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CW: 🚴♂️ Mit dem Rad zum Protest: Zubringerdemos am 17. Mai 2026 zu „A100 wegbassen“ 🚴🎠🚵🚲🏃 🏇🚴♂️ Am Samstag, den 17. Mai 2026, führen aus ganz Berlin zahlreiche Fahrraddemos zum großen Protestfest und Protestrave „A100 wegbassen“ an der Elsenstraße / Puschkinallee (S-Bahnhof Treptower Park). Gemeinsam demonstrieren wir gegen den Weiterbau der Stadtautobahn A100 – für eine gerechte, klimagerechte und kinderfreundliche Stadt. 👨👩👧👦 Kidical Mass – Familienfreundliche Demos Diese Demos sind Teil der bundesweiten Kidical Mass für sichere Schulwege, bessere Radinfrastruktur und lebenswerte Kieze. Start jeweils um 13:00 Uhr (außer Neukölln: 13:30 Uhr) ... Friedrichshain Start: Frankfurter Tor ...
📍 Alle Demos führen zum Protestfest „A100 wegbassen“ am S-Bahnhof Treptower Park.
🔊 A100 WEGBASSEN: Protest gegen den Ausbau der Stadtautobahn A100 am 17.5.2026 » Aktionsbündnis A100 stoppen!https://www.a100stoppen.de/a100-wegbassen-2025/
Am 17. Mai 2026 findet in #Berlin- #Treptow „A100 Wegbassen“ statt – ein autofreier Protest gegen den Ausbau der Berliner Stadtautobahn #A100, der von einem breiten Bündnis aus Zivilgesellschaft, Kulturschaffenden, Klimaaktivisten und Anwohnern organisiert wird. Unter dem Motto „Leben. Vielfalt. #Kultur.“ fordert es den Stopp des zerstörerischen Autobahnprojekts A100 und eine klimagerechte, lebenswerte Stadt. Am Nachmittag gibt es einen ausgelassenen, familienfreundlichen Straßenprotest, abends wird mit #Techno- #Musik laut getanzt – ein Protest- #Rave gegen den Autobahnbau in #Berlin.
Samstag, 17. Mai 2026
14:00 – 22:00 Uhr
📍 Ort: Elsenstraße / Puschkinallee / Am Treptower Park, Berlin-Treptow📋 Ablauf:
Nachmittags familienfreundlicher Straßenprotest,
abends
#Tanzdemo und Protest-Rave mit Techno-Musik, das Line-up siehe unten.📢 Unsere Forderungen
Sofortiger Stopp des Autobahnprojekts A100
Ausstieg aus dem #Bundesverkehrswegeplan und seinen fossilen Straßenbauprojekten
Abschied von autogerechter #Stadtplanung zugunsten einer solidarischen #Mobilitätswende
Eine Stadt für alle: mit bezahlbarem #Wohnraum, Freiräumen und echter Teilhabe für queere, migrantische, behinderte und wirtschaftlich benachteiligte Menschen
Schutz der Berliner Vielfalt: mehr Platz für Kultur, #Natur und Gemeinschaft statt Beton und Autos
🕒 So läuft „A100 wegbassen“
Nachmittag ab 14:00 Uhr: Der Protest startet mit einem ausgelassenen, familienfreundlichen Straßenprotest. Ohne Autos wird der Asphalt zum #Spielplatz – mit #Kleinkunst, #Picknick, Kreide, Dreiradparcours und mehr. Bringt Frisbees und Freunde mit und feiert eine Stadt, die lebt! Der Asphalt wird zum Spielplatz gemacht.
#Kinderprogramm: Der grüne Georg – Kinderklamauk und Zauberei rund um den #Umweltschutz – ein Show für Kinder, ein Potpourri aus Liedern, Jonglage, #Zauberei, Pantomime und Clownerie. Das Programm geht circa 45 Minuten und ist für 4 bis 7 Jährige Kinder gedacht, die auf unterhaltsame Weise an das Thema #Umwelt herangeführt werden.
