TAYLOR SWIFT the making of “evermore” (2020)
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we're not kids anymore.
almost home
DEAR READER
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TAYLOR SWIFT the making of “evermore” (2020)
SWIFTIE ZOOMIES one of the top ten human experiences
Taylor Swift and Travis Kelce at the iHeartRadio Music Awards. (March 26, 2026 | via sophiaormarcus)
TRANS WOMEN: HERE'S SOME SHIT YOUR DOCTOR WONT TELL YOU ABOUT HRT
1. Progesterone: not for everyone, but for many people it may increase sex drive and WILL make your boobs bigger. Also effects mood in ways that many find positive (but some find negative). Most doctors won’t prescribe this to you unless you ask. Most trans girls I know swear by it.
2. Injectible estrogen: is more effective than pill or patch form. Get on it if you can bear needles bc you will see more effects more quickly.
3. Estradiol Cypionate: There is currently a shortage of injectible estradiol valerate. There is no shortage of estradiol cypionate. Functionally they do the same shit.
4. Bicalutamide: This is an anti-androgen that has almost none of the side-effects of spironolactone or finasteride. The girls I know who are on it are evangelical about it.
@euryale-dreams
Are there HRT medications that don’t increase blood clot risk? I’m already at risk because of my blood pressure, and my doctor won’t prescribe HRT that increases clot risk while I’m on the medication - and I may never not be on the medication.
Absolutely.
The concerns surrounding venous thromboembolic events as a side-effect of hormone replacement therapy can mostly be traced back to one particular study known as the Women’s Health Initiative. This study was an enormous undertaking which, unfortunately, demonstrated significant adverse effects of the hormone therapies studied. As a result of this the use of hormone replacement therapy in postmenopausal cis women was dramatically reduced as the medical community began to question whether or not the therapy caused more harm than good.
Naturally, trans women have been suffering from this fall-out ever since.
What physicians seem to fail to recognize is that the study examined a very specific hormone regimen which was, arguably, outmoded at the time the study was conducted: It examined the use of conjugated equine estrogen (Premarin) with or without the use of medroxyprogesterone acetate. Neither of these drugs is regularly used for the treatment of transgender women.
The estrogen most commonly used to treat transgender women nowadays is 17β-estradiol either in pill form or in the form of a sticky patch that you apply to your skin. Esters of estrogen (e.g. estradiol valerate) are also sometimes used either in a pill form or as an intramuscular injection.
Transdermal estradiol patches are the gold standard when it comes to treating women who are at high risk of a venous thromboembolic event. It simply does not increase the risk of developing a venous thromboembolism. The only thing you should keep in mind is that patches are not always well tolerated because of the lifestyle changes required to keep them from falling off and the fact that they tend to irritate the skin.
Fortunately, oral 17β-estradiol appears to be safe, regardless of the increased risk. At least one large study has shown that the use of oral estradiol in trans women is not associated with venous thromboembolic events. An individual woman’s risk would need to be substantial in order to contraindicate the use of oral estradiol.
For those who have significant risk of venous thromboembolism because they have had a previous thromboembolic event, because they are paralyzed, or because of some other factor it is good to know the relative risk between oral and transdermal estrogen. The latest research indicates that the use of transdermal estrogen lowers your risk of a thromboembolism to 80% of what your risk would be using oral estrogens.
It’s difficult to find hard numbers regarding the relative risk of venous thromboembolic events with regards to hypertension. The best I could find after an hour or so of searching was this study regarding VTE in lung cancer patients. Hypertension increased the risk by a factor of 1.8.
However, to put that into perspective being of African descent increases your relative risk for deep vein thrombosis by a factor of 1.3 when compared to Europeans. Europeans are, themselves, at increased risk when compared to Asians and Pacific Islanders by a considerable margin: a four-fold increase.
I should point out that being ‘male’ is also a risk factor for developing a thromboembolism and hormones are likely to be a contributing factor. Also, menopause is another serious risk factor. Given this information it is likely that the use of transdermal estradiol will lower your risk of thromboembolic events significantly.
As far as the anti-androgen is concerned: The primary use for spironolactone for cisgender people is as an antihypertensive.
Even if the risk of thromboembolism was truly significant with modern hormone replacement therapy it wouldn’t justify what your doctor is doing to you. The fact is that mortality in the transgender community from suicide–caused in part due to the lack of access to hormone therapy–is substantial. The quality of life lost when a trans woman is denied hormone therapy is substantial. The fact that your doctor does not appear to be taking this into consideration when they weigh the risk of thromboembolism against not receiving necessary medical care is deeply concerning.
I strongly recommend that you seek a doctor who is more sensitive to your medical needs as a transgender woman.
Edit: Fixed a minor, but embarrassing, error.
oh wow this is so helpful & good info
Everyone who cares about transfem people please reblog this
this was really fucking helpful
I know a lot of trans women dont have acess to information like this and its very helpful.
Fuck… I could really use more chicken tikka masala, garlic naan and mango lassi…
What if everything gets better in 2016
“Cats don’t actually love you”
A cat is a small creature in the middle of the food chain that is fully aware that you are a very large thing that could stomp its head in at any moment and yet it chooses to rest its tiny little head on your leg for a nap and spreads out on the floor near you exposing its belly and its most sensitive organs. It brings dead mice and bugs to you to share food.
