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Gender-affirming Care

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Updated and Verified: October 05, 2024 (News page records significant changes.)

Gender-affirming Care and Her Metabolism

Gender-affirming Care will significantly affect her metabolism - and her metabolism will significantly affect gender-affirming care. The subsections have general information about how gender-affirming care may affect her metabolism.

Gender-affirming Care is a procedure and typically an ongoing habit. For women and girls, gender-affirming care describes a spectrum of cosmetic choices to disguise her metabolic sex by disguising her appearance. Gender-affirming Care may involve non-metabolic changes to cosmetically disguise her metabolic sex - for example, changes in her clothing fashion, body language, vocal tone, and so forth. Gender-affirming Care may also involve metabolic changes to cosmetically disguise her metabolic sex by disguising her appearance - most commonly by either or both surgical dismemberment and chemical castration. The choice of Gender-affirming Care routinely causes many extreme harms to her metabolism.

Metabolic Risks and Harms of Surgical Dismemberment and Chemical Castration

Surgical Dismemberment

When she chooses Gender-affirming Care by surgical dismemberment to cosmetically disguise her metabolic sex, the two most common dismemberments are (a) vaginectomy: the partial or total dismemberment of her vulva; and (b) mastectomy: the total dismemberment of her mammary glands. Surgical dismemberment carries metabolic harms and risks.

Vaginectomy dismembers a woman or girl's vulva (the vulva being her outer genitalia: vagina, labia, clitoris, and so forth). Vaginectomy causes her severe metabolic risks, according to mainstream urology.1 Most commonly, and perhaps least surprising: vulvar dismemberment often causes the woman or girl to bleed severely from the massive wounds.1 Also, massive wounds generally carry the metabolic risk of causing low energy availability (LEA) for the woman or girl's body - where her body, in a crisis to heal, will divert nutrition away from her metabolism's normal functions - to metabolically fund the repairing of wounds. LEA has its own host of risks and harms.2 Because of these and other metabolic risks and harms, leading urologists urge clinicians to provide informed consent to a woman or girl who is considering vulvar dismemberment to cosmetically disguise her metabolic sex through Gender-affirming Care:

The vaginectomy is a hazardous procedure. . . . Because [of] the severity of [possible] complications and because vaginectomy is not really necessary, it must be discussed with the patient whether or not to perform vaginectomy.1 (p. 3064)

Mastectomy dismembers a woman or girl's mammary glands. Although extremely dangerous, mastectomy sometimes strikes clinicians as the best of bad options: as a somewhat common intervention in some cultures to fight breast cancer, mastectomy is well-known, despite its many significant risks.3 Yet, the dismemberment of a woman or girl's mammary glands to cosmetically disguise her metabolic sex is a hugely dangerous fad that is still in its infancy. However, plenty of data do demonstrate the unsurprising fact that cosmetic dismemberment of a woman or girl's mammary glands is risky and often harmful to her metabolism. For example, data and analysis published in the Annals of Plastic Surgery suggests that a 12-year-old girl may regret the dismemberment of her mammary glands to cosmetically disguise her metabolic sex through Gender-affirming Care.4 Meanwhile, regret is often a key factor in the kind of deep sadness and disappointment that some people choose to describe as depression - which has its own myriad metabolic risks and harms.5

Chemical Castration

Along with surgical dismemberment, chemical castration is also a common way that she may choose to cosmetically disguise her metabolic sex through Gender-affirming Care. Chemical castration is well-known as a punishment for child-rapists.6 Yet, chemical castration - euphemized as hormone therapy for the euphemism of gender affirming care - has generally never been recommended for non-rapists. Indeed, leading medical clinicians warn against cosmetic chemical castration, especially for children.7 Meanwhile, the cosmetic chemical castration of women and girls causes many massive risks and harms to her metabolism. At a minimum: as described above, massive internal injury, which chemical castration causes by definition, will tend to diminish her metabolic status by redirecting much her nutrition away from the support of normal metabolic function and, instead, into the body's frantic and desperate metabolic effort to heal the chemical castration.8

Conclusion

Gender-affirming Care for women and girls describes a spectrum of cosmetic choices to disguise her metabolic sex by disguising her appearance. Gender-affirming Care may involve non-metabolic changes to cosmetically disguise her metabolic sex - for example, changes in her clothing fashion, body language, vocal tone, and so forth. Gender-affirming Care may also involve metabolic changes to cosmetically disguise her metabolic sex by disguising her appearance - most commonly by either or both surgical dismemberment and chemical castration. The choice of Gender-affirming Care routinely causes many extreme harms to her metabolism.

