The Doctor

Because it is exactly the same things and the same people saying it. The antitrans moral panic was kicked off in the wake of Obergefell as a divide and conquer strategy, this is hardly a secret: https://www.splcenter.org/hatewatch/2017/10/23/christian-right-tips-fight-transgender-rights-separate-t-lgb

That's the claim however it's not borne out by the evidence. The sole piece of evidence in support is a paper by Zucker which claims an 80% desistance rate but has some pretty fatal flaws; a) a large proportion of the subjects wouldn't meet the diagnostic criteria for gender dysphoria and indeed are clear about not being trans to start with, and b) makes the assumption that anyone lost to follow up also desisted (rather than filtering them out of the data set). Other studies indicate the desistance rate is more like 2.5%: https://publications.aap.org/pediatrics/article/150/2/e2021056082/186992/Gender-Identity-5-Years-After-Social-Transition?autologincheck=redirected

The Cass Advisory board literally had members of a conversion therapy advocacy group on it, your hatred of trans people doesn't change the facts. This is not a progression to reality, it's a massive blow to bodily autonomy, not separable from the case going through the Texas 5th circuit at the moment regarding parental consent for teenagers to get birth control, the repeal of Roe and the recent trend towards prosecuting UK women for abortions. In all cases the point is that "your body is not yours, it's ours, and you will be fertile and reproduce" because we're in a fascist resurgence and they're obsessed with birth rates. The intention doesn't change the posology. The treatment length remains the same (couple of years at max), the method of administration and the dose remains the same. To give an example that people are not blinded by their anti-trans bigotry towards: Amitriptyline is a SSRI used for treatment of anxiety, however has reasonable efficacy as a prophylactic for migraines. If an Amitriptyline product is licensed for use in the treatment of anxiety but migraine prophylaxis isn't on the list of indications for the product, it can still be prescribed off-label for that. If the maximum daily dose for the product is the same in that off-label use, and the treatment course is the same, then the posology remains the same and the safety for migraine prophylaxis can be inferred from the safety for treating anxiety. The push to claim otherwise is of concern for trans adults as well, since for all the ridiculous conspiracy theories by people who don't know their arse from their elbow, pharmaceutical companies make basically nothing off HRT for trans people, because the patient base is so small that going for license variation to add treatment of gender dysphoria as an indication doesn't make financial sense for them. So, all medications prescribed for treatment of gender dysphoria is prescribed off label. This "off-label means not safe" position taken regarding puberty blockers presents a grounding to attack transitional care for adults as well despite the clear efficacy. And make mistake, that is the point, the far right will not be happy until trans people are forced into the closet because, as with abortion and birth control, transition is an affront to their "you must breed for the nation" approach.

You get the idea of the NHS being hijacked by politics not evidence here right? Not least since the consultation was overwhelmingly in favour of keeping them available, with input from paediatricians and medical researchers. That statement from the NHS is pretty straightforwardly a lie, the method of administration, the treatment length, the dosage (i.e. the posology) remains the same whether for precocious puberty or gender dysphoria. Them being safe for the treatment of precocious puberty a priori means safe for treatment of gender dysphoria and it's only the fact that it's not a licensed use (because again, patient base is not big enough for it to be worthwhile going through the licensing and variation to marketing authorisation process for pharmaceutical companies - this is why all HRT prescribed to trans people is off-label) that makes this even slightly complicated in terms of lawsuits for discrimination (because otherwise it would be a cut and dry case of medical segregation intended to cause harm to a demographic with a protected characteristic)

Not sure he makes Stringer look decent for the simple reason that half the time I hear him and think "oh is Stringer back?" They're both that indistinct and tedious

I mean that's wrong on both accounts but sure. The evidence is there to support the position that puberty blockers are safe, on account of them having FDA and MHRA licensing and the posology being the same for precocious puberty and gender dysphoria (even if the latter is technically off-label) and given a total of 83 kids are currently prescribed them you can see why they're a) off-label (barely worth a pharmaceutical companies time to shift from special to licensed medicine for that indication given the tiny income they'd bring) and b) that lawsuits won't happen

alright who let the rangers fans on the site? The UK isn't less corrupt on account of not being Catholic.

I mean I guess when you've not been relevant as a club for 20 years you take what you can get

Unless you're Chelsea, or doing something dodgy (Newcastle director salary is 7k? man city's don't have a salary?)

Ndidi. It's been 7 years and it's 5 letters long, how do people still spell it wrong

Sounds like a plan, if the efl can't get in they can't charge us

First is a slip, second vardy has played the ball and then greaves arrives into him, they get given pretty consistently in the prem and the ref has a decent angle

We did that at Leeds and McAteers defending was a part of the reason why we collapsed

Casadei was getting slated because he wasn't as good as Wilf and KDH, however he was squad depth and that is something we're seriously lacking and something our competitors have/got during January. Like our lead has gone pretty significantly but in terms of points difference against the first half of the season it's just Coventry (-3), QPR (-3), Sheffield Weds (+2), Hull (+1) = -3 net points. The likes of Leeds have tightened on us because when Summerville and Gnonto go down they've got the likes of James to throw on, when Mavididi or Fatawu go down we have to look to the academy

It's hardly possible to be consensual when that level of power dynamic comes into it, because coerced consent isn't consent and it kind of inevitably becomes coerced when a manager comes on to an employee because of the power he holds over her. Which means that your old manager definitely did act unprofessionally

He's a Leeds fan based on how much he rims them so probably is

he's late and doesn't get to the ball, it's pretty cut and dry. Enzo is right.

Dude needs a rest, this is the problem with years of having no wingers at all, we've got two good ones in but very little rotation options outside of some youth teamers who aren't really at championshop standard yet. He'll be back on fire after the international break, as will we generally I think, clear fatigue issues with the club at the moment which is the injuries to Ndidi, Ricardo, McAteer and Praet leaving us with basically having to over-play Choudhury and KDH. Enzo could be doing better to allieviate it with more subs but it falls on the board for not even replacing Casadei in January.

That's literally the reason Spurs had Kevin Friend taken off one of their games in the 15/16 run-in so unless it's changed, yea you're not.

Leeds could still lose next weekend...

Starting to be convinced that the refs are rigging this division because the EFL didn't want a title procession, between the clear foul on JJ when Middlesbrough went 1-0 up, Dakas goal at leeds being disallowed for nothing, seri not getting sent off today...

Yea, I was about to ask people why the **** they were celebrating going behind

Get a grip on your knees rather than being so reactive

By having Kante in front of them for starters. Remember how exposed those two were in 16/17

Sweet sweet crumble. Hope that **** Sheeran is weeping into his guitar