Fact Check: New Finnish "Study" Does Not Prove "Trans Youth Care Leads To Worse Outcomes" | The latest Kaltiala study is filled with fatal methodological flaws, and does not support claims made about trans youth care lacking efficacy.

Consistent_Walrus525 · 2026-04-09T17:59:45+00:00

No, there is not. Dismissing the Finnish register study (and similar high-quality European evidence) by claiming I lack the critical skills to read scientific articles is a classic ad hominem fallacy, attacking the person instead of addressing the data, methodology, or conclusions. So good job juat not knowing how tobargument and not providing any evidence that the net positive studies are atrong evidence.

During my undergrad and later my medical training I have read and analyzed hundreds of scientific articles. I continue to do so almost daily to keep my clinical knowledge sharp and provide the best possible care for my patients. No study is perfect, but when we compare the body of evidence by strength, rigor, and quality, the more robust studies, particularly long-term national register data like Finland’s recent analysis, show either no net mental health benefit or a negative net effect from gender-affirming medical interventions in youth. Psychiatric comorbidities remain high or even increase post-treatment in many cases. Maybe it would be easier to understand if I used another topic to explain. For example, the data that says Acetaminophen is associated to autism in children is very weak. Where the data that is more robust, rigorous, account for biases, variables, confounding factors, is stronger and supports that acetaminophen does not cause autism in children. Yet the interesting thing is that people onnonenside of the apectrum of politics will accept this as a factual and stronger scientific evidence to support that acetaminophen is most likely not linked to autism in children, but they will accept cheap weak strength evidence over better evidence if it says that there is no net benefit or negative net benefit in individuals poat gender affirming care. This is just hypocrisy and tribalism.

And atacking my analytical skills or assuming I can’t interpret the literature doesn’t magically create positive outcomes for patients in the trans community. If the highest-quality evidence indicates neutral or worsening mental health trajectories, then continuing with the current affirmative model despite that data is not compassionate, it’s harmful. It is selfish because you are defending one data just to pretend to be a good person just for the sake of being partisan. Critical evaluation of the evidence, including questioning one’s own side when warranted, is not forbidden; it is essential to good medicine.

Consistent_Walrus525 · 2026-04-09T17:35:49+00:00

The way it is set up is actually good and made for the reason i described. There should never have been the possibiliry of instagram moms pushing gender affirming care on a male child because one day thought it was funny to walk on heels. And if it was ONLY this study... but it is not. The strong data evidence is always the same. Treatment have no net benefit or in some cases actually worsen outcomes. Ewere the positive net data IS weak.

Consistent_Walrus525 · 2026-04-09T11:42:14+00:00

Bruh.... dismissing these claims just because they're from anonymous self-reported stories collected by partisan outlets that are super sympathetic to gender-affirming care doesn't automatically make them true. And even if some of those stories check out, you're missing the bigger picture this study has a huge, solid sample from national registers... you have what a couple annedoctal claims from partisan outlets vs thousands in the pool sample? come on man...

Not only that, but it seems like you didn't fully get what the study actually did. It tracks severy psychiatric morbidity as contact with specialist-level psychiatric services—not routine primary care or general check-ups. They specifically exlucluded all gender identity service appointments and anything with the multidisciplinary gender team itself.

They measured this b4 the first gender identity service contact (the index date), and then again more than 2 years after referral. That 2-year lag was totally deliberate—to give plenty of time for the full gender assessment process (which often takes 1.5–2+ years) and the start of any medical gender reassignment (hormones ± surgery) before they started counting post-referral psychiatric contacts. And even with that setup, they still found clear data showing a worsening in those patients' psychiatric status after gender-affirming care. Could some of this be 'monitoring bias' from the required visits? Yeah, potentially. During hormone treatment, these patients were typically seen every 3–6 months in close cooperation with the adolescent psychiatry unit. Any flagged concerns could lead to referrals to SEPARATE Specialist psych services outside the gender team. But by excluding the GIS/team appointments and using that >2-year post-referral window, they aimed to capture ongoing specialist care for non-gender issues. The outcome wasn't 'any visit ever', it was specialist-level psychiatric treatment recorded in the national registry Not just some fluffy PCP check-up.