#KidicalMass #Fahrraddemos für #Kinder und #Eltern, die von zahlreichen Startpunkten in Richtung #TreptowerPark zu #A100wegbassen führen
Am Abend wird die Musik aufgedreht. Die Stimmung wechselt – es wird laut! Eine Tanzdemo und ein Protest-Rave mit Techno-Musik übernehmen die Straßen. #Clubs, #Kollektive und #Kiezinitiativen legen auf, um gegen Beton und für Gemeinschaft zu kämpfen. Unter anderem das #DJ-Duo Kalte Liebe und Maurice Mino. Dazu gibt es:
🎤 Bühnen & Reden: Politische Statements und eine Podiumsdiskussion zur Mobilitätswende.
📚 #Infostände: Vernetzung und Infos rund um #Klimagerechtigkeit und #Stadtpolitik.
🌈 #FLINTAQ Openair:* Ein Safer Space für FLINTAQ*-Personen mit eigenem Programm.
🚨 Warum wir protestieren
Kurz vor der Eröffnung des 16. Bauabschnitts der A100 rufen wir zu Widerstand auf. Ein Bündnis aus Clubszene, Nachbarschaftsinitiativen, Klimaaktivisten und vielen mehr kämpft für ein lebendiges, grünes und gerechtes Berlin. Der Autobahnausbau zementiert eine veraltete Politik: Er zerstört Stadtraum, reißt Grünflächen und Wohnhäuser ab, verdrängt Clubs und Gewerbe und verschärft die #Klimakrise. Wir wollen den 17. Bauabschnitt stoppen und den 16. Abschnitt in eine klima- und menschenfreundliche Stadtstraße umwandeln – für #Fahrräder, #Fußgänger und Gemeinschaft statt für Abgase und Lärm.
Line-up: Musik gegen Beton
Beim Protest-Rave „A100 wegbassen“ am 17. Mai 2026 erwartet euch ein vielfältiges musikalisches Programm auf zahlreiche Bühnen – von Live-Acts bis DJ-Sets, organisiert von Berliner Clubs, Kollektiven und Initiativen. Jede Bühne steht für eine andere Facette des Protests – laut, bunt und solidarisch!
Bühne BI-A100 x Clubcommission x Geradedenken
Bühne Knallbunte Stadt (F*CD x STAUB XS x What A Playground x ://about blank)
Bühne Spatial Future (Spatial Tactics x Fridays for Future)
Bühne Pieps x GiB x DHT
FLINTAQ-Bühne (Queermany x A100 wegbassen)*
Bühne KAOS & Friends
Bühne Praerie
Bühne Renate / ELSE
Bühne Sisyphos
🏙️🚶♀️ Eine Stadt für Menschen, nicht für Autos ...
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CW: 🚴♂️ Mit dem Rad zum Protest: Zubringerdemos am 17. Mai 2026 zu „A100 wegbassen“ 🚴🎠🚵🚲🏃 🏇🚴♂️ Am Samstag, den 17. Mai 2026, führen aus ganz Berlin zahlreiche Fahrraddemos zum großen Protestfest und Protestrave „A100 wegbassen“ an der Elsenstraße / Puschkinallee (S-Bahnhof Treptower Park). Gemeinsam demonstrieren wir gegen den Weiterbau der Stadtautobahn A100 – für eine gerechte, klimagerechte und kinderfreundliche Stadt. 👨👩👧👦 Kidical Mass – Familienfreundliche Demos Diese Demos sind Teil der bundesweiten Kidical Mass für sichere Schulwege, bessere Radinfrastruktur und lebenswerte Kieze. Start jeweils um 13:00 Uhr (außer Neukölln: 13:30 Uhr) ... Friedrichshain Start: Frankfurter Tor ...
📍 Alle Demos führen zum Protestfest „A100 wegbassen“ am S-Bahnhof Treptower Park.
🔊 A100 WEGBASSEN: Protest gegen den Ausbau der Stadtautobahn A100 am 17.5.2026 » Aktionsbündnis A100 stoppen!https://www.a100stoppen.de/a100-wegbassen-2025/
Am 17. Mai 2026 findet in #Berlin- #Treptow „A100 Wegbassen“ statt – ein autofreier Protest gegen den Ausbau der Berliner Stadtautobahn #A100, der von einem breiten Bündnis aus Zivilgesellschaft, Kulturschaffenden, Klimaaktivisten und Anwohnern organisiert wird. Unter dem Motto „Leben. Vielfalt. #Kultur.“ fordert es den Stopp des zerstörerischen Autobahnprojekts A100 und eine klimagerechte, lebenswerte Stadt. Am Nachmittag gibt es einen ausgelassenen, familienfreundlichen Straßenprotest, abends wird mit #Techno- #Musik laut getanzt – ein Protest- #Rave gegen den Autobahnbau in #Berlin.
