My darlings, my loves, my fellow weirdos, I am begging you all to REST after you have covid.

I know it is very hard, and our society asks you to get back up and running at full speed as soon as possible, before you’re even done testing positive even.

But please my friends, please rest.

If you push too hard too fast you might be sicker for longer, you might be doing long lasting damage to yourself.

So please my beautiful nerds, take care of yourselves and REST.

Me being a weirdo hermit who works from home and barely does anything winning for me for the first time ever

Beating The Heat While Fat: Torso Skin Folds

Being fat in summer is hard for a lot of reasons, and one of them is skin folds. This is because skin folds love to trap moisture, and moisture+heat=bad. And moisture+heat+friction=worse.

When you have skin folds, summer can really suck. I'm not going to touch on any of the mental and emotional issues that come from the way fat bodies are treated- I'm talking about the physical issues that come from heat. Fat people sweat more! Our body fat acts as an insulator, meaning that we have to put out more sweat for evaporative cooling to be effective- and trust me, it's not always that effective.

There are lots of places skin folds develop, but the two I'm going to focus on today are abdominal and chest skin folds, and give you some specific information and recommendations for what you can do about them.

The abdominal skin fold, also known as apron belly, is tissue that hangs down over your abdomen and upper pubic area. The more technical term for this is a pannus. This tends to be a skin fold with a lot of surface area, since it usually goes from hip to hip, the whole length of your front. Pannus can also develop after a pregnancy, or after weight loss (and weight loss surgery). The principle is the same- the area under it needs to be cared for no matter how it develops!

Chest skin folds are probably the most common type of skin fold because most people with breasts has them. But you don't need mammary tissue to develop this skin fold! Anybody, regardless of sex, can develop overlapping skin on their chest. There's many more protective products available for people with breasts, due to the cultural expectation of bra wearing. But for folks with gynecomastia or pseudogynecomastia, there's less information and resources out there.

By the way: gynecomastia is excess breast gland tissue that develops in men/AMAB people. Pseudogynecomastia is when the glands don't develop but the fat deposits do. Externally and visually, they're very similar, but there are some physiological differences that... don't matter for this piece honestly. Whether it's glands or fat, the tissue is still there, and still needs to be taken care of!

Skin Fold Skin Care

Nobody teaches you this stuff, so don't feel bad if you don't know it. When you're fat, nobody ever tells you how to take care of your skin, unless they're shaming you for it. Usually the only people who care about fat people's comfort are other fat people. So let's talk about how to take care of your skin folds in the summer.

The key elements to skin fold care and comfort are keeping the skin dry, but also keeping it hydrated. Sounds a little paradoxical, I know, but when I say "dry" I'm referring to the surface of the skin. You have sweat glands all over your body, and when you sweat on the surface of your skin, it evaporates or it's wicked away by your clothes. But when air can't get to it because it's under a skin fold, the moisture just stays there. And that's not good!

Moisture trapped between skin folds can lead to a few things that aren't a lot of fun. It can promote skin yeast infections and bacterial infections. It can lead to intertrigo, a red bumpy friction rash. Heat rash is more likely in the summer... because, well, it's hot.

One of the best things you can do is introduce a barrier between the sides of the skin fold. This can be barrier cream (my least favorite, it's messy), body powder, friction gel (like the kind of thing you use for chub rub on your thighs- think Gold Bond or Bodyglide sticks, or Monistat anti-chafing gel), or a physical barrier made from soft cloth.

For a pannus, you can get these things called tummy liners that are a crescent-shaped band of cloth. You lift up the pannus, lay the band against your upper pubic area, and let the skin fold hold it in place. Some people will tuck the front of their underwear under the skin fold, but for others this is less comfortable. And this whole thing is about keeping you comfortable, so do what feels right.

If you have breasts, a bra with cups is a great way to help keep them dry. A bra without cups will often squish them together, and while it can still keep the area under your breasts dry, it can promote moisture between the breasts. For some people, this isn't a problem- it all depends on the size and shape of your body. The cups don't have to be wired- they just need to keep your breasts separated so that they're not rubbing against each other.

If you don't want to wear a bra with cups, or if you don't like the feeling of wearing a bra at all, or if you want extra sweat protection, you can get cotton bra liners, just like the tummy liners. They work the same way- lift your breasts or chest tissue and put the liner in the fold beneath. If you have a small skin fold that doesn't come down very far, this might not work so well, but if you have a larger skin fold that's got more than half an inch or so of overlap, this should stay in place just fine.

You can also of course wear bra liners with with bras. The band will hold it the liner in place, adding an extra layer of padding and sweat protection. But if you don't wear a bra, if your breasts or chest tissue is substantial enough, it will stay in place.

Bra liners are flat. If you wear one, unless you're shirtless, nobody will know. They can help keep you dry, even if you don't have developed breast tissue- like think about the skin folds that fat people without breasts get.

Even if you're not getting a shower before bed, it's a good idea to take a gentle wipe and swipe in between the skin folds. It'll help soothe the skin and prevent bacteria or yeast from colonizing the surface. Be sure to wash the folds with a gentle, ph balanced soap or cleanser. And when you get out of the water, whether that's a shower, bath, pool, lake, whatever, take some time to dry your skin folds. Don't rub- pat them dry. Rubbing can irritate them. It's easy to forget, but you'll be glad you did. This kind of hygiene practice makes the skin feel nicer, calmer, and less irritated, and you deserve to be comfortable!

Hydrate or Die-Drate

When you're fat, you need to drink more water than smaller-bodied people. We sweat more and we have more surface area to our skin, which means more sweat glands, which means we lose more water. The best way to do this is simply to drink more. Drinking will help keep you cool and replenish the water lost to sweat anyways, so it's really important to keep that up in the summer, when it's hot!

If you don't like plain water, no worries! All liquid counts! I drink a lot of iced tea- even though it has caffeine and caffeine is a diuretic, the net effect is not dehydrating. And everything with water content counts, including the food you eat. Watermelon is 92% water. Cucumbers are 90% water. Popsicles are almost entirely water with some sugar in there. Get them at the store, or make some ice pops in the freezer with your favorite fruits. Freeze grapes, they're super delicious when frozen, and grapes are like 82% water. Try to think about your daily snacks and meals in terms of water, and see where you can add a little more hydration!

Now, you may want to know, how much is enough? The old 8 glasses a day adage isn't really accurate. The current science suggests 3,000 ml for men and 2,200 ml for women, but where do these numbers come from? The fact that there's a sex difference suggests that this is based on average body size- and it turns out these numbers come from European population studies that did not include a lot of fat people. So I did some more hunting and some reliable, but not peer-reviewed sources, suggest that you should drink about half an ounce of water per your weight in pounds. That's an easy enough metric to understand! And you can always drink a little more. While you may have heard of people becoming sick from water intoxication, that's extremely rare.

So in conclusion: drink lots of water and keep the area underneath your skin folds dry. Allow yourself to prioritize your comfort and don't feel bad about the skin you're in. Eat a popsicle.

