Ocean Flharr

there is no conclusive evidence that the feminizing effects of injectable E are preferable to those of oral E, but injectable is safer long-term (years-long), so eventually switch to injectable. its cheaper also.

use a good anti-androgen. spiro will make you piss and pissed, because it sucks. take bica 50mg or cypro 12.5mg.

take your prog. take 200mg. if youre putting it in your mouth, take more until youre emotional but stable. if youre putting it in your butt - PUTT IT IN YOUR BUTT - take more, but less than you would if it were in your mouth.

work out. work your ass, your thighs, your abs. get sweaty. the more growth hormones you can get through your body, the more effectively your estrogen will feminize you (this includes your tits).

eat more. eat at least 25% more than your maintenance. eat lots of protein, but also lots of fat. your ass and tits will thank you very jiggly.

So, before the advent of cross-sex hormone therapy, one of the surefire ways to ID a biologically female skeleton of a person who had borne children (this is important) was by looking for pits of parturition. These form when the estrogen surge during late pregnancy tells your pelvic ligaments to loosen up in order to fit the baby’s massive head through the birth canal. Your pelvis starts to s There’s hypothetically only one normally occurring biological reason for a body to give that signal, and since you have to be nominally XX (or some variant of that where you can still carry a pregnancy to term), it was a pretty solid shorthand for sex!

Until we started looking for these things outside of female skeletons, and surprise! “Male” skeletons can have them too! Sometimes these are chromosomal variants, sometimes they’re men with a high estrogen or estrogen-esque hormonal component, and in the modern era? Sometimes these are trans women whose skeletons have undergone hormonal changes due to taking estrogen.

And then there’s testosterone. You know what that does, right. It makes it easier to build muscle. But what THAT does is put new and interesting stresses and pressures on the bones, making them more rugged and in line with the skeletal structure we see in people who have had high testosterone their entire lives. We don’t just see this in trans men- we see this in older cis women too. Once your estrogen production tanks after menopause, we see what we call masculinization of the face, where the features get more rugged and robust as tissue production changes. These changes don’t happen overnight, and we don’t have good data (yet) but my guess is that when we start looking at the skeletal remains of trans men who took T throughout their adult lives, their skulls are gonna look pretty damn masculine.

The TL:DR from all of this: there is good evidence for skeletal changes during adult-initiated HRT. We know that these changes occur, but there isn’t a whole lot of literature about exactly what occurs. Many of these changes are minute and you may not see them in a living trans human, but are more discernible in a skeleton. We need to study this more.

Introductory Stuff

A nice Sapiens article proposing how to improve trans visibility within bioarchaeology/forensics: https://www.sapiens.org/biology/transgender-intersex-forensic-anthropology/

Why it’s important to be able to talk about the bodily changes trans people go through as an anthropologist: https://journals.upress.ufl.edu/fa/article/view/1409

Studies of skeletal development in trans people taking hormones

Bone health as a part of trans healthcare: https://www.sciencedirect.com/science/article/pii/S8756328208007722?casa_token=Q0yyPHewOLIAAAAA:f6VKhwq1uVylVHkVZtAX6c-t3WADx8aaymmIWtiUeci1dqVuYAMH9OXn2ofmm4T1thKw5dkutuw

Hormones and bone density: https://onlinelibrary.wiley.com/doi/abs/10.1046/j.1365-2265.1998.00396.x?casa_token=o2l0Y9Nt4qoAAAAA:tO3_aIeM4RqBE0xyNpC8Ns8d7vipYNFzsdMdaX5ZcodO9JShKdEkh-Vw-66FKJAW13bDG2pCCKKUYeyc

Interesting paper on pelvic morphology changes: https://asbmr.onlinelibrary.wiley.com/doi/full/10.1002/jbmr.4262

(this one’s about people who started HRT before 18, but it’s still a really interesting read even if it isn’t directly applicable to OP’s situation since they transitioned as an adult)

10 year bone health study in transgender individuals: https://asbmr.onlinelibrary.wiley.com/doi/full/10.1002/jbmr.3612

Not hormones, but stuff on how FFS affects skeletal remains: https://pubmed.ncbi.nlm.nih.gov/32200173/

Ok, so we’ve identified that there ARE bone changes. How does muscle affect bone structure?

Explains the bone/muscle relationship in typical cis men and typical cis women: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3189615/ (Note: by typical, we mean that their hormones are generally within the range that’s expected for their chromosomal composition.)

