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  • 02 Aug 2016
    FINAL PART:   After an appropriate period of Oestragen therapy, the levels achieved are within the satisfactory female 400 to 600. However, in some cases  there is a failure in testosterone suppression and its levels remail refractory, in the male range.   TREATMENT MODIFICATION:   Additional therapy is in the form of Decapeptyl 11.25 mgs every 12 weeks as an addition to current therapy, in order to suppress the testosterone production. For the initial 2 weeks following injection No 1, the physician will co-administer Cyproterone acetate 100 mgs once daily, to suppress the flare in testosterone that can occur with initiation of GnRH analogues. This is not required after subsequent injections.   TESTS:   * weeks after commencement of the above additional therapy, blood should be drawn for oestradiol, testosterone, prolactin, SHBG and Liver Function..
  • FINAL PART:   After an appropriate period of Oestragen therapy, the levels achieved are within the satisfactory female 400 to 600. However, in some cases  there is a failure in testosterone suppression and its levels remail refractory, in the male range.   TREATMENT MODIFICATION:   Additional therapy is in the form of Decapeptyl 11.25 mgs every 12 weeks as an addition to current therapy, in order to suppress the testosterone production. For the initial 2 weeks following injection No 1, the physician will co-administer Cyproterone acetate 100 mgs once daily, to suppress the flare in testosterone that can occur with initiation of GnRH analogues. This is not required after subsequent injections.   TESTS:   * weeks after commencement of the above additional therapy, blood should be drawn for oestradiol, testosterone, prolactin, SHBG and Liver Function..
    Aug 02, 2016 472
  • 01 Aug 2016
    The GIC Endocrinologist is not infrequently faced with an unchanging and unacceptable (male) level of Testosterone. This may be despite increased dosage of Oestrogens: leading to an oestradiol level in the female range   If she has not suppressed her testosterone into the female range of <3, they will consider a GnRH analogue use in the form of injections, every twelve weeks, of Decapeptyl 11.25 mgs to supress the testosterone level down in to the female range Additional therapy may be required in the first twelve week period only, to suppress potential initial 'rebound' high levels of testosterone.
  • The GIC Endocrinologist is not infrequently faced with an unchanging and unacceptable (male) level of Testosterone. This may be despite increased dosage of Oestrogens: leading to an oestradiol level in the female range   If she has not suppressed her testosterone into the female range of <3, they will consider a GnRH analogue use in the form of injections, every twelve weeks, of Decapeptyl 11.25 mgs to supress the testosterone level down in to the female range Additional therapy may be required in the first twelve week period only, to suppress potential initial 'rebound' high levels of testosterone.
    Aug 01, 2016 352
  • 31 Jul 2016
    Christine Shye points out that the rapidly increasing death-rate of the remnants of the Behaviorist School of Psychiatrists, who took as the basis of their shaky 'discipline' the theories of Freud & Co, may assist the repatriation of Gender Dissonance with the Wider Medical profession; and, hopefully, gradually the General Public, also. As a Psycho-pathological Sexual Deviant of three and a half years of age, I reported my gender marker to my wealthy Grand-mother and maternal aunt. When this fad had persisted to four years of age, they indulged me with a girlie bedroon, girls dresses, frilly socks, a pram and dolly, and allowed me to grow my hair. i can actually remember being the happiest of so-called lonely farm children, living in my own make-belief world with dolly and the pet farm animals.   All idyllic happiness came to an end, at six, when I went to school. It thankfully returned two or three years ago, when I joied two Gender Groups, the Gender Society and the Beaumont Society; and, came out in Public as a woman, full-time.   I have never been, am not now, nor will ever in the future be a male politician: so, how on earth can I be ever labelled as a Psychotic Sexual Deviant!   Those male individuals, who without exception had middle-european surnames, who wrote the Pyychiatry books on the shelves of the medical section of Cambridge University Library when I was virtually the only student who used to study there (bar one girl) have a lot to answer for: both in my locking myself in solitary confinement for a life-time sentence after I had read their mis-directed garbage, and for the resulting policy of "Sectioning under the Mental Health Act for 28 days', (remember the film the "Danish Girl") then transfer to an appropriate secure Mental Asylum for a minimum two year period to enable forced twice-weekly Electro-convulsive Therapy under Sodium Pentothal injections. April Ashley suffered this Pathway after her attempted suicide; and funding for free ECT 'treatment' for trans-sexuals was only withdrawn by the UK's West  Midlands Strategic Health Authority (or successor) in the autumn of 2003; a few months before the Gender Recognition Act came into being!!!