Samstag, 17. Mai 2026
14:00 – 22:00 Uhr
📍 Ort: Elsenstraße / Puschkinallee / Am Treptower Park, Berlin-Treptow📋 Ablauf:
Nachmittags familienfreundlicher Straßenprotest,
abends
#Tanzdemo und Protest-Rave mit Techno-Musik, das Line-up siehe unten.📢 Unsere Forderungen
Sofortiger Stopp des Autobahnprojekts A100
Ausstieg aus dem #Bundesverkehrswegeplan und seinen fossilen Straßenbauprojekten
Abschied von autogerechter #Stadtplanung zugunsten einer solidarischen #Mobilitätswende
Eine Stadt für alle: mit bezahlbarem #Wohnraum, Freiräumen und echter Teilhabe für queere, migrantische, behinderte und wirtschaftlich benachteiligte Menschen
Schutz der Berliner Vielfalt: mehr Platz für Kultur, #Natur und Gemeinschaft statt Beton und Autos
🕒 So läuft „A100 wegbassen“
Nachmittag ab 14:00 Uhr: Der Protest startet mit einem ausgelassenen, familienfreundlichen Straßenprotest. Ohne Autos wird der Asphalt zum #Spielplatz – mit #Kleinkunst, #Picknick, Kreide, Dreiradparcours und mehr. Bringt Frisbees und Freunde mit und feiert eine Stadt, die lebt! Der Asphalt wird zum Spielplatz gemacht.
#Kinderprogramm: Der grüne Georg – Kinderklamauk und Zauberei rund um den #Umweltschutz – ein Show für Kinder, ein Potpourri aus Liedern, Jonglage, #Zauberei, Pantomime und Clownerie. Das Programm geht circa 45 Minuten und ist für 4 bis 7 Jährige Kinder gedacht, die auf unterhaltsame Weise an das Thema #Umwelt herangeführt werden.
#KidicalMass #Fahrraddemos für #Kinder und #Eltern, die von zahlreichen Startpunkten in Richtung #TreptowerPark zu #A100wegbassen führen
Am Abend wird die Musik aufgedreht. Die Stimmung wechselt – es wird laut! Eine Tanzdemo und ein Protest-Rave mit Techno-Musik übernehmen die Straßen. #Clubs, #Kollektive und #Kiezinitiativen legen auf, um gegen Beton und für Gemeinschaft zu kämpfen. Unter anderem das #DJ-Duo Kalte Liebe und Maurice Mino. Dazu gibt es:
🎤 Bühnen & Reden: Politische Statements und eine Podiumsdiskussion zur Mobilitätswende.
📚 #Infostände: Vernetzung und Infos rund um #Klimagerechtigkeit und #Stadtpolitik.
🌈 #FLINTAQ Openair:* Ein Safer Space für FLINTAQ*-Personen mit eigenem Programm.
🚨 Warum wir protestieren
Kurz vor der Eröffnung des 16. Bauabschnitts der A100 rufen wir zu Widerstand auf. Ein Bündnis aus Clubszene, Nachbarschaftsinitiativen, Klimaaktivisten und vielen mehr kämpft für ein lebendiges, grünes und gerechtes Berlin. Der Autobahnausbau zementiert eine veraltete Politik: Er zerstört Stadtraum, reißt Grünflächen und Wohnhäuser ab, verdrängt Clubs und Gewerbe und verschärft die #Klimakrise. Wir wollen den 17. Bauabschnitt stoppen und den 16. Abschnitt in eine klima- und menschenfreundliche Stadtstraße umwandeln – für #Fahrräder, #Fußgänger und Gemeinschaft statt für Abgase und Lärm.
Line-up: Musik gegen Beton
Beim Protest-Rave „A100 wegbassen“ am 17. Mai 2026 erwartet euch ein vielfältiges musikalisches Programm auf zahlreiche Bühnen – von Live-Acts bis DJ-Sets, organisiert von Berliner Clubs, Kollektiven und Initiativen. Jede Bühne steht für eine andere Facette des Protests – laut, bunt und solidarisch!