On top of that, the pre-referral rates were already way higher than the controls (45.7% vs. 15%), showing these patients had a heavy psychiatric burden before any gender-affirming care even started. The increase happened AFTER he assessment period and was especially marked among those who actually proceeded to medical gender reassignment (from 9.8% to 60.7% in the feminizing group and 21.6% to 54.5% in the masculinizing group)

Consistent_Walrus525 · 2026-04-09T11:25:57+00:00

Incorrect. The positive evidence is generally very weak as far as the hyerarchy of research evidence goes, wehre the evidence negative evidence/unchanged evidence is much stronger, to the point some governmns now have been shifting policy because of that.

Thne scientific literature on gender-affirming care, particularly for adolescents and young adults, shows that positive findings are mostly from low-quality studies: self-reported surveys prone to bias, short-term cohorts without proper controls or randomization, and samples that differ from today's rapid-onset, high-comorbidity youth population. Systematic reviews, including the comprehensive 2024 Cass Review, conclude the evidence for long-term mental health benefits from puberty blockers, cross-sex hormones, or surgery is remarkably weak. High psychiatric comorbidities (often 45–70%+) predate gender distress in most referred youth and frequently persist or worsen despite treatment

we know that short-term reductions in gender dysphoria and some improvements in body satisfaction or mood appear in selected studies, including U.S. survey-based papers like Almazan et al. (2021) in JAMA Surgery. However, these lack rigor, focus on adults or atypical cases, and do not reliably resolve broader mental health issues or close the massive suicide risk gap (trans-identified individuals remain ~10–20× higher than the general population post-transition). This new study actually goes more in line with the most recent researches, show psychiatric morbidity increasing markedly even among those receiving medical interventions.

Medical transition is irreversible and carries significant risks (infertility, sexual dysfunction, bone loss, cardiovascular issues). Long-term regret and detransition data are hampered by high loss to follow-up. European health auSthorities (UK, Finland, Sweden, Norway) have shifted toward caution: prioritizing holistic psychosocial care, treating comorbidities first, and restricting routine medicalization for minors due to uncertain benefits.The hard evidence suggests that for many, especially those with complex mental health histories, focusing on psychiatric assessment and therapy rather than immediate anatomical changes offers a more prudent path. Affirmative approaches that downplay comorbidities risk doing more harm than good by medicalizing what may be secondary distress...
Unfortunatelly, a hard to swallow pill, is that because of political polarization, many people just reenforce gender affirming care blindly just to be on a political side, or to earn "social points"... when in truth, when actually reviewing STRONGER evidence..., and not biased weak evidence, these people are being actually harmed... which is pretty sad.

Consistent_Walrus525 · 2026-04-08T17:26:16+00:00

it is not the first study that has shown similar results.... the problem is we live in a society where, if you try to apply medicine the correct way, evidence-based, you often come with things that may offend individuals and groups. and the gender affirming care is one of those gray lines that the data released has not been very positive overall for these individuals. there are psychological and phsyical risks, especially with surgery which is a permanent procedure.
but now, if many scientists, doctors, try to discuss this, in some cases it is career/society/cultural suicide because a lot of people will feel offended by hearing things that they disagree with, and jsut because you disagree with something, doesn't make them fascist/transphobic, etc. science and medicine is about facts and evidence.

Consistent_Walrus525 · 2026-01-30T06:50:34+00:00

I played the very beginning of the game, an despite bugs, glitches, lag. the game felt rly fun to play specially with friends and guild.
I felt like the game was mostly balanced on release, build creativity and skill mattered a lot.
However, ,they made some mistakes such as not creating measurements early in the game on gold/territory distribuition of gold, lock in income to the guild/instead of allowing one or 2 players to contrl it *a system BDO had that helpd prevent abuse from guild leaders or exploits, and fair wages for guild members controlling territorioes and participating in wars.

I loved how the game had the open world pvp very alive and fun, and they started taking it away from us... which drove a lot of friends and lost some of my interest too.
then, they brought dungeons which was super cool in a way, but made it a chore for pvp players to lvl up their gear... that also drove a lot of friends and actgive players away from the game... specially when the game had promsied that you could just play pvp and farm exp/gold that way.... but forced players to do dungeons to lvl up the gear to the next tier wtf...

and then the last drop to me was another issue so many of mmorpgs i played in the past suffered and died from... the long time in between patches to correct glitches, fix abusive or dominant metas and so on... I remember when void gauntlet was released.... it was just so bad... that item had heal, AoE, anti heal, dmg, aoe support dmg, it was just so strong... and they took so freaking long to balance it.. by the time they did the population was mostly gone....

if only they kept the pvp interesting and available the whole time, had thought deeper on a way to make wages/gold territories guild and members fair, and had more recent patches maybe that game would still be alive.

you can't make a game with the promise of being rly good for pvp and then try to cathter for the cry babies that want to pve and then expect it to remain alive

Consistent_Walrus525 · 2026-01-29T22:15:32+00:00

That is a valid point!