  • Christine Shye points out that the rapidly increasing death-rate of the remnants of the Behaviorist School of Psychiatrists, who took as the basis of their shaky 'discipline' the theories of Freud & Co, may assist the repatriation of Gender Dissonance with the Wider Medical profession; and, hopefully, gradually the General Public, also. As a Psycho-pathological Sexual Deviant of three and a half years of age, I reported my gender marker to my wealthy Grand-mother and maternal aunt. When this fad had persisted to four years of age, they indulged me with a girlie bedroon, girls dresses, frilly socks, a pram and dolly, and allowed me to grow my hair. i can actually remember being the happiest of so-called lonely farm children, living in my own make-belief world with dolly and the pet farm animals.   All idyllic happiness came to an end, at six, when I went to school. It thankfully returned two or three years ago, when I joied two Gender Groups, the Gender Society and the Beaumont Society; and, came out in Public as a woman, full-time.   I have never been, am not now, nor will ever in the future be a male politician: so, how on earth can I be ever labelled as a Psychotic Sexual Deviant!   Those male individuals, who without exception had middle-european surnames, who wrote the Pyychiatry books on the shelves of the medical section of Cambridge University Library when I was virtually the only student who used to study there (bar one girl) have a lot to answer for: both in my locking myself in solitary confinement for a life-time sentence after I had read their mis-directed garbage, and for the resulting policy of "Sectioning under the Mental Health Act for 28 days', (remember the film the "Danish Girl") then transfer to an appropriate secure Mental Asylum for a minimum two year period to enable forced twice-weekly Electro-convulsive Therapy under Sodium Pentothal injections. April Ashley suffered this Pathway after her attempted suicide; and funding for free ECT 'treatment' for trans-sexuals was only withdrawn by the UK's West  Midlands Strategic Health Authority (or successor) in the autumn of 2003; a few months before the Gender Recognition Act came into being!!!
    Jul 31, 2016 457
  • 30 Jul 2016
    This week, one of our members, Kristelle Watkins, launched her new Youtube channel. I strongly urge you to take a look - the first of her videos can be found here:   When I first joined the Gender Society (or Trannyweb as it was then), one of our members, Marsha, strongly expressed her opinion that everyone in our community had a responsibility to be out and visible, because that was the only way that transphobia in the general population could be overcome. I didn't fully agree with this then, arguing that education and social policy were the key drivers to acceptance. We had some spirited debate on the subject, before agreeing to disagree.   I miss Marsha.   Anyway, in the years since then I've come to agree that visibility has a greater effect on how trans people are accepted, and this was reinforced by a study published earlier this year. The researchers found that transphobic prejudice could be significantly reduced by interviews in which cisgender people were invited to find experiences which they had in common with transgender people. The reduction in prejudice was long-lasting, and was even more effective when the person carrying out the interview was trans. You can read more about the study here:   In the light of this realization, I try to interact with people wherever I can to bring them into contact with a real, live transperson, and these interactions have been overwhelmingly positive. I'm out at work, and the hundred or so people in my office have all been supportive and accepting. I've delivered presentations to senior managers throughout my organisation, and once again the feedback has been nothing but positive. However, in all I may have spoken with three or four hundred people. Add in the general population of my home town, and I may have had the opportunity to represent an authentic, transgender life to a thousand or so people.   Which brings me back to Kristelle's channel. Social media have found their way into every aspect of modern life, to the point where many people no longer differentiate between people they 'know' from Facebook and the people they know from work. There's a transwoman named Danni Munro who posts videos to Youtube which are viewed by five thousand or more people. Another trans channel, hosted by a transwoman named Maya, has viewing numbers close to three million. That's three million people who have chosen to hear what an openly transgender person has to say about her life and experiences.   I'm now firmly of the opinion that social media will be where trans acceptance finally makes the progress that we've seen in the arena of sexual orientation. We all have our part to play in letting the people around us see that we all have much more in common than we have differences, but it'll be the media-savvy young people with their fearless and authentic communications that will deliver the cultural paradigm shift that's so long overdue.   So to Kristelle I say"You go, girl, and my sincere thanks for what you're doing for our community". To everyone else, "Watch, subscribe and like. The future starts here".   Hugs to all,   Judith xx  
