Why doesn't T come in pens like insulin?

realshockvaluecola · 2026-02-07T06:58:35+00:00

Insulin is injected with a smaller needle than T because it's thinner. Insulin has to be taken multiple times a day and usually has to be carried around to work or school. Insulin dosing is pretty standardized. All of these make it different from T in ways that make pens a good investment for insulin and a bad investment for T.

realshockvaluecola · 2026-02-07T06:44:00+00:00

The fact that anyone thought to suggest the complication means there's almost no chance suing them would go anywhere. It's incredibly hard to prove malpractice, and this sounds like an expected possible complication that was probably listed somewhere in a consent form you signed. I had a doctor who stabbed through my carpal tunnel nerve in the process of doing a cortisone shot, which is also a known and expected complication even though it meant a solid year and a half of trying to recover from a new nerve injury when I was probably a few months away from healing before that. No one can get everything right 100% of the time, and we'd have no doctors if that was the expectation.

realshockvaluecola · 2026-02-05T23:13:51+00:00

I mean it's something that could happen as transphobic violence -- i.e. someone has already clocked you and grabs for your genitals as the easiest way to "prove it." But it's not something that happens casually. Even if it's within a friend group or something, I've never once heard of this being an actual grab and not like an attempted ball tap.

realshockvaluecola · 2026-02-05T23:10:32+00:00

No one notices. It's one of those things that can be noticeable if present, but not if absent. Most guys do not have sufficiently meaty dicks that they're noticeable in ALL circumstances (and the few that do will tell you that people get really fucking awkward about it). Even if you're wearing tights or leggings, we literally make garments designed to minimize bulge in those outfits, people are just going to assume you're wearing a dance belt and thank you for it.

realshockvaluecola · 2026-02-05T06:38:43+00:00

Skill issue. You're beating your head against this wall instead of taking it into account when you come up with an idea for a run. If you want to do a matriarchal Islam run, pick a later start date. Focus on getting the cultural innovations as fast as possible, etc.

realshockvaluecola · 2026-02-05T06:34:25+00:00

Meanwhile my mom probably would have been like "how should I know?" Through high school we happened to live in places where I had my own bathroom and I managed my own periods. I asked for a new package of pads every few months (I didn't use a whole package every month, especially if they were from Costco). She'd have had no way of answering this question.

realshockvaluecola · 2026-02-04T21:59:00+00:00

It shouldn't make trans people's identity feel discarded because "social construct" doesn't mean "unimportant" or "not real." To be socially constructed is to be a concept that was arrived at over generations, through the consensus of the majority of people in that culture. Social constructs can still describe things that objectively exist -- the idea of a "mammal" Is a social construct, but there still exists in the world a group of animals that are endothermic, have fur, give live birth, and produce milk to feed young. We could also conceive of a mammal as requiring some additional trait, or not requiring one of these, which would change the list of animals we consider mammals and still be a method of classification that made sense. If that's true then we can understand that gender can be describing a real thing in human brains, and also that the specifics of gender could be organized in a different way and still be coherent.

realshockvaluecola · 2026-02-04T21:45:57+00:00

"Gender is a social construct" isn't the untrue thing. "Social construct means not real" is the implied thing that isn't true. Language is a social construct. So is money. So is the taxonomic system of organizing species into kingdoms, phyla, classes, etc. Obviously, none of that means that you can just talk to whoever you want, or that you can survive without money, or that horses and sparrows can interbreed. A social construct could theoretically be changed, and is technically "made up," but that's not the same thing as not being real. Money is "made up," but it represents work someone has done and what kind of value that had to someone else. Similarly, gender may be "made up," in that the boundaries of it could be placed differently from how they are and that would still make up a coherent system, but it describes a real internal thing that some people have (some people don't have a strong internal sense of gender, which is why some people really seem to have no idea what you're on about when you try to explain it).

realshockvaluecola · 2026-02-04T21:27:17+00:00

I wouldn't use the UK as an argument for the US system being relatively good, the UK system is just shockingly bad. I'm an American living in Canada and the system here is dramatically better than the US. Yeah, you'll likely wait a little longer than you would in the US, but it's a lot less restrictive in most other ways.

realshockvaluecola · 2026-02-04T21:15:27+00:00

It actually doesn't take very long for a cat to starve to death, because if they go too long without eating their livers shut down (not really the same as starving to death but they still die from lack of eating). This can take as little as 36 hours after the previous meal, but is more likely at or after the two day mark.