Feel free to add on with any additions and other helpful tips, but remember: fatphobic commentary is not welcome here, and mean comments will be removed. Advice to lose weight is not helpful- even if someone is losing weight, they still have to live in the body they have now. And that body deserves to be cared for.

OK Tumblr Geriatric Ward, let’s talk about your posture-

there are things you should be doing now to prevent yourself from starting to look like 🥀

Why does it matter? Future you would like to avoid the pain, limited motion, and fall risk that goes along with worsening posture.

What’s the focus?

1. Keep the flexibility in your spine

2. Stretch the muscles in the front

3. Strengthen the muscle in the back

Here are some simple things you can do daily while sitting and when you get up to go into the bathroom or the kitchen

Keep the flexibility by doing these repeated movements: 10 repetitions several times a day

The goal is to give yourself a double or triple chin. Keep your nose pointing forward, don’t let it tip up or down

Thoracic extension- use a chair with a seat back that comes up to the level of your shoulder blades. Try to bend back over the top of the chair without arching away from the seat back and without extending your neck. If the pressure from the top of the chair is uncomfortable you can place a towel there

Stretch the muscles in the front by using a door frame. This one will feel good afterwards

If this isn’t enough of a stretch you can do one side at a time. If you have the right arm up step forward with the right foot and turn slightly to the left. Then do it on the other side.

Strengthen the muscles in the back by squeezing your shoulder blades together for a count of 10 and then repeating 10 times. You can do this several times a day Hint: Don’t lift your shoulder blades up

There are lots more exercises for strengthening your back muscles but this is a good starting point and easy to do. I like doing it while driving

NOTE: I can do most of these with the cerebral palsy. In fact, a lot of these little exercises are automatically part of my physical therapy. My problem is I already have hyperlordosis, spine arthritis, and cervicogenic headache. These have helped me at least try to have a posture.

I CANNOT STRESS ENOUGH HOW GOOD THIS ADVICE IS

Workout For Daily Life

Reblogging for the neck pain ones… whoa Nelly, do I ever get the most killer neck pains.

When I was in rehab for a broken hip, my physiotherapist taught me to do the hand/wrist, feet and neck exercises as well as leg extensions etc.

‘It’s all connected,’ he’d say. And he’s right :) I still do those exercises regularly and they help. They help a lot.

as an aroace person with limited sexual experience, no interest in watching porn, and poor sex ed as a teen, there IS something simultaneously funny and vaguely tragic about being 28 adult years old and realising how extremely tiny your frame of reference is for genitalia and deciding you should expand this to better understand bodies (yours and others). and then you're just there like "okay so what the fuck do I even google right now, anyway"

Large Labia Project

Labia Library

Breast Gallery-Nonsexualized Images of real, anonymously submitted breasts

Critique My Dick Pic [tumbex archive]-real submitted dick centric nudes

thank you (i think?)

why wouldn't it be thank you? you expressed interest in sexual education materials related to genital body diversity, and i keep these resources on hand for exactly that purpose.

it's natural to be curious about bodies--yours and others. the presence or lack of sexual intent motivating that curiosity is irrelevant. they're just body parts

I also found one of my favorites I couldn't find this morning: The Great Wall of Vulva and their Labia Library

sorry, my gratitude was real, my uncertainty was @ me ("am i sure i actually want to spend my evening looking at genitals or was i using the difficulty of knowing what to google as an excuse not to learn things") lol

do you have any resources for trans bodies, especially transmasc bodies? i am interested in better understanding what changes i might expect as someone on testosterone, but though i found references to photo projects re: bottom growth in a few places, all the links were dead

totally, the London Transgender Clinic and Dr. Keelee MacPhee have a variety of before and after photos related to various gender affirmation procedures.

i think that r/GrowYourTDick is the best repository of images of specifically trans masculine bottom growth. I can't comment on the culture of the forum, but there is absolutely a lot of images of transmasculine genitalia and extensive discussion of physical changes.

For (relatively*) trustworthy information, Hudson's FTM Resource Guide contains a lot of information about medical side effects and Things To Generally Be Aware Of, like increased risk for yeast infections and tips for managing locker rooms/swimming. *I can't verify that this information is up to date

I'm not directly connected to any trans masc transition support networks, but i know that discord is a thriving space for transition support and information sharing. i think it would be relatively easy to find positive community there. they often compile resources and information for members as well as provide topical discussion spaces. here's the disboard listings for public trans masc oriented servers

and this is just a really beautiful series of portraits of trans masculine people.

that about taps me out on resources!

no, I lied, I'm not done. I spent way too long looking for this photography archive documenting trans nude portraits specifically. lost to the ether. found other stuff though:

Archive of Body Alchemy: Transsexual Portraits by Loren Cameron, which includes images of genitalia in its "Genital Reconstruction" section, page 46. Portraits of clothed trans masculine people other than the author begin on page 34 in the "New Man Series."

A Genitoplasty Diary by Lou Sullivan (1984-1987) (no images but fascinating)

the evergreen Trans Bodies, Trans Selves

not useful at all, but an extremely cool in-browser recreation of a 90s mac in order to run a 90s trans information CD-Rom.

thanks! sharing for the sake of anyone else interested too

yeah there's so many dead links out there it's tragic. sometimes you even get as far as the artist's website and they'll have a page for the project but then the project is gone and you just get a 404. i'm guessing the increasing hostility of internet providers and stuff towards nudity/nsfw content and also the general atmosphere for trans people has an impact on the safety and practicalities of continuing to host stuff like that :(

They recorded tinnitus? It's a physical thing?????

Source

Transcript:

Does this hold true for others, too? This could be a game-changer.

A lot of younger people have no idea what aging actually looks and feels like, and the reasons behind it. That ignorance is so dangerous. If you don’t want to “be old,” you aren’t talking about a number of years. I have patients in their late 80s who could still handily beat me in a race—one couple still runs marathons together, in their late 80s—and I lost someone who was in her early 60s to COPD last year. What you want is not youth, it is health.

If you want to still be able to enjoy doing things in your 60s and 70s and 80s and even 90s, what you want to do, right now, is quit smoking, get some activity on a regular basis (a couple of walks a week is WAY better for you than nothing; increasing from 1 hour a day of cardio to 1.5 will buy you very little), and eat some plants. That’s it. No magic to it. No secret weird tricks. Don’t poison yourself, move around so your body doesn’t forget how, and eat plants.

If you have trouble moving around now because of mobility limitations, bad news: you still need to move around, not because it’s immoral not to, but because that’s still the best advice we have. I highly recommend looking up the Sit and Be Fit series; it is freely available and has exercises that can be done in a chair, which are suitable for people with limited mobility or poor balance. POTS sufferers, I’m looking at you.

If you have trouble eating plants because of dietary issues (they cause gas, etc.) or just because they’re bitter (super taster with texture issues here!), bad news. You still want to find a way to get some plants into your body on a regular basis. I know. It sucks. The only way I can do it is restaurants—they can make salads taste like food. I can also tolerate some bagged salads. On bad weeks, the OCD with contamination focus gets so bad I just can’t. However, canned beans always seem “safe,” and they taste a bit like candy, so they’re a good fallback.