Comparing trans men on long-term HRT to cis women of the same age and looking at bone mass, body composition, etc: https://academic.oup.com/jcem/article/97/7/2503/2834495

Facial masculinization of the female cranium with age: https://digital.library.txstate.edu/bitstream/handle/10877/5250/NAPARSTEK-THESIS-2014.pdf?sequence=1

Cranial remodeling with age: https://onlinelibrary.wiley.com/doi/full/10.1111/joa.12247

(The aging stuff is important because hormonal composition changes drastically with age and it’s a useful analogue, if not direct analogy.)

Some interesting reads on the relationship between sex hormones and cartilage

Estrogen and osteoarthritis (aka cartilage loss): https://www.mdpi.com/1422-0067/23/5/2767/htm

More sex hormones and osteoarthritis: https://faseb.onlinelibrary.wiley.com/doi/abs/10.1096/fasebj.27.1_supplement.1053.15

Generally speaking, HRT isn’t going to do too much to the cartilage. If you think your nose looks different, it’s probably because you’re seeing it in a new context since the fat deposits on your face rearrange themselves. They’re very close to the surface, after all. 

Pelvic Scarring and how it’s not strictly based in pregnancy

Oops we found it in men: https://onlinelibrary.wiley.com/doi/10.1002/oa.2887

It’s also found in women who have never given birth: https://digital.library.txstate.edu/bitstream/handle/10877/8481/GALEA-THESIS-2018.pdf?sequence=1

Identifying transgender people within archaeology

https://miami.pure.elsevier.com/en/publications/the-fallacy-of-the-transgender-skeleton (good read on how human sexual dimorphism... isn’t. The spectrum of traits overlaps too much.)

surgery piece: https://www.sciencedirect.com/science/article/pii/S0379073820300827?casa_token=jy_vbV7_fXkAAAAA:nz2d-xCUT-JoYACam3CDliKmto1UFkB8-ft837QzSpjLZJ0uiH5DHNSH7M_fG_b5XWsln3yZZKk

As for the mechanism, it’s a combination of remodeling and changes in bone density. The bones don’t unfuse, so you’re basically stuck with the same structure, just with different sizes and densities. This is more notable in trans men- they can lose some height from bone density loss if they’re not careful. It’s usually not a lot and isn’t as noticeable in living people as it is in skeletons, because there’s a lot more tissue to you than just bone! It’s the same mechanism that happens in cis women with osteoporosis. Fortunately, most endocrinologists take that into consideration these days.

Right now, most of the research on skeletal changes is focusing on FFS because it’s much more visible and dramatic. There’s a lot of reasons we don’t really understand everything that HRT does to the skeleton- we know a lot of it, but not everything- and how any of it shows up in the archaeological record. One of them is that HRT is relatively new and we don’t have the representation in skeletal collections. Another is that most of our standards are written based on studying white people, and while you can’t truly identify race from a skeleton, you can associate a skeleton with certain genetic groups based on suites of traits. By only including white skeletons in a study, you miss out on a TON of variation.

that way! And yeah, they do that.

Changed how we walk. :3

Imagine that a core mechanic revolves around fighting Sad Flame King every time you want to leave, and the amount of damage you manage to deal before he inevitably wipes you out is what determines how far you're allowed to go out of your home territory when you revive. (with some mechanic in place to warn you to spend your souls or whatever so when you inevitably lose them it's not a forced reset)

Naturally certain players will be able to do much more damage to him than others, but it could be a multi-phase fight requiring damage or status effects that the player doesn't have access to until they explore a bit, or even a weapon that the player can't safely use because of their status as a Pathetic Ghost.

But then as you leave Soulsborne Land and explore the surrounding incongruous heroic-fantasy regions, you fight THEIR big problems for them - possibly with some twists like, instead of having so-little-clear-worldbuilding-that-it-makes-you-curious, you fight a boss with a mechanic that treats its excessive Kingdom-Hearts-esque bullshit lore dumps as a hazard somehow - and you start building up a reputation as a Helpful Ghost Who Solves Problems.

Eventually they start trying to communicate with you directly, which leads to the reveal that everybody wants to Un-Flame Your Kingdom, but they physically cannot enter. Figuring out how to let them in safely is the way to access the endgame.

At which point you fight the Sad Flame King again, but your allies boost you past his cheat phase and into real gameplay again, at which point the final boss music changes from, figuratively speaking, Weight of the World from Nier Automata into the FF14 version of the same song.

I use full fat Greek yoghurt and self-rising flour

Ratio by weight

Add a pinch of salt

Knead until no longer sticky, adding more flour if necessary

Roll them with olive oil instead of flour and fry in an otherwise unoiled, preheated pan (medium heat) (trust in the lord; it will seem like it's going to stick to the pan at first but they'll unstick in about 15 seconds)

Roll them thin but not too thin; mine take about 45 seconds on either side