Don’t you get it? This tiny thing trusts you. It wants to help you too. It licks your leg thinking that it’s helping. It kneads on you to find comfort. It shares its body warmth with you in the cold and gives you your space in the heat. It hisses at other mammals it sees outside including other cats in an effort to protect its family.
Cats love you so so much. But they will keep trying to eat plastic.
I don’t have enough brain cells to understand who/what fortnight is about… the neighbor and husband references?
okay, so like taylor said, fortnight is sort of a prologue to the entire album. it references a lot of other songs (down bad, florida!!!, peter, guilty as sin?) there are a few different ways that it could be read, and i may not stick to this interpretation, but the below is where i landed.
fortnight sets the scene for the entire album and the events that are about to unfold by telling a story about an alternate reality about the future she was headed to in which she and joe ignore their problems, stay together, and build the life they're planning. she's in need of psychiatric help, she's drinking, she's depressed. but the other guy has re-entered her orbit. they're going to keep crossing paths. she feels insane. he's right there. she is insane. her husband cheats on her; she's enraged at him. the other guy is married to someone great; she's enraged at her too. she feels insane. she is insane, because she's fully consumed with the anger of following the bad path instead of taking the risk.
so at the end of the song, she decides she has to run for it. she has to move to america. she has to go to florida and start over. she has to buy the car and let him touch her instead of just daydreaming about it. because if she doesn't scratch the itch, if she doesn't see what happens, if she doesn't chase the guy that's been her "what else?" then well, how will she ever know? and the rest of the record is her realizing that maybe she wishes she hadn't.
She didn’t really answer his questions she sidestepped. He had great questions and is a great interviewer, but he was struggling in this.
i don’t think she sidestepped at all lmao. every question got an answer - he wasn’t struggling at all
the crowd is your king poem 😭
REDWOOD TREE IT AIN'T HARD TO SEE??!?!?!
This is an all-time Posting Night, because so very rarely does The Deceased leave us with such a wealth of prefabricated Insensitive Posts to use about his own death. This is beyond "claims to be pro-life, dies anyway," this man made a career on telling people in the most monstrous terms possible that being reverent or sad when someone gets shot is for pussies, and then he got shot. The people who are making light of his death are literally quoting him 1:1 and all of his fans calling that Ghoulish are literally speaking ill of the dead. Obviously political violence is bad and this signals bad things for our society, but nonetheless I love to see these Nazi motherfuckers having a shitty night because they painted themselves into a rhetorical corner
Steph puts a lot of thought into her gifts.
I like how the homestuck pilot stuff is just giving everyone a rude awakening that a lot of indie creators know each other and respect each others work and that your individual cringe does not exist in a vacuum. And that at the end of the day you’re all clowns.
united we stand
close enough, welcome back superwholock
We hereby conduct this post-mortem… Knew he was a killer first time that I saw him. If I bleed you’ll be the last to know. I feel like I might sink and drown and die. What doesn't kill me makes me want you more. My broken bones are mending from all these nights we’re spending. Do I really have to tell you how he brought me back to life? I can't let you go, your handprints on my soul. Your love is a secret I'm hoping, dreaming, dying to keep. My one and only, my lifeline. Remember how I said I'd die for you? Combat, I'm ready for combat. Threw out our cloaks and our daggers 'cause saying goodbye is death by a thousand cuts but I would die for you in secret. You fire off missiles 'cause you hate yourself but do you know you're demolishing me? I am ash from your fire. Break my soul in two looking for you but you're right here. "It only hurts this much right now" was what I was thinkin' the whole time. You assume I'm fine, and you don't really read into my melancholia. My depression works the graveyard shift. All my mornings are Mondays stuck in an endless February. In the shade of how he was feeling. Catastrophic blues, my sadness is contagious. I know my pain is such an imposition. I dream of crackin' locks, throwin' my life to the wolves or the ocean rocks. Make it make some sense why the wound is still bleedin' and I'm fadin'. Just how low did you think I'd go 'fore I'd self-implode? My spine split from carrying us up the hill and all I did was bleed as I tried to be the bravest soldier. I'm getting tired even for a phoenix, always risin' from the ashes, mendin' all the gashes. Wet through my clothes, weary bones caught the chill. My face was gray, but you wouldn't admit that we were sick til we were too far gone to bring back to life. I can't find a pulse, my heart won't start anymore for you. I stopped CPR, after all, it's no use the spirit was gone, we would never come to. Our maladies were such we could not cure them. Two graves, one gun. Say it once again with feeling how the death rattle breathing silenced as the soul was leaving. The deflation of our dreaming leaving me bereft and reeling. My beloved ghost and me, sitting in a tree D-Y-I-N-G. You know there's many different ways that you can kill the one you love. The slowest way is never loving them enough.
FREE STEPHANIE BROWN FROM HER CURSE OF ALWAYS BEING A BACKGROUND CHARACTER.
GIVE STEPHANIE BROWN HER OWN COMIC RUN.
STOP MISCHARACTERIZING STEPHANIE BROWN.