If you smoke and you have tried quitting a million times and you’re just not ready to, bad news. You still need to quit. Your body needs you to try and keep trying. Your brain needs it, too. Damaging small blood vessels racks up cumulative damage over time that your body can start trying to reverse as soon as you quit. I know it’s insanely, absurdly addictive. You still need to.

You cannot rules lawyer your way past your body’s basic needs. It needs food, sleep, activity, and the absence of poison. Those are both small things and big asks. You cannot sustain a routine based on punishment, so don’t punish your body. Find ways to include these things that are enjoyable and rewarding instead. Experiment. There is no reason not to experiment—you don’t have to know instantly what’s going to work for you and what won’t, you just need to be willing to try things and make changes when things aren’t working for you.

You will still age. Your body will stop making collagen and elastin. Tissues you can see and tissues you can’t see will both sag. Cushioning tissues under your skin will get thinner. You’ll bruise more easily. Skin will tear more easily. Accumulated sun damage will start to show more and more. Joints will begin to show arthritis. Tendons and ligaments will get weaker and get injured more easily, as will muscles. Bones will lose mass and get easier to break. You’ll get tired more easily.

But you know what makes the difference between being dead, or as good as, in your 60s vs your 90s? Activity, plants, and quitting smoking. And don’t do meth. Saw a 58-year-old guy this week who is going to have a heart attack if he doesn’t quit whatever stimulant he’s on. I pretended to believe it was just the cigarettes, and maybe it is, but meth and cocaine will kill you quicker. Stop poisoning yourself.

Baby steps; take it one step at a time; you don’t need to have everything figured out right now. But you do need to be working on figuring things out.

You will be unsurprised to learn that someone already accused me of ableism for suggesting that people not smoke, move regularly in ways their body can tolerate, and eat plants.

dude.

i knew a surgeon and he once told me “nobodys insides look like how the textbooks say they will. you never know what you’re going to find in there once you open them up” and that was easily the most ominous thing anyone’s ever said to me

when i was taking my first year anatomy lab, we’d occasionally find a cadaver where things would branch off or attach in the wrong order, and when we’d ask our prof about it, he’d just shrug and say “they must not have read the book”

When my friend was in med school one of the cadavers donated for them to autopsy didn't have a belly button, just smooth skin.

In the past 10 years of teaching in an anatomy lab, I have seen:

- A donor with a scrotum the size of my head. When we opened it up, we discovered it was a MASSIVE inguinal hernia and a good 1.5 ft of intestine were trapped down there.

- A donor with situs inversus totalis, whose organs were a mirror image of what we normally see (ie their heart pointed right and their liver was on the left, just for starters)

- A donor whose right common carotid artery branched off the aorta waaay over on the left hand side of the body and crossed alllll the way back across the thorax to get where it needed to be.

- A donor with 4 lobes for their right lung (should only be 3). We named the 4th lobe the Lisa Loeb, but all of the students were too young to appreciate our sparkling wit.

- A shocking variety of penile and breast implants. Y'all would not believe the number of different ways science has come up to counteract gravity.

- A couple of cases of ectopic kidneys, where a kidney didn't rise to its typical position just deep to the lowest ribs and instead stayed in the pelvis.

There is probably some other stuff that I am forgetting. Take home point is: the human body is weird and wonderful and you should learn more about yours!

....duuude.

Spleens Georg

14???????

My contribution: client co pinched nerve in L side of neck. I asked about health hx; she said, “I've got some extra ribs on that side.”

me: “some?” (!!!!!??!?!??!???)

Some was 2, but that’s crazy enough.

Yeah, I don't discover the anatomical weirdness but I've had clients come in with extra ribs, missing ribs, extra vertebra, accessory muscles (that's when you have duplicates - sometimes fine, sometimes not), bones connected where they shouldn't be (spoiler: if your lumbar spine is connected to your hip, it Causes Problems), all sorts of stuff. Bodies are weird!

“Modernity has stopped the natural evolutionary process” actually, mutations are all over the place, you’re just not cutting up enough dead bodies

Back in the 1960s, the U.S. started vaccinating kids for measles. As expected, children stopped getting measles.

But something else happened.

Childhood deaths from all infectious diseases plummeted. Even deaths from diseases like pneumonia and diarrhea were cut by half.

“So it’s really been a mystery — why do children stop dying at such high rates from all these different infections following introduction of the measles vaccine,” says Michael Mina, a postdoc in biology at Princeton University and a medical student at Emory University.

Scientists Crack A 50-Year-Old Mystery About The Measles Vaccine Photo credit: Photofusion/UIG via Getty Images

VACCINATE. YOUR. DAMN. KIDS. 

Everyone please re-blog this. It’s very important.

@takashi0 You re-blogging things tends to get them spread far and wide. Please help us out on this one.

Fun and exciting news! COVID does the same thing, although in a different way. Had COVID a while ago and keep getting sick with everything else? This is why.

COVID weakens the immune system for several months. This is why we’re seeing outbreaks of weird fungal infections in adults, more TB worldwide, mycoplasmic pneumonia outbreaks filling hospitals, plus more children getting severely ill from RSV and strep.

Wear. A. Mask. If you haven’t had COVID, keep it that way. If you have, you are immune-compromised and you really want to avoid catching COVID again, or getting anything else.

Since I’ve had COVID (multiple times, despite my best efforts), I’ve been getting colds rougly 2–3x more than before, some really nasty ones that knocked me down like a flu, and all my colds have taken twice as long as before. And I used to have a really good immune system before, rarely ever got sick.

And since I’ve been keeping up with the vax and wearing a mask everywhere and testing regularly, I’m reasonably certain those were really just colds that fucked over my COVID-weakened immune system, not additional COVID re-infections.

In 2022, I had my 11th surgery, which was less dangerous and less extensive than most of the others. It was healing quite well a couple weeks later, then I got COVID.

Then I got a wound infection. Never had a surgical infection before in my life, and it shouldn’t have happened that late in the healing process, but it did.

Now, these are anecdotes, but the data is there, basically every other kind of infection has grown more common and more serious since COVID started to spread out of control.

the thing is like. i get that it's scary and makes people who do desire to get pregnant uncomfortable when we talk about the brutality and violence of pregnancy and the damage that pregnancy can do to your body

but you deserve to give informed consent to that process.

the lies around pregnancy - that it's inherently safe, that it doesn't do you permanent damage, that it's only extremely rare for people to die of pregnancy complications, etc like

all of these are lies constructed so that more people will get pregnant w/o knowing all that

there needs to be more talk about the impact of miscarriages and how common they are, how different abortion processes are and how accessible they are

but also like. talking about how pregnancy fucks your body up should not be taboo

this is a process that permanently changes most people's bodies, and that's even if the pregnancy doesn't do them like. severe illness or injury

and i just think everybody should have a right to KNOW that

bc to live in a society that intentionally obscures and hides facts about a completely optional and dangerous process does so for a reason, and that reason is based in a very sinister ideology that does not value bodily autonomy or informed consent

the number of people who are pregnant and don't know about what induced labour entails and what post partum bleeding is horrifies me

Here is a story about the depths to which pregnant people are seen as a vessel for a baby, and the importance of finding prenatal care that assumes you are a human and not a baby holder:

When I was pregnant I was in a million forums for pregnant people because (cough adhd hyperfixation) and I had something called SPD (Symphysis pubis dysfunction) (not Sensory Processing Disorder though I also have that) which is where your pubic bones separate early (more or less) because they get all loosey goosey as your body gets ready to crank that baby out.

