sharing and oversharing in these areas to the point that you sound like Hannity and Carlson over your concerns about these trivial social issues.

Finally, we have your “I never name call, I only get attacked” routine. No one buys it, especially when you read the rest of your paragraph. I could GAF what you think about me, where I work or my level of education. I do know that Trolly, D4, Didace and Luckbox are more quick-witted, funny and genuine than any insult you post in here about me. So, no self pity party for you being personally attacked and probably a D- for the quality of your personal attacks on posters here.

I have certainly concluded that you are a pompous A hole with hateful opinions that mean nothing in the grand scheme of things. You you have no power to implement any changes and have convinced no one here you are correct through logic or reason,

Name one of these experts because, unlike you, I have named experts who have published on the topics for upwards of 50 years. Now you do the same.
You want facts, OK. What are the side effects of hormones and puberty blockers? Look it up. Then ask yourself, does a 10 year old kid have the ability to decide he or she wants to deal with blood clots, fatty liver disease, insulin resistance, weakening of bones, high blood pressure, male pattern baldness, and, yes, infertility!

https://www.hfea.gov.uk/treatments/f...ity-treatment/
"Hormone therapy (oestrogen or testosterone) suppresses your fertility function and over time can lead to a complete loss of fertility. "

Male pattern baldness sounds like just the ticket for a F to M transition.

This is what happens when you give girls testosterone. They develop male pattern baldness and are infertile.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5367483/

I have named organizations which are made up of individual people whose names aren't secrets. You can look those up if you truly care.

Are 10 year olds making their own medical decisions? I thought we settled already that they aren't.

Sure, hormones can lead to infertility (that's a pretty reliable effect, actually) but the puberty blockers that would be given to younger adolescents don't tend to do so. Don't conflate the two.

Why don't you list those Puberty Blockers as when I looked on the Mayo Clinics site they listed these as possible side effects from Puberty Blockers

Why have more progressive countries halted these procedures till more studying can be done




https://www.mayoclinic.org/diseases-...s/art-20459075

So you can't name any. I kind of thought so.

You telling me they are not giving hormones to children?

Your own link indicates that risk to fertility depends on factors like when they're started and for how long. So it's listed but not expected in general cases. Plus there was this paragraph:

"GnRH analogues don't cause permanent physical changes. Instead, they pause puberty. [...]
When a person stops taking GnRH analogues, puberty starts again."

Are you suggesting those organizations are not made up of people that all of us can search easily? Unless you contend they aren't people, what's the point of me listing names?

You previously said that puberty blockers lead to infertility but then stopped participating in that line of discussion when there was push back. Now you said "hormones and puberty blockers" together and again bring up fertility. Are you purposely being misleading to avoid admitting that the puberty blockers shouldn't impact fertility?

Seems like those risks may be preferable to being at a higher risk for developing features of metabolic syndrome, including obesity, type 2 diabetes, and cardiovascular disease later in adulthood.

Although again, I would give those choices to the patient, their family and treating doctors,.

Gangsta, are hormones and puberty blockers always given together?

No

Trans people often talk about how cruel it is to subject them to hormones opposite of their gender, in reality it’s the same as forcing cisgender girls to take massive amounts of male hormones/testosterone or a cisgender man being forced to take feminizing hormones and estrogen.
Trans people from their perspective think this is a slam dunk argument, but unfortunately for them that argument involves people recognizing they actually exist.
In any case, from a more 2p2 language, if you’re gonna do this it’s often easier to start young; for instance people who don’t go through puberty blockers/ other treatments will often need expensive painful surgeries down the line, things like bone cutting facial feminization surgery etc.

Something came up. I don’t feel like debating today so see y’all later.

in the meanwhile look at this guy!

I always find it odd that Bryce thinks the pictures he posts have any meaning.

gansta - by following your logic, you can take puberty blockers indefinitely and then begin undergoing puberty at age 40

is that correct?

You’re the one using those organizations as if that is some kind of consensus. I listed specific prominent members of those very organizations which proves that is not the case. You don’t name any because you know there aren’t really any who have as much data as the ones I named therefore you cannot refute them.

I’m guessing the answer is no, not always. I don’t treat children so I wouldn’t know from experience. He probably does. I only treat adults who are only on hormones.

Pretty simple.

I donÂ’t understand this statement. Forcing them to be subject to the naturally occurring hormones in their body is cruel? Who forces them to take hormones opposite of their gender? Making them take the drugs before performing a surgical procedure?