you are surrounding all my surroundings

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Under the five-host team of Host Sunny (@500sunstone), Host Anjali (@tyler-dragon), Host Sy (@enaqua), Host Lucky (@crownlesswizard), and Host Tori (@vanessaspiritwalker), join our reality game server based on Survivor to connect with members of the Wizard101 Tumblr community!

1. Progesterone: not for everyone, but for many people it may increase sex drive and WILL make your boobs bigger. Also effects mood in ways that many find positive (but some find negative). Most doctors won’t prescribe this to you unless you ask. Most trans girls I know swear by it.

2. Injectible estrogen: is more effective than pill or patch form. Get on it if you can bear needles bc you will see more effects more quickly.

3. Estradiol Cypionate: There is currently a shortage of injectible estradiol valerate. There is no shortage of estradiol cypionate. Functionally they do the same shit.

The concerns surrounding venous thromboembolic events as a side-effect of hormone replacement therapy can mostly be traced back to one particular study known as the Women’s Health Initiative. This study was an enormous undertaking which, unfortunately, demonstrated significant adverse effects of the hormone therapies studied. As a result of this the use of hormone replacement therapy in postmenopausal cis women was dramatically reduced as the medical community began to question whether or not the therapy caused more harm than good.

Naturally, trans women have been suffering from this fall-out ever since.

What physicians seem to fail to recognize is that the study examined a very specific hormone regimen which was, arguably, outmoded at the time the study was conducted: It examined the use of conjugated equine estrogen (Premarin) with or without the use of medroxyprogesterone acetate. Neither of these drugs is regularly used for the treatment of transgender women.

The estrogen most commonly used to treat transgender women nowadays is 17β-estradiol either in pill form or in the form of a sticky patch that you apply to your skin. Esters of estrogen (e.g. estradiol valerate) are also sometimes used either in a pill form or as an intramuscular injection.

Transdermal estradiol patches are the gold standard when it comes to treating women who are at high risk of a venous thromboembolic event. It simply does not increase the risk of developing a venous thromboembolism. The only thing you should keep in mind is that patches are not always well tolerated because of the lifestyle changes required to keep them from falling off and the fact that they tend to irritate the skin.

Fortunately, oral 17β-estradiol appears to be safe, regardless of the increased risk. At least one large study has shown that the use of oral estradiol in trans women is not associated with venous thromboembolic events. An individual woman’s risk would need to be substantial in order to contraindicate the use of oral estradiol.

For those who have significant risk of venous thromboembolism because they have had a previous thromboembolic event, because they are paralyzed, or because of some other factor it is good to know the relative risk between oral and transdermal estrogen. The latest research indicates that the use of transdermal estrogen lowers your risk of a thromboembolism to 80% of what your risk would be using oral estrogens.

It’s difficult to find hard numbers regarding the relative risk of venous thromboembolic events with regards to hypertension. The best I could find after an hour or so of searching was this study regarding VTE in lung cancer patients. Hypertension increased the risk by a factor of 1.8.

However, to put that into perspective being of African descent increases your relative risk for deep vein thrombosis by a factor of 1.3 when compared to Europeans. Europeans are, themselves, at increased risk when compared to Asians and Pacific Islanders by a considerable margin: a four-fold increase.

I should point out that being ‘male’ is also a risk factor for developing a thromboembolism and hormones are likely to be a contributing factor. Also, menopause is another serious risk factor. Given this information it is likely that the use of transdermal estradiol will lower your risk of thromboembolic events significantly.

As far as the anti-androgen is concerned: The primary use for spironolactone for cisgender people is as an antihypertensive.

Even if the risk of thromboembolism was truly significant with modern hormone replacement therapy it wouldn’t justify what your doctor is doing to you. The fact is that mortality in the transgender community from suicide–caused in part due to the lack of access to hormone therapy–is substantial. The quality of life lost when a trans woman is denied hormone therapy is substantial. The fact that your doctor does not appear to be taking this into consideration when they weigh the risk of thromboembolism against not receiving necessary medical care is deeply concerning.

I strongly recommend that you seek a doctor who is more sensitive to your medical needs as a transgender woman.

About a week ago I posted this.

I’ve been getting horrible messages like this in my ask for months, including:

and my personal favorite

After getting the message saying “Just go kill yourself” I was completely done dealing with this person’s horrible messages and replied with just an “Okay.” and logged off tumblr.

About a week later I logged back on with 17 messages in my ask, most of them from the anon. I scrolled down and at first when I logged off, the anon messaged me things like

I scrolled up more and all of a sudden they started sending me more and more messages like

This was extremely surprising to me. I thought “After all those horrible messages you sent to me for MONTHS about hating me and wanting me dead, you say ‘sorry’ and that you ‘cant be responsible for someone’s suicide’?”

But I guess the lesson goes like this:

Please Keep Signing!