Except my pubic bone got confused and got misaligned at like 3 months pregnant. I could barely walk. I couldn't roll over in bed. Doing something that required me to shift my weight from one foot to another like opening a door knob was like an excruciatingly painful knife being stabbed into my pubic bone, I can't express how intense and blinding it was.

So I am in one million baby forums like "am I dying what is happening why is there a knife in my pubic bone" and all these people are like "I have that too! my doctor says it's normal and not to worry because it doesn't hurt the baby. I just deal with it by laying in bed for months in excruciating pain and think about how lucky I am to be having a little miracle growing in my body."

So lol nope. I went to my midwife and they are like, "Oh squeeze a can between your knees look up a physical therapy youtube on SPD" and I did that can-squeeze thing and it CURED THE PROBLEM in ONE DAY. I had been SUFFERING, y'all, it felt miraculous.

And I was so full of rage (flames, flames on the side of my face) that people are being told "Oh, it's NORMAL just deal with it" "It doesn't hurt the baby." Like, look, yes it's NORMAL but it's 100% treatable!!! SPD (again, not Sensory processing disorder) affects 1 in 5 pregnant people.

I was lucky to have amazing midwives (need a gender neutral term for that profession, but they see pregnant men and women)(side note highly recommend midwives if you are gender nonconfirming/a man/etc) and I have DOZENS of examples of shit like this.

(Another example is post partum friends being like "oh I am peeing my pants 900x day after giving birth" and my doctor says it's NORMAL so I just dealt with it for decades. My midwives were like "Oh that's normal and also physical therapy cures that in like 2 sessions")

When my sister was looking to get pregnant she was given the best advice. She was told that being pregnant is an experience akin to being in a moderate sized car crash, in terms of risk and lasting injury.

Some people in moderate car crashes are very lucky, and walk away with zero injury. Some are very unlucky, and die. But most people fall into the third category, where they'll be injured at the time, then heal, and then for the rest of their life they have some minor and liveable complication from the injury. Like a knee that lets you know when the rain is coming, or a back that doesn't like seats without lumbar support, or a shoulder that never quite gets its full range of motion back.

The vast majority of people survive and thrive, like. But their body is never the same again. And people should know that when they make the choice of whether to put their body through that or not

my mom had a complication postpartum that caused pain and swelling in her left leg. at the time she was told it was "milk leg" and that it was normal and she'd be fine, but it never went away or got better. she finally found a doctor recently who was willing to do some tests and found out it's a condition called "May-Thurner syndrome" and had surgery to fix it

she's been suffering with this since she gave birth to me. I'm 38 years old. she had that surgery last week.

there needs to be more dialogue about the things your body goes through during pregnancy. "that's normal" or "everyone goes through that" need to stop being used to shut down conversations about the horrific, permanent damage that can be done to bodies during pregnancy and childbirth. just because it's "normal" doesn't mean it needs to be endured

I gave my soapbox speech about how weight loss is mostly bullshit to two different patients in a row yesterday and so help me I’m pretty sure one of these days someone is going to say “but SURELY you agree I’d be HEALTHIER if I lost weight!” bc you can see the disbelief in their eyes. And like. Sure, maybe! You might see some improvement in biomarkers like LDL and A1c, and your knees would probably feel better. But you would be amazed at how much more good you can do for yourself by focusing on things you can actually meaningfully change without resorting to making yourself miserable. Eat more fresh fruits and vegetables—it’s hard bc they’re more difficult to prepare and more expensive per calorie and go bad faster than other foods, but they’re what we evolved eating the most of so they’re what our bodies need the most of. And walk around more; sure, cardio is great for you, but if it sucks so bad you don’t do it, it isn’t doing shit for you. And we evolved to walk very very long distances, a little bit at a time, so our bodies respond actually very well to adding walks into our schedules, which is vastly easier than adding workouts that are frankly designed to be punishing when the definition of punishing is “makes you less likely to do it again in the future.”

You get one life. It is shorter than you can begin to imagine. Don’t waste it hating yourself because somebody is going to make money off that self-hatred. You deserve better than to be a cash cow for billionaires who pay aestheticians and dermatologists to make them (or at least their trophy wives) look thin and beautiful no matter what they actually do.

And ONE MORE THING—listen. We are NOT evolved to lose weight, we are evolved to hoard it. We came about in a world of famines. Not only does your brain have MULTIPLE failsafes built in SPECIFICALLY TO PREVENT WEIGHT LOSS, but there are epigenetic factors—factors that are not DNA but travel with it and affect how it is expressed. So if your parents or grandparents lived through a famine, like, oh, say, the Great Depression, YOU are more likely to gain weight and more likely to have difficulty losing it. AND! We live in a world highly affected by industrial pollution—there is no corner of the world free from it, micro plastics and industrial chemical pollution have been found literally everywhere ever studied—and many of those pollutants affect our endocrine systems. Looking at records of lab animals going back to the 1960s, where we have excellent records of what genetically essentially identical animals ate, we know that LAB ANIMALS FED THE SAME AMOUNT OF THE SAME CHOW WEIGH MORE NOW THAN THEY DID THE IN SIXTIES. So no. You’re not fat because your willpower is somehow busted. (Willpower, fun fact, can be depleted! By DEPLETING BLOOD SUGAR! Baumeister’s work in the 2000s demonstrated that.) You’re fat because your body wants you to live, and because the ultra rich have knowingly poured poison into the world because they don’t care if you die.

So YOU need to care if you live. And how you live. Please love yourself, because the billionaires will never give a shit about you. Weight Watchers has a 96-99% failure rate. Weight loss is a scam that makes billions of dollars every year. Love yourself too much to fall for that. Don’t wait until you’re thin to love yourself or to start living, because a) that day may never come and b) it’s okay if that day never comes. You are worthwhile and enough right now. I promise you that.

Did I mention that all studies on the subject are very clear--like, we do not need more studies on this, which is a bananas thing for a scientist to say--exercise does not lead to weight loss. It just doesn't. Anyone who tells you it does is wrong. It's good for you because it's good for you, not because it makes you thin. It improves your blood vessel health; it improves your heart health; it improves your body's ability to manage blood sugar; it improves your muscular health. It does not make you thin.