    311 Posted by Judith Harmon
  • This week, one of our members, Kristelle Watkins, launched her new Youtube channel. I strongly urge you to take a look - the first of her videos can be found here:   When I first joined the Gender Society (or Trannyweb as it was then), one of our members, Marsha, strongly expressed her opinion that everyone in our community had a responsibility to be out and visible, because that was the only way that transphobia in the general population could be overcome. I didn't fully agree with this then, arguing that education and social policy were the key drivers to acceptance. We had some spirited debate on the subject, before agreeing to disagree.   I miss Marsha.   Anyway, in the years since then I've come to agree that visibility has a greater effect on how trans people are accepted, and this was reinforced by a study published earlier this year. The researchers found that transphobic prejudice could be significantly reduced by interviews in which cisgender people were invited to find experiences which they had in common with transgender people. The reduction in prejudice was long-lasting, and was even more effective when the person carrying out the interview was trans. You can read more about the study here:   In the light of this realization, I try to interact with people wherever I can to bring them into contact with a real, live transperson, and these interactions have been overwhelmingly positive. I'm out at work, and the hundred or so people in my office have all been supportive and accepting. I've delivered presentations to senior managers throughout my organisation, and once again the feedback has been nothing but positive. However, in all I may have spoken with three or four hundred people. Add in the general population of my home town, and I may have had the opportunity to represent an authentic, transgender life to a thousand or so people.   Which brings me back to Kristelle's channel. Social media have found their way into every aspect of modern life, to the point where many people no longer differentiate between people they 'know' from Facebook and the people they know from work. There's a transwoman named Danni Munro who posts videos to Youtube which are viewed by five thousand or more people. Another trans channel, hosted by a transwoman named Maya, has viewing numbers close to three million. That's three million people who have chosen to hear what an openly transgender person has to say about her life and experiences.   I'm now firmly of the opinion that social media will be where trans acceptance finally makes the progress that we've seen in the arena of sexual orientation. We all have our part to play in letting the people around us see that we all have much more in common than we have differences, but it'll be the media-savvy young people with their fearless and authentic communications that will deliver the cultural paradigm shift that's so long overdue.   So to Kristelle I say"You go, girl, and my sincere thanks for what you're doing for our community". To everyone else, "Watch, subscribe and like. The future starts here".   Hugs to all,   Judith xx  
    Jul 30, 2016 311
  • 30 Jul 2016
    Now that you have, finally and with enormous relief, achieved a place in the GIClinic, found that you are totally supported in your given pathway, and have been pleasantly surprised at the lack of recriminations over self-administration, then the hard work starts. I have previously outlined the 'History' details, usually required in the GIC, for documentation purposes.   EXAMINATION   Blood Pressure: Height; Weight. Breasts: Testes and chest   Blood tests, undertaken and reviewed: SHBG, Testosterone, Prolactin, LH, FSH Liver Function, Cholesterol, HDL, total to HDL ratio, PSA   ASSESSMENT: the Endocrinologist will undertake to continue your oestrogen therapy, if he/she concurs with a Psychiatric opinion of male to female transsexualism. The plan is to dose titrate the Progynova or Climaval ( Oestradiol Valerate 2mgms ), or similar, until you hit the tardet range of 400 to 600 pmol/L. When on 4mgms, if you have not supressed your testosterone into the female rsnge of>3, then they will consider for a GnRH use in the form of Decapeptyl 11.25mgs.
  • Now that you have, finally and with enormous relief, achieved a place in the GIClinic, found that you are totally supported in your given pathway, and have been pleasantly surprised at the lack of recriminations over self-administration, then the hard work starts. I have previously outlined the 'History' details, usually required in the GIC, for documentation purposes.   EXAMINATION   Blood Pressure: Height; Weight. Breasts: Testes and chest   Blood tests, undertaken and reviewed: SHBG, Testosterone, Prolactin, LH, FSH Liver Function, Cholesterol, HDL, total to HDL ratio, PSA   ASSESSMENT: the Endocrinologist will undertake to continue your oestrogen therapy, if he/she concurs with a Psychiatric opinion of male to female transsexualism. The plan is to dose titrate the Progynova or Climaval ( Oestradiol Valerate 2mgms ), or similar, until you hit the tardet range of 400 to 600 pmol/L. When on 4mgms, if you have not supressed your testosterone into the female rsnge of>3, then they will consider for a GnRH use in the form of Decapeptyl 11.25mgs.