Bühne BI-A100 x Clubcommission x Geradedenken
Bühne Knallbunte Stadt (F*CD x STAUB XS x What A Playground x ://about blank)
Bühne Spatial Future (Spatial Tactics x Fridays for Future)
Bühne Pieps x GiB x DHT
FLINTAQ-Bühne (Queermany x A100 wegbassen)*
Bühne KAOS & Friends
Bühne Praerie
Bühne Renate / ELSE
Bühne Sisyphos
🏙️🚶♀️ Eine Stadt für Menschen, nicht für Autos ...
-
CW: 🚴♂️ Mit dem Rad zum Protest: Zubringerdemos am 17. Mai 2026 zu „A100 wegbassen“ 🚴🎠🚵🚲🏃 🏇🚴♂️ Am Samstag, den 17. Mai 2026, führen aus ganz Berlin zahlreiche Fahrraddemos zum großen Protestfest und Protestrave „A100 wegbassen“ an der Elsenstraße / Puschkinallee (S-Bahnhof Treptower Park). Gemeinsam demonstrieren wir gegen den Weiterbau der Stadtautobahn A100 – für eine gerechte, klimagerechte und kinderfreundliche Stadt. 👨👩👧👦 Kidical Mass – Familienfreundliche Demos Diese Demos sind Teil der bundesweiten Kidical Mass für sichere Schulwege, bessere Radinfrastruktur und lebenswerte Kieze. Start jeweils um 13:00 Uhr (außer Neukölln: 13:30 Uhr) ... Friedrichshain Start: Frankfurter Tor ...
📍 Alle Demos führen zum Protestfest „A100 wegbassen“ am S-Bahnhof Treptower Park.
🔊 A100 WEGBASSEN: Protest gegen den Ausbau der Stadtautobahn A100 am 17.5.2026 » Aktionsbündnis A100 stoppen!https://www.a100stoppen.de/a100-wegbassen-2025/
Am 17. Mai 2026 findet in #Berlin- #Treptow „A100 Wegbassen“ statt – ein autofreier Protest gegen den Ausbau der Berliner Stadtautobahn #A100, der von einem breiten Bündnis aus Zivilgesellschaft, Kulturschaffenden, Klimaaktivisten und Anwohnern organisiert wird. Unter dem Motto „Leben. Vielfalt. #Kultur.“ fordert es den Stopp des zerstörerischen Autobahnprojekts A100 und eine klimagerechte, lebenswerte Stadt. Am Nachmittag gibt es einen ausgelassenen, familienfreundlichen Straßenprotest, abends wird mit #Techno- #Musik laut getanzt – ein Protest- #Rave gegen den Autobahnbau in #Berlin.
Samstag, 17. Mai 2026
14:00 – 22:00 Uhr
📍 Ort: Elsenstraße / Puschkinallee / Am Treptower Park, Berlin-Treptow📋 Ablauf:
Nachmittags familienfreundlicher Straßenprotest,
abends
#Tanzdemo und Protest-Rave mit Techno-Musik, das Line-up siehe unten.📢 Unsere Forderungen
Sofortiger Stopp des Autobahnprojekts A100
Ausstieg aus dem #Bundesverkehrswegeplan und seinen fossilen Straßenbauprojekten
Abschied von autogerechter #Stadtplanung zugunsten einer solidarischen #Mobilitätswende
Eine Stadt für alle: mit bezahlbarem #Wohnraum, Freiräumen und echter Teilhabe für queere, migrantische, behinderte und wirtschaftlich benachteiligte Menschen
Schutz der Berliner Vielfalt: mehr Platz für Kultur, #Natur und Gemeinschaft statt Beton und Autos
🕒 So läuft „A100 wegbassen“
Nachmittag ab 14:00 Uhr: Der Protest startet mit einem ausgelassenen, familienfreundlichen Straßenprotest. Ohne Autos wird der Asphalt zum #Spielplatz – mit #Kleinkunst, #Picknick, Kreide, Dreiradparcours und mehr. Bringt Frisbees und Freunde mit und feiert eine Stadt, die lebt! Der Asphalt wird zum Spielplatz gemacht.