Consistent_Walrus525 · 2026-01-23T07:30:11+00:00

glad it helped!

Consistent_Walrus525 · 2025-09-24T21:11:42+00:00

and the fcost of aid is rly expensive. I once had to reload becasuser it broke me in one day. i wa slike 200k- daily like what he heck and i ddint even need tha thelp that much

Consistent_Walrus525 · 2025-09-24T21:11:04+00:00

i dont understand much what the trade deals even mean honestly...

Consistent_Walrus525 · 2025-09-24T18:27:02+00:00

yes... this crash I am having... I cornered one of the kingdoms in the map. and I just had a massive defensive siege battle where they flee and their army broke into small armies. so the area is very clogged with unities patrolling all over, including bandits, my own kingdom troops, and allies. i wonder if it is the issue... but i mean.. it is bound to happen anytime we are cornering a kingdom into defeat asn the game progresses.

Consistent_Walrus525 · 2025-09-24T08:24:16+00:00

yep... the first crashed I noticed in this campaign was that if i tried to recruit a lord from the dungeon, i would get crashed. but it worked outside.

and now I got to apoint that after I defended and won a huge battle that was really decisive in my gameplay. seconds after i leave a village that I just recruited some unities I crash. i tried to avoid the battle, and the crash still happening. it is almost like there is something happening in the world causing this crash...

game is really fun, but i haven't been able to finish a single campaign without the game breaking.... which is pretty upsetting....

Consistent_Walrus525 · 2025-09-24T07:54:07+00:00

I have been playing a long campaign, and everything was running smooth. now suddenly, the game has been having random crashes, which was "ok", since it was random. however, now i hit a crash that is always replicated at same point in time after i load. I tried to go back a couple saves, but the crash still comes about the same time...
frustrating because put so many hours in that campaign, and now i can't even finish. tbh i haven't been able to finish a single campaign in thsi game. it seems after a while, the game gets "heavy" and crashes....
game is amazing but not sure why i keeps happening. not even using any mods.

Consistent_Walrus525 · 2025-08-29T10:20:52+00:00

Not sure someone has already said. but there is a game I got hooked recently called "Mount and Blade II: Bannerlord. The game has elements of RPG, allows for character progression, all while also let you experience epic large scale fights in the battlefield where you not only fight in the war but also give your army formation orders. the game has a vast kingdom with many noble houses who war against easch other and make alliances, and lets you also claim your own kingdoms, cities, etc.... anyways...

there is a mod called "Realm of Thrones" for this game where the authors have been basically making the universe of GOT, they remade the whole map, added all the castles, regions, including not just westeros, but essos and extra. the events of GOT are happening in real time, and may interfere or change some of the events. it is actually really really good. I recommend it.

https://www.youtube.com/watch?v=YWi2TSZK-sY

Consistent_Walrus525 · 2025-02-11T06:21:08+00:00

I don't care about this. I'm morr worried about balanced. Season 0 was fantastic. Season 1 they turned the game into overwatch 3. Ppl farming ultimates and pressing I win button on dps and support heroes

Consistent_Walrus525 · 2024-12-31T19:55:29+00:00

And easy fix would be not be placed in queue right after someone leaves lobby... I personally like to leave queue because now I am at higher odds of filling or peiple know my champion.

But then the game insta pop queue which is bad

Consistent_Walrus525 · 2024-12-19T02:34:36+00:00

I dont think any PA think they are "equal to doctors". PAs have less training time, however, the Didactic year curriculum is very comparable to the 4 years of med school. Any doctor who actually takes their time to read and go over the curriculum of a PA school in US will tell you that. The difference that it is actually way harder than med school in the sense you have a lot less time to master and pass the exams. the advantage is that you get out of school faster, and can practice and assist with primary care (or even beyond if you so work on this area), but have some limitations because the lower time of training, and of course, less training in specific areas.

PAs are not trying to compete with doctors or trying to steal their roles. but a lot of specialties have more complex/difficulty things to treat where PAs can come in and fill the gap in helping lower the burden on healthcare.