    Jul 30, 2016 447
  • 29 Jul 2016
    At last, the long-awaited appointment day has arrived. Arter owning up to self-administration, and discovering there are no recriminations, it is down to further interview and then to ongoing care.   Questions: Were you a normal pregnancy? Approximate age of puberty? Was there any gynaecomastia? As an adult: reduced facial and/or body hair? Erectile function, normal? Genitalia normal? Children? If not, out of choice?   History: Past Medical History, in detail Allergic History? Social History: Tobacco, Alcohol and occupation Family History Dating of Gender Dissonance and details Schooling and friends Traumas of Dissonance Presentation in Public and work-place. Support in these environments Legal name change Downsides of transition   Psychiatric History: GP's report History of deliberate self-harm, suicide attempts or eating disorder   Forensic History   Substance abuse   Social History Housing and finance Friends Fertility Relationships (family) Objects of sexual desire Future Transition plans. Marriage hostory   Treatment, under supervision - to follow.
  • At last, the long-awaited appointment day has arrived. Arter owning up to self-administration, and discovering there are no recriminations, it is down to further interview and then to ongoing care.   Questions: Were you a normal pregnancy? Approximate age of puberty? Was there any gynaecomastia? As an adult: reduced facial and/or body hair? Erectile function, normal? Genitalia normal? Children? If not, out of choice?   History: Past Medical History, in detail Allergic History? Social History: Tobacco, Alcohol and occupation Family History Dating of Gender Dissonance and details Schooling and friends Traumas of Dissonance Presentation in Public and work-place. Support in these environments Legal name change Downsides of transition   Psychiatric History: GP's report History of deliberate self-harm, suicide attempts or eating disorder   Forensic History   Substance abuse   Social History Housing and finance Friends Fertility Relationships (family) Objects of sexual desire Future Transition plans. Marriage hostory   Treatment, under supervision - to follow.
    Jul 29, 2016 430
  • 28 Jul 2016
    Self administration of oestrogens   As promised, in my recent initial lblog recommending only to commence medication under Medical Supervision/ Monitoring. In the event of a decision to by-pass the unacceptably long wait for an initial appointment in the Gender Identity Clinic (2-3 years as opposed to the Governments insistence that there be no more than 18 weeks wait), girls may, understandably, feel pressurised, and to see no alternative but to order Oestrogens via the internet; and, to commence then their own medication, unsupervised. Internet:   there is no guarantee of quality or dosage control, nor that the drug is in reality as claimed.   Vehicle, Preparation and side effects:   Oral (tablets); Skin(absorption) as patches or gel; sub-dermal implants require local anaesthesia, and are consequently not available. Preparation: Blood pressure check is vital: no therapy should commence until it is stable and fully controlled.  History: self administration should be with-held in the presence of a history of Cerebro-vascular accident (stroke): 'blood clots': Liver disorders: heart disease. Side effects: In the presence of such problems (Fluid retention, Depression, Headaches, leg-cramps, sore breasts, indegestion. bloating, etc) one can a) switch to an alternative form of Oestrogen b)change the dose c) tail off (Not suddenly stop) medication d) seek medical advice. relief may be achieved by taking oral therapy with food. Breast tenderness can be eased by a low fat, high carbs diet. Exercise/stretching can reduce leg cramps. INSURMOUNTABLE OBJECTIONS: 1) Obligatory, initial, medical history and examination is absent. A repeat examination at 6 months is also absent. 2) No baseline serological tests have been taken (essential for performance monitoring) 3) dose titration, adjusted by repeat sex hormone analysis after 8 weeks of initial treatment, is unavailable. 4) Oestroden and Testosterone Levels: targeting is absent, as an essential base for titration management, dose adjustment and potential additional medication. 5) no regular assessment of Liver Function Tests (oral therapy's serious risk factor) is undertaken, either prior to of during therapy.   COMMENT: Desperation (particularly for Orthopaedic proceedures) occurs in the UK, as a result of inadequate funding across all sectors of the NHS. However, the same NHS have always maintained a particularly high level of denial and chronic under-funding with regard to Gender Services. Their forward planning is in respect of less than 1% of the population with Trans status. Epidemiological studies (ignored or repudiated) indicate it is more like 2.75%! This, unacceptable situation is compounded by staffing difficulties with respect to Doctors with the necessary training (blame the EU for the lost 3000 hours of training per doctor); and, I have found presonally as a Professor of Surgery, a most surprising and worrying level of Transphobia in a Nursing Profession, otherwise dedicated to the general well-being of patients - hence another source of difficulty in attracting quality staff to the service.   DISCLAIMER:   I make absolutely no criticism of those of my community who follow the above route: "presonal choice" is enshrined in the modern NHS, and has always been the keystone of my professional life. I merely wish to make my sisters aware of all the risks, before they make their own personal INFORMED decision.   PERSONAL VIEW (Conclusion): I would not drive  completely blindfolded ( in my old-fashioned non self-driving vehicle) up the motorway system from my grand child's home near Lausanne to see my other grandson in Zurich. So, why would I have any desire to do the same with my health and hormones? 
