i kind of want trans spaces to stop attributing every single anecdotal change to just "the magic of hrt" and recognize that a lot of changes can be biosocial i.e. feedback loops of physical changes inducing social changes inducing further physical changes etc.

the other side of negativist transmedicalism is a kind of positivist transmedicalism where biological changes are isolated out of context and attributed solely to chemicals rather than them occurring in people actively undergoing (bio)social transitions in a social world

there needs to be a balance between understanding that doctors often dont know much abt trans healthcare vs. assuming all anecdotes should be taken as gospel when changes vary. otherwise you get questionable takes like "hrt will change your sexuality" attributing sexuality to

stuff like just hormone levels which is an extremely bad path to go down rather than recognizing the biosocial aspects of how alleviation of dysphoria through e.g. hrt allows one to better deal with their sexuality and self perception even unconsciously

it also makes it incredibly difficult to get more reliable information of what to actually expect, because when a lot of change becomes "ymmv about [this anecdote]" it obfuscates the more reliable changes to actually expect overall

the biggest failure of discourses of medicine is how they assume the body is separate from its social context, when the social context and the body existing within it exist in circular loops acting on each other

a lot of prominent trans twitters r bad about this lol i get wanting to explain to cis ppl that transphobes are dumbasses about hrt but we can do this without treating hrt as some kind of mystified elixir