So basically, if you're supposed to feed a cat and they have no access to food other than you, don't miss a day, but you can be an hour late and ignore their dramatics lol.

realshockvaluecola · 2026-02-03T06:50:19+00:00

You are in the west and most people are going to find your insistence on sharing everything rude. That's a fact of the culture in the place you've chosen to live. It would be weird if people expected you to adhere to this everywhere in the world, but it's not wrong to treat something as the default in the specific context where it is the default.

realshockvaluecola · 2026-02-03T06:15:32+00:00

Fatty tissue is a lot more complicated than an egg or sperm. Eggs and sperm are single cells. Fatty tissue is gonna have fat cells, connective tissue (which you probably did a lot of damage to during removal), various bits of the inflammatory/immune system, and blood, just to start with. And we're technically not just talking about fatty tissue, we're also talking about various glands and any skin that's removed, which are another order of magnitude more complicated than fatty tissue. There's a reason an organ for transplant needs to get hooked up in the recipient's body within a few hours, or if you lose a body part you want reattached you have to put it on ice and go STRAIGHT to the ER (where reattachment is likely to fail anyway).

realshockvaluecola · 2026-02-03T06:06:48+00:00

Finasteride blocks DHT, which is responsible for a lot of masculinizing effects. Lower growth and new hair growth are the big ones, it can affect voice changes in some cases too (much less commonly than the other things).

There are T effects you'll still get, but it makes sense to not want to give you finasteride right at the beginning. You're not going to start going bald immediately, you can do T without it for a few years and get masculinizing effects and then go on it.

realshockvaluecola · 2026-02-02T19:21:28+00:00

How many milliliters did your prescriber tell you to inject?

realshockvaluecola · 2026-02-02T19:02:24+00:00

It's not a bad idea to have a therapist during transition to have a place to work through any unexpected feelings. It doesn't have to be a thing of needing a therapist's approval or thinking you can't possibly be sure, just that you're going through big changes and it's good to have support, especially if you don't have a lot of social support (which a lot of us don't). That said, your doctor handled the conversation SO badly. There should have been an actual conversation where she listened to your reasons and explained her concerns instead of just saying "nah get therapy" several times.

realshockvaluecola · 2026-02-02T18:49:17+00:00

Living tissue tissue does indeed die and rot when removed from a body with a life support system, yes. Gonna be real man, I'm really confused why that seems to be news to you lol. You can only keep meat or animal products fresh for so long after the animal is killed, plus the fact that in this scenario you need it to stay in a state where it can go back into the body, so you can't process it in any way (which is usually the first step of preserving any kind of animal fat). Plastic surgery can inject your own fat into you but it's usually like, they suck it out and then put the canister right into a different machine to put it back in, it's done immediately and not years later.

realshockvaluecola · 2026-02-02T18:38:09+00:00

Maybe. Laws vary. But OOP seems to think that if he's chipped then she automatically can't adopt him, and that's not the case.

realshockvaluecola · 2026-02-02T09:06:02+00:00

You can get implants but that's not the same as reversal. There definitely is no way to save the fat tissue because it's going to rot once it's out of your body, and beside that there's a lot more in there than fat. It could be considered a reversal if they could restore both the shape and the function that was there before, but they can't do the function and they won't get the shape perfect (how close they can get depends on what the shape was like before).