Reducing calories can reduce weight, but your body, as previously mentioned, is trying REAL HARD not to lose weight. I see a lot of recommendations for 1200 calorie a day diets. Google "starvation study" and look at how much the men in that study were given. It was over 1500 calories a day, and they were miserable. They became skeletal. They felt awful, depressed, foggy--because your brain is the single biggest user of calories in your body. It is so metabolically active that your brain uses around 30% of all the calories your body uses. Guess what happens when you starve your brain? You feel like shit. You feel stupid and depressed. Don't starve yourself. It doesn't work and it makes you feel awful and you will get rebound weight gain above whatever you lost, guaranteed, and then you'll blame yourself for "letting yourself go" because our society is built on lies.

We also cannot and should not ever suggest that anyone can lose more than 5-10% of their body weight and keep that off. It's just not possible. Bariatric surgery is a WHOLE other can of worms, I don't have the energy to explain why I almost never recommend it to my patients, but just know that if anyone has ever suggested you lose more than 10% of your body weight through behavioral changes, they are bullshitting you.

Getting a lot of notes on this post! Many of them are people going "oh thank God" and then there are people going "but SURELY you agree I'd be healthier if I lost weight!" and people going "well I lost weight so it IS possible!" and like. Buddy. That's like two people out of the 10,000 notes on that. You are that rare statistical exception. Feel morally superior if you want to. (Right up until you hit that health problem that leads you to gain weight and suddenly realize, with great shock, that it WASN'T immorality that led you to be sick and fat.)

Lotta people asking me medical questions! No! Ask your doctor. Real professionals need a lot more details than you're going to send me in an ask. Giving you medical advice without knowing your chart and being your doctor puts me at actual legal risk.

Also people going "cite your sources!" No! I spent 10 years working in research before I went back to med school. You know how I find papers on stuff? Google! Learn to fucking Google! If you can find research that convincingly demonstrates that exercise leads to weight loss, shoot it my way, because on my way in to work last week I was listening to a national conference board prep lecture and the speaker very specifically told thousands of family physicians, out loud in words, "Exercise does not lead to weight loss," so you can either assume you know more than me and go prove it, or shut the fuck up.

Also people saying, "Wait, I thought I could lose weight, and now you're telling me I can't?" No. I'm telling you that weight is not the benchmark for how healthy you are, and if you let your eating disorder tell you that thinness is the only thing that makes you valuable as a person, that is a very different disorder--that you can recover from--than being fat.

Also people with just no reading comprehension going "you're saying there are ZERO benefits to weight loss?" to which I say go re-read the first two paragraphs of my first post.

I am literally an expert--on the brain, on bodily health--and if what I'm saying is unsettling, you need to think real hard about why. Examine your attitudes towards fatness. Ask yourself whether you'd still like yourself if you were fat. Ask yourself what you have to offer the world besides thinness. Why do fat people being happy threaten you? Why would you be happier in a world where fat people deserved the things fatphobia does to them? How much of your self-esteem is based on being thinner than someone else?

Okay, I am ADDING THE BARIATRIC SURGERY POST HERE. You can STOP ASKING ME FOR IT.

You know what, while I'm at it, my post about Ozempic/Wegovy:

And let's address the only two meaningful criticism of my original post series:

So, now no one can complain I didn't address those issues. I am actually grateful to the people who pointed out the Baumeister thing. I'm just annoyed at people going "he was BARELY hungry enough that he CUT HIS OWN FINGERS OFF AND DIDN'T KNOW WHY" as if that is, you know, in any way a defense for why we continually hear advice to go on a 1200 calorie a day diet.

​Evolution and my body has kept me safe when people and misinformation has not.

Medical professionals and whole scale systems acting on research motivated by discrimination has almost cost me my life many times. I lost so many years and the trauma will be with me always.

But my fat body who remembered the famines my ancestors survived would not let the last of my fat reserves be squandered. By body fed me from them when I lay bed-bound unable to move or eat. My fat body was ready for my own famine and did everything to make sure I survived.

When fat people die younger than thin people it is because of discrimination, our bodies are designed to survive. (There’s research on that too)

I gave my soapbox speech about how weight loss is mostly bullshit to two different patients in a row yesterday and so help me I’m pretty sure one of these days someone is going to say “but SURELY you agree I’d be HEALTHIER if I lost weight!” bc you can see the disbelief in their eyes. And like. Sure, maybe! You might see some improvement in biomarkers like LDL and A1c, and your knees would probably feel better. But you would be amazed at how much more good you can do for yourself by focusing on things you can actually meaningfully change without resorting to making yourself miserable. Eat more fresh fruits and vegetables—it’s hard bc they’re more difficult to prepare and more expensive per calorie and go bad faster than other foods, but they’re what we evolved eating the most of so they’re what our bodies need the most of. And walk around more; sure, cardio is great for you, but if it sucks so bad you don’t do it, it isn’t doing shit for you. And we evolved to walk very very long distances, a little bit at a time, so our bodies respond actually very well to adding walks into our schedules, which is vastly easier than adding workouts that are frankly designed to be punishing when the definition of punishing is “makes you less likely to do it again in the future.”

You get one life. It is shorter than you can begin to imagine. Don’t waste it hating yourself because somebody is going to make money off that self-hatred. You deserve better than to be a cash cow for billionaires who pay aestheticians and dermatologists to make them (or at least their trophy wives) look thin and beautiful no matter what they actually do.

And ONE MORE THING—listen. We are NOT evolved to lose weight, we are evolved to hoard it. We came about in a world of famines. Not only does your brain have MULTIPLE failsafes built in SPECIFICALLY TO PREVENT WEIGHT LOSS, but there are epigenetic factors—factors that are not DNA but travel with it and affect how it is expressed. So if your parents or grandparents lived through a famine, like, oh, say, the Great Depression, YOU are more likely to gain weight and more likely to have difficulty losing it. AND! We live in a world highly affected by industrial pollution—there is no corner of the world free from it, micro plastics and industrial chemical pollution have been found literally everywhere ever studied—and many of those pollutants affect our endocrine systems. Looking at records of lab animals going back to the 1960s, where we have excellent records of what genetically essentially identical animals ate, we know that LAB ANIMALS FED THE SAME AMOUNT OF THE SAME CHOW WEIGH MORE NOW THAN THEY DID THE IN SIXTIES. So no. You’re not fat because your willpower is somehow busted. (Willpower, fun fact, can be depleted! By DEPLETING BLOOD SUGAR! Baumeister’s work in the 2000s demonstrated that.) You’re fat because your body wants you to live, and because the ultra rich have knowingly poured poison into the world because they don’t care if you die.

So YOU need to care if you live. And how you live. Please love yourself, because the billionaires will never give a shit about you. Weight Watchers has a 96-99% failure rate. Weight loss is a scam that makes billions of dollars every year. Love yourself too much to fall for that. Don’t wait until you’re thin to love yourself or to start living, because a) that day may never come and b) it’s okay if that day never comes. You are worthwhile and enough right now. I promise you that.