(New petitions in bold)

George Floyd - change.org

George Floyd - amnesty.org

George Floyd - colorofchange.org

Get The Officers Charged

Charge All Four Officers

Breonna Taylor - moveon.org

Breonna Taylor - colorofchange.org

Breonna Taylor - justiceforbreonna.org

Breonna Taylor - change.org

Breonna Taylor - thepetitionsite.com

Ahmaud Arbery - change.org

Ahmaud Arbery - change.org 2

Ahmaud Arbery - change.org 3

Justice for Oluwatoyin Salau

Pass The Georgia Hate Crime Bill

Defund MPD

Life Sentence For Police Brutality

Regis Korchinski - change.org

Tete Gulley - change.org

Tony McDade - change.org

Tony McDade - actionnetwork.org

Tony McDade - thepetitionsite.com

Joao Pedro - change.org

Julius Jones - change.org

Belly Mujinga - change.org

Willie Simmons - change.org

Hands Up Act - change.org

National Action Against Police Brutality

Kyjuanzi Harris - change.org

Alejandro Vargas Martinez - change.org

Censorship Of Police Brutality In France

Sean Reed - change.org

Sean Reed - change.org 2

Kendrick Johnson - change.org

Tamir Rice - change.org

Tamir Rice - change.org 2

Fire Racist Criminal From The NYPD

Jamee Johnson - organizefor.org

Darius Stewart - change.org

Darius Stewart - moveon.org

Abolish Prison Labor

Free Siyanda - change.org

Chrystul Kizer - change.org

Chrystul Kizer - change.org 2

Andile Mchunu (Bobo) - change.org

Eric Riddick - change.org

Amiya Braxton - change.org

Emerald Black - change.org

Elijah Nichols - change.org

Zinedine Karabo Gioia - change.org

Angel Bumpass - change.org

Sheku Bayoh - change.org

Angel DeCarlo - change.org

Sandra Bland - change.org

Sherrie Walker - change.org

Darrien Hunt - change.org

Cornelius Fredericks - change.org

Elijah McClain - change.org

James Scurlock - change.org

Darren Rainey- change.org

Kendrick Johnson- change.org

Darrius Stewart- change.org

LaVena Johnson- change.org

Kenneka Jenkins- change.org

Sam Dubose- change.org

Philando Castile- change.org

Philando Castile - signmoveon.org

Natasha McKenna- change.org

Freddie Gray- change.org

The Freddie Gray Law - Assess, Treat, and Safely Transport -signmoveon.org

Samuel DuBose- change.org

Kimani Gray- care2petitions

Kenneth Chamberlain Sr- signmoveon.org

Sean Bell- change.org

Jennifer Jeffley- change.org

Oliver Campbell- change.org

Bruce Greenway- change.org

Dominique Fells - change.org

Rayshard Brooks - change.org

Alfred Wright - change.org

Mubarak Soulemane- change.org

Byron Williams- change.org

Mitrice Richardson- change.org

AJ Mitchell (a boy with autism) - change.org

Merci Mack- change.org

Lakeith Smith + A’Donte Washington- change.org

Malik Thomas- change.org

Matthew Tucker- change.org

Malik Williams (paraplegic man shot at 84 times)- change.org

Amani Kildea - change.org

Stop the Criminalization of Mentally Ill Black Youth

Equal Maternal Healthcare among Women of Color

Improve Mortality Rates & Health Care for Pregnant and Non-Pregnant Black Women

Demand Equity in Healthcare System

Medical schools must include BAME in clinical teaching (Black and Minority Ethnic)

D’Andre Campbell - change.org

Quinton McClinton - change.org

Marcus Malone - change.org

Darné Brown- change.org

Give Every Patient an Equal Chance to Live: Diversify National Stem Cell Donor Registry -change.org

Lemon G. Hamilton - change.org

Marqueese Alston - change.org

D'Quan Young- change.org

http://www.pb-resources.com/

https://blacklivesmatters.carrd.co/

PLEASE REBLOG! THIS IS AN UPDATED LIST!

DON’T IGNORE US!

grace was put on probation because of charges of assault and theft for “biting her mother’s finger and pulling her hair” and stealing another student’s mobile phone which she later returned. she expressed remorse at her actions multiple times afterwards and participated in therapy sessions and completely stayed out of trouble, her mother and teacher said that she was doing well at school despite the switch to online classes which caused her to become distracted due to her ADHD. she couldn’t keep up with her homework and her caseworker filed a violation of probabtion against her without bothering to learn about her disabilty or academic performance. the judge ellen brennan called her a “threat to the community”. all because she didn’t complete her fucking homework. she’s been in the juvenile detention centre for over a month now.

Grace’s case has been dissmissed and her next one is not until SEPTEMBER!!!! THIS IS NOT OKAY! She is a 15 year old girl!

Her family has opened up a gofundme to pay for legal expenses! Please considering donating and/or signal boosting this! Please still sign the petition and check the resources at the bottom of the change.org page on who to contact to help her case!

#JUSTICE4GRACE

Good fucking riddance 

Anyway real people aren’t your playthings to ship and write nsfw of. There’s a line between just having fun and being incredibly disgusting and a lot of u cross that line too often.

Don’t treat real people like fictional characters and make them do nasty shit for ur own pleasure. Real life people have told fans multiple times that they don’t like being shipped with other people and I doubt they’d be okay with porn written about them. (Like Buzzfeed Unsolved for example. The two guys running it have had to make an announcement saying that they weren’t comfortable with that ship shit)

If I found out someone was writing porn about me, I’d attack them immediately. This shit has ruined/almost ruined friendships before. Don’t do this shit.