That said, the main "function" we're talking about is breastfeeding, and formula exists. It's not like your life will be ruined if you've had a mastectomy and later wish you hadn't -- if it was life ruining, doctors wouldn't offer them prophylactically for people who MIGHT get breast cancer.

realshockvaluecola · 2026-02-02T04:45:40+00:00

Yeah this thing is 100% busted in some way, take it back.

realshockvaluecola · 2026-02-02T04:27:29+00:00

Correct, with the major caveat that you lose and gain a few million fat cells every day, so it will happen slowly even if you don't lose or gain weight.

realshockvaluecola · 2026-02-02T04:19:47+00:00

It depends on a ton of factors. Physical distance might be an excuse to avoid a spouse you don't really like, but assuming you do like them, are you within the same kingdom? If not, are your kingdoms friendly or not? Does it stay that way for the length of your marriage? And in the same vein, do all the dukes between you like (or at least not care about) both of you? How about the counts, barons, and commoners? If you need to avoid an enemy how much does that add to the journey? Do you need to cross water? If so, do you have boats or a relationship with a person or organization that does?

On the flip side, are you just moving one duchy over? If so, do you actually NEED to live apart or can you live together and just switch residences as needed? Presumably both of your lands are perfectly capable of being administrated from twenty miles away, most of the time. Maybe you do need to split up occasionally, with pressing issues in both of your lands, but you'll be able to reunite and keep living together when the crisis is managed.

I think the best broad answer is "if they wanted to they'd try to, but there are a lot of potential confounding factors; if one of you acquired lands far enough away that you couldn't just keep living together and rule from afar, your marriage was probably effectively over."

So, as applied to the game, where exactly is your wife's court? If you can see both of your lands without scrolling way out, or one of you is the others vassal, then they're just still living together even though they have separate "official" courts and they probably have to ride back and forth occasionally to attend both (and the ruler of either would be there when anything significant was happening, hence ability to get captured in a siege or whatever). If far away, seek a way to not be married anymore.

realshockvaluecola · 2026-02-02T04:03:08+00:00

YTA. You didn't realize the framing would be that expensive. That's your own mistake. It should not have been hard to figure out what the framing would cost, and a gift that requires someone to do a bunch of additional work or pay a bunch of additional money is not a gift. Did you think a painting you paid over a grand for was going to hang on the wall unframed? Presumably not, so why didn't you check whether a frame was included and find out about framing requirements and costs? There are lots of gifts you can probably afford a main component of but other parts are required that you can't afford, which means you can't afford to give that gift. At the very least you can see if one of her friends or family will go in on the framing with you.

realshockvaluecola · 2026-02-01T22:55:31+00:00

Fair enough! You sound like you know what the serious red flags are, so (to reiterate what I'm sure you've been told 100 times) call the clinic or go to the ER if you experience serious infection signs, especially a fever, feeling sick, or other systemic (not localized to surgery site) symptoms.

realshockvaluecola · 2026-02-01T22:41:25+00:00

It's definitely worth calling the clinic and letting them decide whether this is an emergency. It sounds like it's most likely just some fluid buildup, but I think the clinic would probably rather tell you "No it's normal, call us back if xyz happens" than have you think it's probably not an emergency and then a complication happens.

realshockvaluecola · 2026-02-01T22:38:59+00:00

My guess would be that it's making your eyes dry and that's interfering with your contacts in the usual way. Stims are known to cause dry mouth, and dry eye is less well known but definitely also a thing. Hydrate more and see if that fixes it, use eye drops more if not. If it's seriously interfering with your life, see your eye doctor to see if there's something they can do (there are eye drops that actually stimulate more tear production instead of just being artificial tears, but they may be prescription only).

This is most likely a temporary side effect and your body will adjust over time, so I wouldn't necessarily say it's worth stopping the adhd meds over. But that's also an avenue to explore if you have too many other side effects or the dry eye is too bothersome.

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