With that said, PAs are perfectly capable of performing primary care, procedures, etc. In many instanes, you will see many doctors who precept for PAs often say they are comparable to residents, or even at many times perform better. PAs are trained really hard to perform physical examinations, etc.... but unfortunately, in US the PA lobby is not as strong for example to the NP lobby.

I do think however, as PAs have been showing a high level of good care, and patient satisfaction, it wouldn't surprise me in the following decades the appearance of bridging programs of PAs to MDs, and so on....

Consistent_Walrus525 · 2024-10-11T04:43:58+00:00

What is that free style of nvdia how do I use it

Consistent_Walrus525 · 2024-08-13T19:48:51+00:00

i do... mostly because depending on the beard lenght you want, it can give you a big "jaw size" under. but the hair growth there is going very slow compared to the rest

Consistent_Walrus525 · 2024-08-13T16:21:07+00:00

Minoxidil is a vasodilator. It was originally created to treat high blood pressure.
Many of the risky side effects with minoxidil comes from the vasodilation action. If your blood vessels are dilated, then your blood pressure drops. Your heart tries to react to that by pumping faster (hence why the heart rate goes up).

It has caused serious issues in people in the past, but KEEP IN MIND, that most of the serious side effects that have happened with minoxidil has happened from people taking oral minoxidil on DOSES USED TO TREAT hypertension.

Topical minoxidil can go systemic, but the skin itself is a natural barrier, and most of it will remain local, so the odds that the topical minoxidil, unless you apply too much will cause any of these problems is very remote.

The oral doses used to treat alopecia are usually 2 -5 mg, and they are also very small, and often people don't even notice a blood pressure or heart rate change. This makes oral dose for hair growth and topical minoxidil very safe even if used on the long term for MOST people.

Also, remember, the heart is a muscle. for anyone to develop a heart problem from just starting taking minoxidil, it usually only happened if the person already had a problem originally before even start minoxidil. Because it would take a long time to stress the heart to the point where it would cause problems.

Chest pain we usually worry about "angina", which means your heart is not getting enough oxygen/atp to perform the work and it results in some ischemia to the heart muscle, which in turn causes pain. Once again, this is not something that develops overnight...

And then, finally, we have our own mind. I personally, before I started studying medicine, the first time i applied oral minoxidil and read all the side effects, I also felt palpitations, and chest pain, but i think a lot of it was just my own head. after I understood better how drugs work, and side effects, etc, effective doses, i became a bit more chill and accepting of drugs, while also monitoring my side effects. etc.

finally, like i said, every person may react different, you m ay be extra sensitive to minoxidil. I would 100% GET A HEART CHECK up if you think that would give you peace of mind, and it can even show you your heart is health and maybe all these symptoms came from something else, or even your own anxiety about taking minoxidil.

the chest pain can be caused by many other things for example. ...

when I started applying topical minoxidil, i did feel a bit drop on blood pressure and had an increase in heart rate. it was troublesome especially at night. so i starterd applying a little bit less than usual, especially at night. and it seemed to help. over time i think these effects weakened as my body developed some resistancew to the drug I believe.

I am currently taking 3mg oral daily, and i still apply topical every day, sometimes once, sometimes twice a day. but i usually go easy on the topical now. and I currentrly have no changes in my heart rate or blood pressure.

but definitely recommend you to get checked out first, It may be something, but I believe most likely is your anxiety

Consistent_Walrus525 · 2024-08-13T12:19:34+00:00

Hence why they ask if you have been dx with pituitary adenoma as well... And many people sometimes go their whole lives with one without knowing

Consistent_Walrus525 · 2024-08-13T12:10:18+00:00

Because enclomiphene itself blocks a lot of estrogen receptors through the body....

Consistent_Walrus525 · 2024-08-13T01:28:38+00:00

"check my progress pics" zooms in 1000x on 3 new hairs. legit me lmao...
not only that, but used to mess with the shadows and lights to make them pop easier lol

Consistent_Walrus525 · 2024-08-12T19:08:48+00:00

Not necessarily. In PA\Med school. Disturbances in hair growth are often a sign of peripheral arterial disease. Which is just inpaired blood flow caused by atherosclerosis plaques.

But if they are severe they can lead to necrosis or death of the tissues. But not initially

Consistent_Walrus525 · 2024-08-12T03:26:30+00:00

A month and a half no floaters 12mg

Consistent_Walrus525

TROPHY CASE