#Kinderprogramm: Der grüne Georg – Kinderklamauk und Zauberei rund um den #Umweltschutz – ein Show für Kinder, ein Potpourri aus Liedern, Jonglage, #Zauberei, Pantomime und Clownerie. Das Programm geht circa 45 Minuten und ist für 4 bis 7 Jährige Kinder gedacht, die auf unterhaltsame Weise an das Thema #Umwelt herangeführt werden.
#KidicalMass #Fahrraddemos für #Kinder und #Eltern, die von zahlreichen Startpunkten in Richtung #TreptowerPark zu #A100wegbassen führen
Am Abend wird die Musik aufgedreht. Die Stimmung wechselt – es wird laut! Eine Tanzdemo und ein Protest-Rave mit Techno-Musik übernehmen die Straßen. #Clubs, #Kollektive und #Kiezinitiativen legen auf, um gegen Beton und für Gemeinschaft zu kämpfen. Unter anderem das #DJ-Duo Kalte Liebe und Maurice Mino. Dazu gibt es:
🎤 Bühnen & Reden: Politische Statements und eine Podiumsdiskussion zur Mobilitätswende.
📚 #Infostände: Vernetzung und Infos rund um #Klimagerechtigkeit und #Stadtpolitik.
🌈 #FLINTAQ Openair:* Ein Safer Space für FLINTAQ*-Personen mit eigenem Programm.
🚨 Warum wir protestieren
Kurz vor der Eröffnung des 16. Bauabschnitts der A100 rufen wir zu Widerstand auf. Ein Bündnis aus Clubszene, Nachbarschaftsinitiativen, Klimaaktivisten und vielen mehr kämpft für ein lebendiges, grünes und gerechtes Berlin. Der Autobahnausbau zementiert eine veraltete Politik: Er zerstört Stadtraum, reißt Grünflächen und Wohnhäuser ab, verdrängt Clubs und Gewerbe und verschärft die #Klimakrise. Wir wollen den 17. Bauabschnitt stoppen und den 16. Abschnitt in eine klima- und menschenfreundliche Stadtstraße umwandeln – für #Fahrräder, #Fußgänger und Gemeinschaft statt für Abgase und Lärm.
Line-up: Musik gegen Beton
Beim Protest-Rave „A100 wegbassen“ am 17. Mai 2026 erwartet euch ein vielfältiges musikalisches Programm auf zahlreiche Bühnen – von Live-Acts bis DJ-Sets, organisiert von Berliner Clubs, Kollektiven und Initiativen. Jede Bühne steht für eine andere Facette des Protests – laut, bunt und solidarisch!
Bühne BI-A100 x Clubcommission x Geradedenken
Bühne Knallbunte Stadt (F*CD x STAUB XS x What A Playground x ://about blank)
Bühne Spatial Future (Spatial Tactics x Fridays for Future)
Bühne Pieps x GiB x DHT
FLINTAQ-Bühne (Queermany x A100 wegbassen)*
Bühne KAOS & Friends
Bühne Praerie
Bühne Renate / ELSE
Bühne Sisyphos
🏙️🚶♀️ Eine Stadt für Menschen, nicht für Autos ...
-
CW: 🚴♂️ Mit dem Rad zum Protest: Zubringerdemos am 17. Mai 2026 zu „A100 wegbassen“ 🚴🎠🚵🚲🏃 🏇🚴♂️ Am Samstag, den 17. Mai 2026, führen aus ganz Berlin zahlreiche Fahrraddemos zum großen Protestfest und Protestrave „A100 wegbassen“ an der Elsenstraße / Puschkinallee (S-Bahnhof Treptower Park). Gemeinsam demonstrieren wir gegen den Weiterbau der Stadtautobahn A100 – für eine gerechte, klimagerechte und kinderfreundliche Stadt. 👨👩👧👦 Kidical Mass – Familienfreundliche Demos Diese Demos sind Teil der bundesweiten Kidical Mass für sichere Schulwege, bessere Radinfrastruktur und lebenswerte Kieze. Start jeweils um 13:00 Uhr (außer Neukölln: 13:30 Uhr) ... Friedrichshain Start: Frankfurter Tor ...
📍 Alle Demos führen zum Protestfest „A100 wegbassen“ am S-Bahnhof Treptower Park.