Did I mention that all studies on the subject are very clear--like, we do not need more studies on this, which is a bananas thing for a scientist to say--exercise does not lead to weight loss. It just doesn't. Anyone who tells you it does is wrong. It's good for you because it's good for you, not because it makes you thin. It improves your blood vessel health; it improves your heart health; it improves your body's ability to manage blood sugar; it improves your muscular health. It does not make you thin.

Reducing calories can reduce weight, but your body, as previously mentioned, is trying REAL HARD not to lose weight. I see a lot of recommendations for 1200 calorie a day diets. Google "starvation study" and look at how much the men in that study were given. It was over 1500 calories a day, and they were miserable. They became skeletal. They felt awful, depressed, foggy--because your brain is the single biggest user of calories in your body. It is so metabolically active that your brain uses around 30% of all the calories your body uses. Guess what happens when you starve your brain? You feel like shit. You feel stupid and depressed. Don't starve yourself. It doesn't work and it makes you feel awful and you will get rebound weight gain above whatever you lost, guaranteed, and then you'll blame yourself for "letting yourself go" because our society is built on lies.

We also cannot and should not ever suggest that anyone can lose more than 5-10% of their body weight and keep that off. It's just not possible. Bariatric surgery is a WHOLE other can of worms, I don't have the energy to explain why I almost never recommend it to my patients, but just know that if anyone has ever suggested you lose more than 10% of your body weight through behavioral changes, they are bullshitting you.

i think grossness is a vital aspect of life btw and we all experience it and i think its important to represent in art and i think oversanitization of popular media is 100% our downfall. things are gross and disgusting and yucky and thats life we cannot deny ourselves this

I keep thinking about this in the context of caring for my ageing patients. No one TELLS them, before they’re old, how things are going to change, or why. No one talks about the loss of elastin, and how that doesn’t just affect your skin looking old, but also how it heals. No one warns them that their skin will become paper-thin if they live long enough, incredibly fragile and easy to tear. Just “hurr dur wrinkly!!!”

No one tells them their bowels are going to lose strength and coordination, so it gets more and more difficult to have bowel movements. No one warns them about obstipation, much less bowel obstructions. I have a saying I repeat often in clinic: “Proper pooping prevents problems!” I say it because it makes people chuckle, because it destigmatizes needing to poop. Everyone poops. And it turns out pooping requires both a complex network of nerves to create peristalsis, and stools soft enough to move through the bowels, and I have watched more than one elderly patient die because their bowels stopped working right.

No one talks about hemorrhoids, so I have patients coming in terrified by blood in their stools–and listen, blood in your poop is definitely a good reason to see a doctor; if you’re over 50 and you haven’t had a colonoscopy, get one. It’s the best health screening we have evidence for, in my opinion. Colon cancer is a bitch. But more commonly, people have bloody stools because they have either hemorrhoids that are bleeding or because they have an anal fissure after straining on a hard bowel movement. Do you know what a hemorrhoid is? I didn’t, until I was well into medical school. Everyone has them. They’re venous columns that surround the rectum and anus. Internal ones can bleed; external ones can itch. Most people will get them eventually. Be kind about them.

Everyone is going to have trouble peeing if they live long enough. Men can’t start, women can’t stop. Because people with prostates will often have benign enlargement of the prostate–it’s not cancer, but it gets bigger–and the urethra, the tube that lets urine leave the bladder, goes through the prostate. Bigger prostate = compressed tube, less flow. Meanwhile, people with uteruses have much shorter urethras, which means that when we lose that beautiful collagen and elastic, we also lose it in the two sphincters that help us keep from leaking urine, and so we leak urine. Especially when something triggers an increase in intra-abdominal pressure, like a sneeze or a cough or a laugh.

All these things people are taught to be ashamed of and embarrassed about–they are so common. They’re normal parts of having a human body and doing the things one does with a human body. Poop trouble? Welcome to the club! People have been writing about their cures for constipation for as long as written language has existed. Listen, you are not alone. You are not alone. You are not alone. And that means that when someone else has a gross problem, you must be kind to them, because that is going to be you. There will be a day when you have diarrhea, because viral gastroenteritis spreads like wildfire every winter. There will be a day when you cough a huge glob of mucus comes out, because mucus is a natural defense mechanism and kind of miraculous but also nasty. Every gross thing a body can do, yours is likely to do, if not now then later.

Be kind.

'the human body is perfect god doesnt make mistakes' what about wisdom teeth then. huh. gonna let those bastards grow in and fuck up your jaw for god. didnt think so

also the exploding appendix

there's an entire book about all the ways the human body is fucked up, but the highlights I remember are: -The blood vessels for our rods and cones in our eyes don't run behind them but rather in front of them. It's like putting the power cables *over* a camera's lens -the nasal sinus cavities fucked up during evolution. when our skulls shortened, we went from having a straight shot from one end to the other to having basically a basin which can collect mucus, which then has the actual exit for the chamber at the top of it. this normally isn't a problem bc cillia can work viscous mucus up it, but when we get sick and produce super watery mucus, it no longer works, which is why our noses get stuffed up. the book is called Human Errors: A Panorama of Our Glitches, from Pointless Bones to Broken Genes. I recommend it.

Most mammals can’t get scurvy. They make their own Vitamin C. But in primates, the gene to make it is broken. Normally, when an important gene breaks, the organism dies and has no surviving descendants, but when it broke a few million years ago, our ancestors were living in a lush climate with lots of fruit and survived the failure just fine.

Then humans invented fire and clothing, and moved to colder climates where fresh food was only available part of the year, and scurvy was born.

And our reproduction, oh heavens. There are SO MANY WAYS that human reproduction is fucked up that simply DO NOT APPLY to other animals, even the our nearest relatives, the great apes. When a gorilla is giving birth, she finds a nice hiding place in the trees, squats down for like half an hour, and pushes out a baby. Humans, not so much. In fact, the outcomes of unassisted childbirth in humans are so poor that most anthropologists agree that we must have invented midwifery in some form before we became fully human.

- ED trigger warning -

Being skinny ruined my life. If you’re thin and think to yourself, “why don’t fat people just lose weight?” Please read this

I was the “ideal fat” in the sense that I did everything skinny people wanted me to do. I tried every diet in the book. I exercised regularly. I worked with doctors and dietitians to figure out the best way to lose weight. But nothing worked. I did everything “right” to lose weight, and my weight stayed the same

But the thin people in my life kept telling me that I wouldn’t be happy, attractive, healthy, etc. until I lost weight. So, heartbroken, I came to the conclusion that anorexia was the only option left. It felt safer than bariatric surgery, and was obviously much more affordable

I became the perfect anorexic. 700 cal a day or less, except once a week I allowed myself 1400 cal. For reference, my body required at least 2800 to maintain weight, and at least 1800 to keep my organs and stuff fully functioning. Still, 700 a day, I persisted because everyone in my life told me weight loss was all that mattered. If dieting didn’t work, anorexia had to

And it did. My weight dropped all the way down to 110 pounds. I was skinny - underweight, even - in all sense of the word. The people in my life saw it as a miracle. The ultimate success story. My mother, my “friends,” my doctors, they all congratulated me on my accomplishment

