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Americans think of their country as a welcoming place where everyone has equal opportunity. Yet historical baggage and anxious times can restrain these possibilities. Newcomers often find that civic belonging comes with strings attached——riddled with limitations or legally punitive rites of passage. For those already here, new challenges to civic belonging emerge on the basis of belief, behavior, or heritage. This book uses the term "elsewhere" in describing conditions that exile so many citizens to "some other place" through prejudice, competition, or discordant belief. Yet, in another way, "elsewhere" evokes an undefined "not yet" ripe with potential.
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Hormone Replacement Therapy for MTF Transgender | Renee Reyes

Estradiol injection tends to offer a faster feminization rate for a given estrogen level than any other safe hormone administration method. Also, as far as breast development, an individual's endpoint is reached faster with fewer "plateaus". Such a conclusion can be reached by interviewing MTF transsexuals receiving treatment combined with scholarly research. Clinicians recognize that breast development may be maximized by IM injection of estradiol. I had been recommending that friends consider injections instead of pills, and then noticing the same thing each time -- even when they had been on another method like Estradiol pills or the Estradiol patch for several years, changing to injections tended to trigger a new breast growth cycle even when the woman had been on HRT for over 20 years. This mirrored my personal experience in which, after 28 years of HRT and being on the patch for nearly 5 years, after changing to injections rapidly went up a full cup size myself in the next 3 months. I began to seek out interviews with others, and everywhere the same results were confirmed.
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Many transgender men and women seek hormone therapy as part of the transition process. Exogenous testosterone is used in transgender men to induce virilization and suppress feminizing characteristics. In transgender women, exogenous estrogen is used to help feminize patients, and anti-androgens are used as adjuncts to help suppress masculinizing features.
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An estimated 1. And, today, the topic of transgender health care is more widely discussed than ever before. Despite this, lost in the shuffle between conversations about equal access to bathrooms and popular culture icons is the history of a piece of modern medicine that should no longer remain so elusive. To be willing to embrace the future of this pivotal area of healthcare, it is imperative to understand the piecemeal roots and evolution of transgender medicine.
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