References

References

  1. Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Elsevier; 2020.
  2. Wasserfurth P, Palmowski J, Hahn A, Krüger K. Reasons for and consequences of low energy availability in female and male athletes: Social environment, adaptations, and prevention. Sports Med Open. 2020;6:44. http://doi.org/doi:10.1186/s40798-020-00275-6
  3. Surgery to reduce the risk of breast cancer fact sheet. National Cancer Institute. Published October 18, 2013. Accessed June 4, 2024. https://www.cancer.gov/types/breast/risk-reducing-surgery-fact-sheet
  4. Tang A, Hojilla JC, Jackson JE, et al. Gender-affirming mastectomy trends and surgical outcomes in adolescents. Ann Plast Surg. 2022;88(4 Suppl):S325-S331. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9555285
  5. Chourpiliadis C, Zeng Y, Lovik A, et al. Metabolic profile and long-term risk of depression, anxiety, and stress-related disorders. JAMA Netw Open. 2024;7(4):e244525. http://doi.org/doi:10.1001/jamanetworkopen.2024.4525
  6. Lee JY, Cho KS. Chemical castration for sexual offenders: Physicians’ views. J Korean Med Sci. 2013;28(2):171-172. http://doi.org/doi:10.3346/jkms.2013.28.2.171
  7. Chemical castration: Not the best for children. American College of Pediatricians. Published October 27, 2011. Accessed June 4, 2024. https://acpeds.org/press/chemical-castration-not-the-best-for-children
  8. Waters J, Linsenmeyer W. The impact of gender-affirming hormone therapy on nutrition-relevant biochemical measures. Front Nutr. 2024;11:1339311. http://doi.org/doi:10.3389/fnut.2024.1339311

Medical, Legal, and Metabolic Advice

Here in the USA, it is generally illegal and a bad idea for anyone but a jurisdiction-licensed physician to give medical advice, anyone but a jurisdiction-licensed attorney to give legal advice, anyone but a jurisdiction-licensed nutritionist or registered dietician to give metabolic advice, and so forth. This website's information is generally incomplete to predict how applying it may affect a given visitor - because the effects depend on the person's unique circumstances and characteristics.

So, here is the only medical, legal, and metabolic advice on this website: None of this website is individualized medical, legal, or metabolic advice. It is general information. You should not try to apply any of this information to your life, unless you know what you are doing. Generally, the governments of USA's jurisdictions (states and territories) declare two things through law:

  1. Without the guidance of a jurisdiction-licensed physician, attorney, or nutritionist: you do not know what you are doing, so it is unwise and unsafe for you to make too many decision about your medical, legal, and metabolic status and circumstances, and
  2. no one but a licensed physician, attorney, or nutritionist can safely and effectively advise you about those statuses and circumstances - thus, it is generally illegal for anyone else to try.

Obviously, those standards are extremely conservative, if not heavy-handed. However, one should remember that many of those people in government who uphold such strict standards have seen the stuff of nightmares: predictable, preventable, terrible consequences when the least capable and least conscientious people make the worst decisions - whether medically, legally, nutritionally, or otherwise. So, it is not wildly unreasonable to promote - even to legally command - erring on the safe side. Still, various jurisdictions do provide some exceptions to those exceptionally strict standards under law.

Here in Minnesota (and in many other U.S. states and territories) a person can help you with certain aspects of your medical, legal, and metabolic status and circumstances - even when that person is not formally licensed by the jurisdiction. Minnesota, for example, allows various people besides licensed nutritionists and registered dieticians to give metabolic advice and guidance: certain Complementary and Alternative Health Care providers, which Minnesota allows under law. Minn. Stat. § 146A. Thus, one need not feel completely locked into the strict standards listed above (though jurisdictions do typically still hold alternative providers to certain basic standards under law). Instead, in the USA, one can discuss the information on this website, and receive guidance about it, from various experts - whether jurisdiction-licensed or not. Meanwhile, this thorough and smart-sounding notice and explanation should not tempt any visitor into having any extra trust for the information in this website. At most, as the saying goes: "trust but verify."

Sincerely,

Dr. R. Floyd Lindquist

Her Metabolism: Founder, Treasurer, Secretary, Lead Data Scientist, and Director of Communications and Research

PhD (Thanatology), PsyD (Psychology), DLP (Law and Policy), MPH (Nutrition & Epidemiology), MS (Nutrition), MA (Counseling)

floyd[at]hermetabolism[dot]org

Her Metabolism is a Minnesota Nonprofit (501c3)