When I confessed my eating disorder to my doctor, he told me, “that’s not the best way to go about it, but I’m glad you lost the weight.” My mother took pictures of me and sent them to relatives to brag

Okay, great. I was skinny. I did what I set out to do. But there were severe consequences

The most obvious was my joint pain doubled, maybe even tripled, to the point that I couldn’t leave the house without a wheelchair

I also developed several health complications, including fatty liver disease and extremely painful GERD. I had to see a handful of specialists and get an endoscopy because of severe stomach pain

My partner, who was the only person who saw my weight loss for what it was (a horrible thing that only happened because of an eating disorder), convinced me to enter a recovery program

For nearly a year, I relearned how to feed myself. I ate everything I was told to eat, nothing more and nothing less. My diet was 100% in the hands of somebody else

And I gained back every pound I has lost. All of the work to become thin went right out the window. It was proven to me that thinness and health were incompatible with my body. If I wanted to be thin, I had to forgo my physical and mental well-being. And vise-versa

Prior to the anorexia, I never once struggled with binge eating. I was naturally an intuitive eater, and I did a good job of having a well rounded diet. After the anorexia, after recovery, I developed a binge eating disorder. I had spent so long starving myself, that my brain and body got stuck in survival mode, desperate to consume any and all calories out of fear that I might starve again. To this day I struggle with binge eating

I did everything thin people wanted of me. I dieted. I exercised. And when all else failed, I starved myself. Now I have liver disease, stomach issues, and BED. Not to mention the loads of mental issues that accumulated as a result of my weight loss journey. During the throes of my anorexia, I had to be hospitalized for suicidal ideation

When you tell fat people to “just lose weight” you are suggesting they give themselves illnesses for which treatments are not always effective. You are asking fat people to destroy their stomachs and livers. When a fat person loses so much weight that they become skinny, they are likely giving up so much of their health in efforts to be treated like a human being

If you’re thin, do your part. Treat fat people like people before we tear our bodies apart

I never had to go into recovery, but I was close. I realized that my family and friends were cheering my ED on, with the exception of my mom, who was shocked at my visible spine and ribs. I was not going to find help outside of myself, just more shame and degradation and fear of being fat and being treated as worthless again. I knew I was going to die if I kept on what I was doing (at the time, eating one meal every three days).

Then I read Gina Kolata's Rethinking Thin, stumbled across the Fatosphere (Shapely Prose and Junkfood Science...anyone remember those blogs?), and I stopped dieting for good. I bounced up back to my old weight in 18 months and have stayed there ever since. My body really, really wants to be fat. I didn't want to battle it, anymore. I wasn't going to win, and I had better things to accomplish with my time and effort.

I lost a lot of thin privilege, a shocking amount, in an incredibly short period of time. You can't ever convince me there isn't thin privilege. I was treated like a completely different person practically overnight. It made me--still makes me--incredibly sad. Fat people are the same people they'd be if they were thin.

Thin people, you would be the same, if you were fat. Do you think you'd deserve the derision you pile on fat people if you woke up fat, tomorrow? You might. Side effects of medications, post-pregnancy body changes, accidents that reduce mobility, illness, and aging can all result in weight gain. Wouldn't you like to be treated like a human being worthy of good medical care, professional respect, romantic value, and basic dignity?

Treat fat people well: because we deserve it, because you might be in our place someday, and because it might save a life.

-ArteToLife

the thing is like. i get that it's scary and makes people who do desire to get pregnant uncomfortable when we talk about the brutality and violence of pregnancy and the damage that pregnancy can do to your body

but you deserve to give informed consent to that process.

the lies around pregnancy - that it's inherently safe, that it doesn't do you permanent damage, that it's only extremely rare for people to die of pregnancy complications, etc like

all of these are lies constructed so that more people will get pregnant w/o knowing all that

there needs to be more talk about the impact of miscarriages and how common they are, how different abortion processes are and how accessible they are

but also like. talking about how pregnancy fucks your body up should not be taboo

this is a process that permanently changes most people's bodies, and that's even if the pregnancy doesn't do them like. severe illness or injury

and i just think everybody should have a right to KNOW that

bc to live in a society that intentionally obscures and hides facts about a completely optional and dangerous process does so for a reason, and that reason is based in a very sinister ideology that does not value bodily autonomy or informed consent

the number of people who are pregnant and don't know about what induced labour entails and what post partum bleeding is horrifies me

Here is a story about the depths to which pregnant people are seen as a vessel for a baby, and the importance of finding prenatal care that assumes you are a human and not a baby holder:

When I was pregnant I was in a million forums for pregnant people because (cough adhd hyperfixation) and I had something called SPD (Symphysis pubis dysfunction) (not Sensory Processing Disorder though I also have that) which is where your pubic bones separate early (more or less) because they get all loosey goosey as your body gets ready to crank that baby out.

Except my pubic bone got confused and got misaligned at like 3 months pregnant. I could barely walk. I couldn't roll over in bed. Doing something that required me to shift my weight from one foot to another like opening a door knob was like an excruciatingly painful knife being stabbed into my pubic bone, I can't express how intense and blinding it was.

So I am in one million baby forums like "am I dying what is happening why is there a knife in my pubic bone" and all these people are like "I have that too! my doctor says it's normal and not to worry because it doesn't hurt the baby. I just deal with it by laying in bed for months in excruciating pain and think about how lucky I am to be having a little miracle growing in my body."

So lol nope. I went to my midwife and they are like, "Oh squeeze a can between your knees look up a physical therapy youtube on SPD" and I did that can-squeeze thing and it CURED THE PROBLEM in ONE DAY. I had been SUFFERING, y'all, it felt miraculous.

And I was so full of rage (flames, flames on the side of my face) that people are being told "Oh, it's NORMAL just deal with it" "It doesn't hurt the baby." Like, look, yes it's NORMAL but it's 100% treatable!!! SPD (again, not Sensory processing disorder) affects 1 in 5 pregnant people.

I was lucky to have amazing midwives (need a gender neutral term for that profession, but they see pregnant men and women)(side note highly recommend midwives if you are gender nonconfirming/a man/etc) and I have DOZENS of examples of shit like this.

(Another example is post partum friends being like "oh I am peeing my pants 900x day after giving birth" and my doctor says it's NORMAL so I just dealt with it for decades. My midwives were like "Oh that's normal and also physical therapy cures that in like 2 sessions")

Wooooow. Yeah. As much as I talk about subjects adjacent to this bc my religion these days is practically “end compulsory pregnancy and parenting” WHY have I never actually made the realization that so many people go through pregnancy w/o informed consent about it all?! Like holy fuck, is that ever true!

At one of the orgs I worked at a life time ago I was a sex ed teacher for middle school girls so I had to answer so. many. questions. they brought up that I learned more than I ever even wanted to about pregnancy. Fast forward like 16 years later everyone and their sister is pregnant around me and I fairly frequently hear my real life currently pregnant friends and family fully unaware of things that can occur like preeclampsia, lightning crotch, sciatica, Braxton Hicks, prolapse, etc.