🔊 A100 WEGBASSEN: Protest gegen den Ausbau der Stadtautobahn A100 am 17.5.2026 » Aktionsbündnis A100 stoppen!https://www.a100stoppen.de/a100-wegbassen-2025/
Am 17. Mai 2026 findet in #Berlin- #Treptow „A100 Wegbassen“ statt – ein autofreier Protest gegen den Ausbau der Berliner Stadtautobahn #A100, der von einem breiten Bündnis aus Zivilgesellschaft, Kulturschaffenden, Klimaaktivisten und Anwohnern organisiert wird. Unter dem Motto „Leben. Vielfalt. #Kultur.“ fordert es den Stopp des zerstörerischen Autobahnprojekts A100 und eine klimagerechte, lebenswerte Stadt. Am Nachmittag gibt es einen ausgelassenen, familienfreundlichen Straßenprotest, abends wird mit #Techno- #Musik laut getanzt – ein Protest- #Rave gegen den Autobahnbau in #Berlin.
Samstag, 17. Mai 2026
14:00 – 22:00 Uhr
📍 Ort: Elsenstraße / Puschkinallee / Am Treptower Park, Berlin-Treptow📋 Ablauf:
Nachmittags familienfreundlicher Straßenprotest,
abends
#Tanzdemo und Protest-Rave mit Techno-Musik, das Line-up siehe unten.📢 Unsere Forderungen
Sofortiger Stopp des Autobahnprojekts A100
Ausstieg aus dem #Bundesverkehrswegeplan und seinen fossilen Straßenbauprojekten
Abschied von autogerechter #Stadtplanung zugunsten einer solidarischen #Mobilitätswende
Eine Stadt für alle: mit bezahlbarem #Wohnraum, Freiräumen und echter Teilhabe für queere, migrantische, behinderte und wirtschaftlich benachteiligte Menschen
Schutz der Berliner Vielfalt: mehr Platz für Kultur, #Natur und Gemeinschaft statt Beton und Autos
🕒 So läuft „A100 wegbassen“
Nachmittag ab 14:00 Uhr: Der Protest startet mit einem ausgelassenen, familienfreundlichen Straßenprotest. Ohne Autos wird der Asphalt zum #Spielplatz – mit #Kleinkunst, #Picknick, Kreide, Dreiradparcours und mehr. Bringt Frisbees und Freunde mit und feiert eine Stadt, die lebt! Der Asphalt wird zum Spielplatz gemacht.
#Kinderprogramm: Der grüne Georg – Kinderklamauk und Zauberei rund um den #Umweltschutz – ein Show für Kinder, ein Potpourri aus Liedern, Jonglage, #Zauberei, Pantomime und Clownerie. Das Programm geht circa 45 Minuten und ist für 4 bis 7 Jährige Kinder gedacht, die auf unterhaltsame Weise an das Thema #Umwelt herangeführt werden.
#KidicalMass #Fahrraddemos für #Kinder und #Eltern, die von zahlreichen Startpunkten in Richtung #TreptowerPark zu #A100wegbassen führen
Am Abend wird die Musik aufgedreht. Die Stimmung wechselt – es wird laut! Eine Tanzdemo und ein Protest-Rave mit Techno-Musik übernehmen die Straßen. #Clubs, #Kollektive und #Kiezinitiativen legen auf, um gegen Beton und für Gemeinschaft zu kämpfen. Unter anderem das #DJ-Duo Kalte Liebe und Maurice Mino. Dazu gibt es:
🎤 Bühnen & Reden: Politische Statements und eine Podiumsdiskussion zur Mobilitätswende.
📚 #Infostände: Vernetzung und Infos rund um #Klimagerechtigkeit und #Stadtpolitik.
🌈 #FLINTAQ Openair:* Ein Safer Space für FLINTAQ*-Personen mit eigenem Programm.
🚨 Warum wir protestieren
Kurz vor der Eröffnung des 16. Bauabschnitts der A100 rufen wir zu Widerstand auf. Ein Bündnis aus Clubszene, Nachbarschaftsinitiativen, Klimaaktivisten und vielen mehr kämpft für ein lebendiges, grünes und gerechtes Berlin. Der Autobahnausbau zementiert eine veraltete Politik: Er zerstört Stadtraum, reißt Grünflächen und Wohnhäuser ab, verdrängt Clubs und Gewerbe und verschärft die #Klimakrise. Wir wollen den 17. Bauabschnitt stoppen und den 16. Abschnitt in eine klima- und menschenfreundliche Stadtstraße umwandeln – für #Fahrräder, #Fußgänger und Gemeinschaft statt für Abgase und Lärm.
