With her insurance about to run out and Republicans in her home state of Missouri ramping up rhetoric against gender-affirming health care, Erin Stille nervously visited a foreign pharmaceutical site as a 'last resort' to ensure she could continue...
If enacted, the Missouri rule will require people to have experienced an “intense pattern” of documented gender dysphoria for three years and to have received at least 15 hourly sessions with a therapist over 18 months or more before receiving puberty blockers, hormones, surgery or other treatment.
Bailey has touted the rule as a way to shield residents, especially minors, from what he describes as experimental treatments, but puberty blockers and sex hormones have been prescribed for decades and are widely considered medically necessary for many trans people.Vivent Health Interim President and CEO Brandon Hill said doctors are worried about meeting documentation requirements for new patients, so clinics in St.
But self-administering hormones without adequate supervision can be “extraordinarily dangerous,” especially for those taking testosterone, said Dr. Robert Lash, chief medical officer at the Endocrine Society, which represents specialists who treat hormone conditions. He cautioned against taking hormones from any unregulated pharmacy, veterinary source or overseas provider.
Sobel said unregulated testosterone providers are “pretty much nonexistent” in the U.S., and it’s unwise to buy from international sellers because of the higher likelihood of the hormone being seized by U.S. Customs and Border Protection.
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