Of course they don’t know. They’re not meant to know. It was always the plan.

Taking T didn't ruin my singing voice, and frankly I'm sick of folks panicking and ignoring the fact that cis boys go through two or three years where their voices are fluctuating and cracking and changing before they settle.

Your voice isn't ruined, it's changing.

If you want to make that transition easier, you gotta keep using it. Sing! Even if your voice cracks in goofy ways. Even if you have trouble placing your voice comfortably. It gets easier, I promise. Get a voice teacher (if you can) who has experience with vocal changes for pubescent cis boys if it's really making you anxious or if you're having a hard time controlling it.

To be clear, I'm not trying to be dismissive of people's emotions, nor am I trying to tell you about your own experience. If you feel something intensely, that's fair and valid. Respectfully, you should unpack that with a therapist or supportive peers.

However, when one of the main TERF tactics against transmascs is convincing trans guys that T makes you Worse in a Variety of Ways, and that you'll be ruining your body if you take it, I am EXTREMELY dubious of how many people online report any part of their body being ruined by T. Sounds suspiciously like TERF shit. And, yes, even Actual Trans People can play into TERF talking points. I'm begging y'all to stop the rampant fearmongering surrounding T.

So, after nearly a year being on T, I'm here to say that YES my voice cracks and YES my voice fluctuates and YES sometimes it feels like I have to relearn everything I knew about being a vocalist, but goddamn if I won't have fun figuring it all out, because I know this is just one stage of the transition I'm going through, and it's worth it.

thank you so much for this. i’m a professional singer who’s wanting to go on t but it’s IMPOSSIBLE to talk about it bc even other trans men and mascs keep peddling this “t ruins your voice you’ll have no range and will never be able to sing again” garbage. and it’s infuriating because i’ll make posts asking specifically people who are singers what their experience was, and people will show up to fearmonger about how their voice is ruined when they themselves admit they didn’t sing before t, didn’t have any training during the transition, and haven’t done much singing afterward.

and when i try to point out that i know several trans men who are still professional singers after transitioning people are always like “what makes you think you’ll be one of the lucky ones?” what makes you think i won’t????? i have over a decade of training and performance experience under my belt as well as teaching experience, which requires knowledge of the anatomy of changing voices. and tbh i’m furious that i was put off t for so many years because i was told i would have to give up singing when apparently what’s more likely is that i’ll just have to take some time off while my voice changes to retrain.

basically, there’s a shit ton of fearmongering around “t voice” and it’s kept me from going on t for literal years when t could save my life and i’m very mad about that.

There are multiple articles out there and all of them say going on T as a singer is safe, as long as you train your voice to change with you.

Men and women aren't two completely different species. It's not like a trans guy experiencing voice crack is something cis boys don't go through. Just because afab teenagers don't experience it, doesn't mean it's catastrophic for a trans guy.

Cis boys have the same issue and usually stop singing for a while, but continue singing after.

(I love this thread. All the educators are really careful and use affirming language for the kids they teach. A lot of them also say boys can be treated very harshly during this period, and it's probably very sudden for the kid. The belief (I fear) is that he's "becoming a man" so he shouldn't be helped or treated kindly anymore.

I think this is cis women panicking because they'd never want to change their voice and feel the need to project on us, like always. And then it spreads to transmasc circles.

^^^^!!!!!!!!!

Start to finish. I sound great and I sound like myself.

hey i'm going to chime in (ha ha) as someone who hated singing as a woman and who still doesn't sing well as a man: T gave me a singing voice i like to sing with. i sang in the car all the year my voice was changing, and it was terrible and it was fun, and i sound like if kermit the frog fucked the decemberists and that's cool with me, actually.

not everything T does to you is a blissful upgrade, but it sure as hell hasn't ruined any part of me. it's nice. this whole thing has just been nice.

I’d like to chime in as a music educator/voice teacher to just add some tips and tricks here!

Taking T in no way “ruins” your voice — that’s not what testosterone does to the body! Inside your larynx (your ‘voice box’) you have what we call the vocal folds, which are two flaps of skin that are very thin on the inside. They’re shaped kind of like a V, and when you put the folds close together and push air through, they vibrate and create sound! When you stretch them, the sound is higher, and when you loosen them, the sound is lower.

What testosterone does to the vocal folds is thicken them, which lowers the pitch of the sounds you make! When moving from thinner folds to thicker folds, there’s always going to be a period of adjustment — you have to remember, these are muscles, and new ones! They can often struggle to hold a certain pitch because your muscles are changing and functioning in a new way. This is what leads to voice cracks — your body is trying to put a pitch in head voice or chest voice when the new musculature indicates it should be elsewhere. The voice ‘cracking’ sound is literally just your voice switching rapidly between chest and head voice!

The period of time in which your vocal folds are still thickening and haven’t quite settled, you are referred to as a cambiata — essentially, an in-between voice. But that doesn’t mean you should stop singing! In fact, you should absolutely KEEP singing in order to get used to your new musculature and passagio (the places where your voice switches from chest to head and head to falsetto).

Tips for singing through your voice change as a cambiata:

1. It’ll take a while. Don’t rush it. It could be up to a couple years before your voice really settles

2. Don’t push your voice! There may be notes you could hit before that you no longer can or low notes that you’re almost able to hit but not quite — don’t force them! This is what actually does damage to the voice, because you end up grinding the vocal folds together, which can create friction and eventually callouses! If a note seems out of your reach, let it be! It’s better to not sing a note/switch octaves for that note than force it and end up damaging your voice.

3. Ranges! While you’re going through a voice change, it’s best to stick to the cambiata range of ~F3 to ~F4, and move lower/higher as it feels natural. Here’s a little video so you can actually hear what I mean!

4. Most importantly: keep singing! Your vocal muscles are like any other muscles, and they get stronger/weaker depending on how much you use them. It may feel awkward as you adjust to the changes just because you can’t actually see them, but I promise you it’s completely normal for your voice to do the things it’s doing! I mean hell — I’m a cis woman and my voice was lowered by testosterone during puberty, and I’m an opera singer now! It’s your body’s normal and natural reaction to testosterone, and it’s not going to ruin your voice.

Also just a side note while I’m here because I’m passionate about this — the human voice is not as gendered as people want it to be. I won’t rant on it here, but there as cis men who sing soprano (countertenors!) and cis women who sing tenor or lower (contralto — this is me!). Singing is absolutely not “boys are this and girls are this”, it’s a spectrum with a whole lot of overlap. If you’re a pre-T/no-T trans man? You’re a countertenor. It’s a real voice part, and is highly sought after in the world of classical singing. Just listen to this — it’s John Holiday, masculine as all hell, and he’s a countertenor.

And if you’re a trans woman? Well then you’re one of the beautiful and rare contraltos, women with deep voices who are ALSO very rare and highly sought after (not to brag or anything, but welcome to the club lol), just like the gorgeous Korneva Julia.

People really want voices to be binary, and they’re just…not. Real people who study the voice know that it’s SO much more complex and beautiful than that. Okay rant over lol