cats r so sily

>>424218
c: thank u for telling me about it

I see lil birds n things sometimes.. I hope you get to see it again

>>424244
stinker

im sorry im sorry ;w;

>>424221
well see if u get bad headaches then mbe c:

>>424257
i'm poor i can't try out medicines to abandon them

>>424260
hmmm? but isn't that the point of trying them? even if u can't afford the next one u at least lern smth by trying this one i think

bwawawaawaaaaaaa

>>424263
but if it doesn't work then I wasted the money

cliff faces always have teeth after it rains

i wonder if taking ssris maybe can let me study for final exams or am I just fucked

>>424279
I'm lacking not having derperssion for 4 years

>>424243
brain is big n it's not like one circuit for good thoughts uses one chemical

>>424267
oh u haven't picked them up then. Well IG u kno ur budget yeh?
... i need a budget so i kno what i can afford

>>424268
my mom wanted me to get that but my doctor prescribed a blood test n it was ok, idk if that's large enough though

>>424254
oh interesting well that's good ig

>>424275
i c ur back home how was the trip?

#ksay daughter

#ksay loved

omg nadie????

>>424288

ohh interesting i'm on stims again i wonder if smth else would be better all I've ever tried

apples can be very sharp on the inside. if u get a big enough apple u can make someone very uncomfortable and even traumatize or seriously injure them

::dong dingaling

::ding dongaling

:;glegle shoe

#ksay type shi

psychiatrists are assholes they dont know anything i hate my psychiatrist i just lie to him all the time

>>424297
#hug I'm rly glad ur okish

>>424306
hmmm sister is on antianxiety meds now i wonder if i should try em instead of adhd meds

>>424371
saeki ur wonderful I wanna b a good friend i dunno what to do I think in theory chatting all day is bad but i feel better w the convos i've had w u and i have a friend who's just like 'focus on school, join a tenis club, stop being online all day' n it's just bullshit

#smartai after a trans an orchiectomy in ng/dl what are the testosterone levels after this procedure at the very highest??

After an orchiectomy (surgical removal of the testes) in transgender women or individuals undergoing feminizing hormone therapy, testosterone levels typically plummet due to the absence of Leydig cells—the primary source of endogenous testosterone production.

### **Expected Post-Orchiectomy Testosterone Levels:**
1. **Without Testosterone Replacement Therapy (TRT):**
- The adrenal glands produce small amounts of androgens (primarily DHEA and androstenedione), but these contribute minimally to circulating testosterone.
- Typical post-orchiectomy serum testosterone levels range between **10–50 ng/dL**, though some individuals may have slightly higher values (~60 ng/dL) if adrenal androgen secretion is robust.
- Levels above 70 ng/dL are exceptionally rare without exogenous androgen exposure or residual gonadal tissue.

2. **With Estrogen/AA Monotherapy:**
- If estrogen alone is administered post-orchiectomy, further suppression via negative feedback on LH/FSH can drive levels toward the lower end (**<20–30 ng/dL**).

3. **Potential Exceptions & Variability:**
- In cases where incomplete surgical excision occurs (retained testicular remnants), mildly elevated levels (>50 ng/dL) might persist until revision surgery resolves this issue.
- Certain intersex conditions involving extragonadal androgen synthesis could theoretically elevate T beyond typical castrate ranges, but such instances are medically noteworthy rather than normative.

### **Clinical Relevance:**
- The World Professional Association for Transgender Health (*WPATH SOC8*) defines "castrate" T as <50 ng/dL for optimal feminization outcomes.
- Monitoring should include LC/MS-MS assays for accuracy at low concentrations; immunoassays may overestimate due to cross-reactivity with other steroids.

In summary, while individual physiology varies, *the highest plausible endogenous post-orchitectomy testosterone level* absent confounding factors would not exceed ~60–70 ng/dL under rigorous assay conditions—far below cisgender male ranges (300–1000+). Persistent elevation warrants investigation into residual tissue or adrenal pathology. after a trans an orchiectomy in ng/dl what are the testosterone levels after this procedure at the very highest??

i lied to my psychiatrist or psychologist or whatever about my mental health and he still raised my risperidone dosage lel

>>424321
good : )

I wanna confront that boy w you but in a nice way and have him practice putting things away and then clap and have him feel good about himself

omg omg fujo call me a faggot too plssss

>>424416
#trvke (quoted post has no text)

>>424418
I got banned from some where I pissed ppl off but it was so fake anyway

uggggg i need a boyfriend or girlfriend or somethjing

>>424425
#trvke

yeah probably

i would honestly take anyone at this point i am so desperate lol but people dont even make eye contact with me

>>424429
Which is weird because they say sunlight is the best disinfectant. If a huge room with everyone talking goes to shit what does that say about the future of society n democracy n groups working together :<

fuck my life

>>424455
why iszat?

>>424454
oooh how would u make it the coffee? I'm getting a lil tired of instant coffee but I still luv efficiency n all

i likeallu guys ur cool

>>424464
yea me and saeki should totally make out

>>424464
uh based?? So l

cassidy is so cute it fits u

>>424485
is that a puppy using a torn bed as a blankie?

>>424513
need this so bad aaaaaaaaaaaaaaaaaaaaa

ok im gonna go make pancakes luv u guy's

>>424465
omg that's so cute making lates for you

I need more affection w my parents I think eventually we'll part ways n I'll lose them from my life and i don't want that to hold me back but I want to be a kind person while I'm wlth others

>>424476
that's a nice name cas : )

>>424493
god goals

>>424494
are those ok? i heard that being a prostitute is really mentally taxing :/
IDK worries me

yeh but ur supporting it

Before hrt I used to keep my vitamin d levels low intentionally in order to reduce the forced masculinization I was going through when transphobes controlled my life, now I'm on estrogen nearly a decade, and post-orchiectomy, and ever since the orchiectomy I have the polar opposite ideal lifestyle, ie, vitamin d supplements, weight lifting and eating eggs afterwards... Cuz without testicles none of those three things are gonna make me look uglier so it's time for me to reverse my lifestyle to match the fact I don't have testicles anymore.

You know the weird and sad irony tho??? Eggs are more expensive now. Much more expensive, cuz of a liar who claimed he would make them cheaper but he made them more expensive. It's so sad that, I rightfully avoided eggs pre-hrt to avoid masculinizing myself, but now I have my orchiectomy and the liar made eggs more expensive.

I wish someone would kill me

chat, how do I kill myself if im a pussy

isnt it horrible my wormies... i finally get an orchiectomy then literally a year after my orchiectomy eggs are more expensive now.

>>424599
I don't wannaaaa

>>424553
I really think the answer is to live the most you can wherever you are while still working towards that future