  • Self administration of oestrogens   As promised, in my recent initial lblog recommending only to commence medication under Medical Supervision/ Monitoring. In the event of a decision to by-pass the unacceptably long wait for an initial appointment in the Gender Identity Clinic (2-3 years as opposed to the Governments insistence that there be no more than 18 weeks wait), girls may, understandably, feel pressurised, and to see no alternative but to order Oestrogens via the internet; and, to commence then their own medication, unsupervised. Internet:   there is no guarantee of quality or dosage control, nor that the drug is in reality as claimed.   Vehicle, Preparation and side effects:   Oral (tablets); Skin(absorption) as patches or gel; sub-dermal implants require local anaesthesia, and are consequently not available. Preparation: Blood pressure check is vital: no therapy should commence until it is stable and fully controlled.  History: self administration should be with-held in the presence of a history of Cerebro-vascular accident (stroke): 'blood clots': Liver disorders: heart disease. Side effects: In the presence of such problems (Fluid retention, Depression, Headaches, leg-cramps, sore breasts, indegestion. bloating, etc) one can a) switch to an alternative form of Oestrogen b)change the dose c) tail off (Not suddenly stop) medication d) seek medical advice. relief may be achieved by taking oral therapy with food. Breast tenderness can be eased by a low fat, high carbs diet. Exercise/stretching can reduce leg cramps. INSURMOUNTABLE OBJECTIONS: 1) Obligatory, initial, medical history and examination is absent. A repeat examination at 6 months is also absent. 2) No baseline serological tests have been taken (essential for performance monitoring) 3) dose titration, adjusted by repeat sex hormone analysis after 8 weeks of initial treatment, is unavailable. 4) Oestroden and Testosterone Levels: targeting is absent, as an essential base for titration management, dose adjustment and potential additional medication. 5) no regular assessment of Liver Function Tests (oral therapy's serious risk factor) is undertaken, either prior to of during therapy.   COMMENT: Desperation (particularly for Orthopaedic proceedures) occurs in the UK, as a result of inadequate funding across all sectors of the NHS. However, the same NHS have always maintained a particularly high level of denial and chronic under-funding with regard to Gender Services. Their forward planning is in respect of less than 1% of the population with Trans status. Epidemiological studies (ignored or repudiated) indicate it is more like 2.75%! This, unacceptable situation is compounded by staffing difficulties with respect to Doctors with the necessary training (blame the EU for the lost 3000 hours of training per doctor); and, I have found presonally as a Professor of Surgery, a most surprising and worrying level of Transphobia in a Nursing Profession, otherwise dedicated to the general well-being of patients - hence another source of difficulty in attracting quality staff to the service.   DISCLAIMER:   I make absolutely no criticism of those of my community who follow the above route: "presonal choice" is enshrined in the modern NHS, and has always been the keystone of my professional life. I merely wish to make my sisters aware of all the risks, before they make their own personal INFORMED decision.   PERSONAL VIEW (Conclusion): I would not drive  completely blindfolded ( in my old-fashioned non self-driving vehicle) up the motorway system from my grand child's home near Lausanne to see my other grandson in Zurich. So, why would I have any desire to do the same with my health and hormones? 
