Puberty Blockers and bone density- study

[JessicaWakefieldSV]

I found this interesting thread on twitter by an MD, discussing a study re puberty blockers and bone density. Apologies if it’s already been shared.

mobile.twitter.com/will_malone/status/1148000551608750080

Sorry! mobile.twitter.com/will_malone/status/1148000551608750080

Bone density should increase which seems to be halted by blockers so rather disingenuous to claim blockers are not detrimental.

Studies also need to be done on how IQ is/isn't impacted. Laidlow has commented on brain development being effected as well as physical development but I don't know what if any studies have been carried out.

The bone density study was mentioned in the recently published GIDS Early Intervention Study. GIDS said:

These showed that there is no actual change in bone mineral density in young transgender adolescents on long-term GnRHa therapy (when measured as BMAD or tBMD). This confirms that long-term GnRHa treatment has minimal impacts upon bone health, one of the major concerns about treatment.

Endocrinologists say otherwise. This is the earlier discussion mentioned in the tweet.
twitter.com/MLaidlawMD/status/1058199365347471360

This is a great example of fudging your results. They try to frame this in a positive light by saying that bone density did not decline. But what they are not telling you is that it did not increase as expected.

I saw this or something similar earlier.

Something also about how they were comparing trans kids with trans kids so the differences would be hidden or allow them to re define the normal range brackets etc

And to think there was all that outrage about a patients trans status when they broke their arm as if they just needed to know whether to put a pink or blue cast on

This is why the EIC of the BMJ reports PB are being used in the setting of “profound scientific ignorance.” This is unjustifiable experimentation on a vulnerable group.

Give it a few years & some of these kids will be wanting to sue anyone & everyone involved. It’s like watching a slow motion motorway pile up. The long term health implications are unknown & could be horrific.

OldCrone

Thank you for that. Fudging results indeed.

This is why the TRAs who say in the future it won't be an issue for trans women to compete in women's sports because they won't have gone through male puberty are wrong. They won't be physically capable of becoming elite athletes anyway.

They won't be physically capable of becoming elite athletes anyway.

True

Aah yes elite athletes... the ones where puberty makes no difference they are at no advantage. Then say we need to get these kids young and put them on blockers to erase issues that apparently never existed

My friends DD has been sent to the endocrinologist for delayed puberty and so is on oestrogen now. Her spinal consultant needs her to go through this natural process otherwise her bones will not mature fully. It seems like doctors know this stuff already but if puberty is delayed by blockers, all of a sudden the consequences of not going through puberty are ok?
I do wonder if the reason for this is ££££

Who prescribes the puberty blockers? Because it seems like they are being recommended by non-medics (Psychologists)

They can't be prescribed by psychologists. Surely in the UK they could only be prescribed by a qualfied doctor. Nurses who've had special training can prescribe some drugs, but I doubt that would include puberty blockers or cross-hormones.

However, not all qualified doctors are experts in endocrinology. Dr Will Malone, whose tweet is linked at the start of this thread, did a really interesting interview with Benjamin Boyce which I had a thread about the other day. It lasts well over an hour but it's well worth finding the time.

Early onset of osteoporosis is going to be visiting early adults.
What could possibly go wrong?
I am disgusted and horrified by this whole ideology.

There will always be the two groups of 'trans' people in the current ideology - the children, the majority of which are girls, with many of these children being gay (lesbian), having Autism, histories of sexual abuse and assault, unsupported mental health and social needs.... this is the population being fed untested medication. It is known that if given watchful waiting as an approach, a very large majority of this population desist and grow into choosing to live in their birth sex.

The second population is adult males, with no history of dysphoria. This is the population producing the issues in prisons, hospital wards, with sex offenses, with threats of rape and murder to non compliant women, and fighting for the right to compete as complete adult males in women's sport through self ID. This population aren't going anywhere, and it has been argued that this group are shielded and protected by the vulnerable first group in the public eye.

The answer is something to do with that elephant called autogynephilia.

So at the moment there are suggestions of all the following as risks for children who go onto puberty blockers followed by cross-hormones:

Reduction in IQ
Bone density not increasing as it should, leading to risk of osteoarthritis and osteoporosis
Delayed brain maturation and social development, lagging behind peers
Future risks of cardiovascular problems, stroke, cancer
Infertility
Inability to orgasm

Gender practitioners and transactivists say this is a price worth paying because if gender questioning children/teens don't get this treatment it's alleged they are at much increased risk of suicide/self-harm. Also: need bodies fixed to be closer match to brains.

But:
In the past 80% minimum desisted once they got through puberty.
High proportion of gender nonconforming children would grow up to be gay men/lesbians if they get the chance.
Plenty of evidence most children/teens with GD have any or all of family trauma, history of abuse, diagnosis of ASD, pre-existing MH problems, all ignored in favour of instant affirmation of child's statement that they are trans.
The suicide statistics appear to have been massively overstated.
Anecdotal evidence is building up all the time of detransitioners, left with permanent changes to their bodies and long-term health issues, all avoidable.
THERE IS NO EVIDENCE BASE FOR AFFIRMATION AS CURRENTLY BEING PRACTISED.

I think Psychologists in America can prescribe medications. Not in the UK though.

Could be that the bone density lags behind (stays childlike) while on puberty blockers but is stimulated to catch up once the child either comes off the blockers or takes cross sex hormones?

I can’t get at the whole report to see if that’s what they mean.

I think Psychologists in America can prescribe medications.

Yes, they have medical degrees so they can prescribe.

Could be that the bone density lags behind (stays childlike) while on puberty blockers but is stimulated to catch up once the child either comes off the blockers or takes cross sex hormones?

My understanding is that is unknown. I thought the issue is lack of long term studies for using them for this purpose, something they weren’t created for.

I think Psychologists in America can prescribe medications. Not in the UK though.

In the UK a psychiatrist can, a psychologist cannot.