this post was submitted on 02 Nov 2025
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And yet, other countries where HRT is OTC don't have an epidemic of cis kids dead from taking T and E. Your concern is purely hypothetical. Meanwhile we have real world data showing the risks of OTC HRT are minimal. And even cis people taking it have very low risks, comparable to other otc medications.
Social media leads people to do all sorts of stupid things. We don't ban bleach because someone might try and drink it to cure covid.
It isn't the cis kids I worry about. It's the menopausal woman in the emergency department with a DVT and PE from the estrogen she got online on the advice of her chiropractor. It's the man in his 50's that thought testosterone would fix his lost libido and fatigue that now has to get coronary artery stents because he got his dosing recommendations from body building influencers.
It's the real patients I have seen and treated that concern me when these hormones aren't even that freely available. It's not a hypothetical for me, it's real people that have suffered real harm even if they didn't die from it.