traaaaaaannnnnnnnnns
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Not Babs, but I think there's some decent speculation that the "weight loss" associated diabetic medications like glitazones, SGLT-2 inhibitors and GLP1 agonists (of ozempic fame) might have a very useful role in gender affirming medical care, in particularly in trans femmes, because of speeding up fat redistribution, basically giving faster and more dramatic results for HRT.
It one of those complicated things where yeah the science lags behind, because medicine and endocrinologists mostly don't care about trans people, and trans people have to take it into their own hands, but also avoiding fueling disordered eating and anti-fatness.
Yeah it's this. I've been on hrt like 16 years now but still have pretty unfortunate fat placement with a belly and very little butt. I never really weight cycled, but if I'm gonna put in that much effort to lose and gain weight I would like to make sure it goes to appropriate places. I have seen much talk of pioglitazone for this purpose and was curious if anyone had experience or if I get to be a guinea pig.
But also, it doesn't pop up in most hrt sources and the pharmacies I've used in the past don't seem to stock it.