    Jul 28, 2016 493
  • 26 Jul 2016
    How's everyone doing? I was just looking at pictures of people that got top surgery online and am wondering if it's really going to work for me... Anyone on here that got the surgery recommend it and completely satisfied with their results? I thought about chest binding, but I really wanted to just get rid of my breasts completely considering chest binding can be dangerous anyway. (I tend to be a paranoid person so I wonder if I went with chest binding, if I'd always worry about lumps). Problem is, I'm just not sure if I'll feel "real" enough with the top surgery after looking at the pics. Any advice/input is greatly appreciated. Thanks in advance.
    462 Posted by Kris McKinley
  • How's everyone doing? I was just looking at pictures of people that got top surgery online and am wondering if it's really going to work for me... Anyone on here that got the surgery recommend it and completely satisfied with their results? I thought about chest binding, but I really wanted to just get rid of my breasts completely considering chest binding can be dangerous anyway. (I tend to be a paranoid person so I wonder if I went with chest binding, if I'd always worry about lumps). Problem is, I'm just not sure if I'll feel "real" enough with the top surgery after looking at the pics. Any advice/input is greatly appreciated. Thanks in advance.
    Jul 26, 2016 462
  • 25 Jul 2016
    I have frequently been asked at our Group Sessions what is the best way to take self administers Hormones. the simple answer is "don't"!! Seek professional advice, from day one, through your General Medical Practitioner". The next remark I hear is that the Oestrogens have been supplied, via the internet, in the intervening period between GP referral to a designated Gender Identity Clinic and their first appointment. Exeter is presently over 9 months wait for an initial appointment; and, most of the rest, one to three years. Newcastle, for non-locals is an unbelievable twelve and a half years! No surprise that Transgender individuals are not prepared to wait.   My Medical qualificaions include full postgraduate training in Endocrinology, prior to my inevitable move into a surgical career: Plastic and then Ophthalmic-Plastic Surgery in the UK. I retired earlier this year as an University Professor. I propose, in a cocidil to this blog, to elaborate on the problems of treatment and dose adjustment in the clinical arena; as an illustration of the impossibility of achieving and sustaining any semblance of satisfactory progression via self-administration.
  • I have frequently been asked at our Group Sessions what is the best way to take self administers Hormones. the simple answer is "don't"!! Seek professional advice, from day one, through your General Medical Practitioner". The next remark I hear is that the Oestrogens have been supplied, via the internet, in the intervening period between GP referral to a designated Gender Identity Clinic and their first appointment. Exeter is presently over 9 months wait for an initial appointment; and, most of the rest, one to three years. Newcastle, for non-locals is an unbelievable twelve and a half years! No surprise that Transgender individuals are not prepared to wait.   My Medical qualificaions include full postgraduate training in Endocrinology, prior to my inevitable move into a surgical career: Plastic and then Ophthalmic-Plastic Surgery in the UK. I retired earlier this year as an University Professor. I propose, in a cocidil to this blog, to elaborate on the problems of treatment and dose adjustment in the clinical arena; as an illustration of the impossibility of achieving and sustaining any semblance of satisfactory progression via self-administration.
    Jul 25, 2016 446
  • 25 Jul 2016
    So I'm on my phone... Forgive me if there are weird typos... I just wanted to reach out to you lovely girls and let you know that it's never too late to be yourself. There's no need to be ashamed of being transgender. We have existed since the very beginning. Being Trans, a cross dresser, fem boy, Trans guy whatever is nothing new. We are here to stay and we are going to look good doing it too ;) My inbox is open to anyone and everyone here and I'll do the best I can go help you, because it helps me :) Last but not least, to the true allies, congratulate yourself for your humanity, open mindedness, and compassion. We love you! -Kira <3
    289 Posted by Kira B
  • By Kira B
    So I'm on my phone... Forgive me if there are weird typos... I just wanted to reach out to you lovely girls and let you know that it's never too late to be yourself. There's no need to be ashamed of being transgender. We have existed since the very beginning. Being Trans, a cross dresser, fem boy, Trans guy whatever is nothing new. We are here to stay and we are going to look good doing it too ;) My inbox is open to anyone and everyone here and I'll do the best I can go help you, because it helps me :) Last but not least, to the true allies, congratulate yourself for your humanity, open mindedness, and compassion. We love you! -Kira <3
    Jul 25, 2016 289