Line-up: Musik gegen Beton
Beim Protest-Rave „A100 wegbassen“ am 17. Mai 2026 erwartet euch ein vielfältiges musikalisches Programm auf zahlreiche Bühnen – von Live-Acts bis DJ-Sets, organisiert von Berliner Clubs, Kollektiven und Initiativen. Jede Bühne steht für eine andere Facette des Protests – laut, bunt und solidarisch!
Bühne BI-A100 x Clubcommission x Geradedenken
Bühne Knallbunte Stadt (F*CD x STAUB XS x What A Playground x ://about blank)
Bühne Spatial Future (Spatial Tactics x Fridays for Future)
Bühne Pieps x GiB x DHT
FLINTAQ-Bühne (Queermany x A100 wegbassen)*
Bühne KAOS & Friends
Bühne Praerie
Bühne Renate / ELSE
Bühne Sisyphos
🏙️🚶♀️ Eine Stadt für Menschen, nicht für Autos ...
-
CW: 🚴♂️ Mit dem Rad zum Protest: Zubringerdemos am 17. Mai 2026 zu „A100 wegbassen“ 🚴🎠🚵🚲🏃 🏇🚴♂️ Am Samstag, den 17. Mai 2026, führen aus ganz Berlin zahlreiche Fahrraddemos zum großen Protestfest und Protestrave „A100 wegbassen“ an der Elsenstraße / Puschkinallee (S-Bahnhof Treptower Park). Gemeinsam demonstrieren wir gegen den Weiterbau der Stadtautobahn A100 – für eine gerechte, klimagerechte und kinderfreundliche Stadt. 👨👩👧👦 Kidical Mass – Familienfreundliche Demos Diese Demos sind Teil der bundesweiten Kidical Mass für sichere Schulwege, bessere Radinfrastruktur und lebenswerte Kieze. Start jeweils um 13:00 Uhr (außer Neukölln: 13:30 Uhr) ... Friedrichshain Start: Frankfurter Tor ...
📍 Alle Demos führen zum Protestfest „A100 wegbassen“ am S-Bahnhof Treptower Park.
🔊 A100 WEGBASSEN: Protest gegen den Ausbau der Stadtautobahn A100 am 17.5.2026 » Aktionsbündnis A100 stoppen!https://www.a100stoppen.de/a100-wegbassen-2025/
Am 17. Mai 2026 findet in #Berlin- #Treptow „A100 Wegbassen“ statt – ein autofreier Protest gegen den Ausbau der Berliner Stadtautobahn #A100, der von einem breiten Bündnis aus Zivilgesellschaft, Kulturschaffenden, Klimaaktivisten und Anwohnern organisiert wird. Unter dem Motto „Leben. Vielfalt. #Kultur.“ fordert es den Stopp des zerstörerischen Autobahnprojekts A100 und eine klimagerechte, lebenswerte Stadt. Am Nachmittag gibt es einen ausgelassenen, familienfreundlichen Straßenprotest, abends wird mit #Techno- #Musik laut getanzt – ein Protest- #Rave gegen den Autobahnbau in #Berlin.
Samstag, 17. Mai 2026
14:00 – 22:00 Uhr
📍 Ort: Elsenstraße / Puschkinallee / Am Treptower Park, Berlin-Treptow📋 Ablauf:
Nachmittags familienfreundlicher Straßenprotest,
abends
#Tanzdemo und Protest-Rave mit Techno-Musik, das Line-up siehe unten.📢 Unsere Forderungen
Sofortiger Stopp des Autobahnprojekts A100
Ausstieg aus dem #Bundesverkehrswegeplan und seinen fossilen Straßenbauprojekten
Abschied von autogerechter #Stadtplanung zugunsten einer solidarischen #Mobilitätswende
Eine Stadt für alle: mit bezahlbarem #Wohnraum, Freiräumen und echter Teilhabe für queere, migrantische, behinderte und wirtschaftlich benachteiligte Menschen
Schutz der Berliner Vielfalt: mehr Platz für Kultur, #Natur und Gemeinschaft statt Beton und Autos
🕒 So läuft „A100 wegbassen“
Nachmittag ab 14:00 Uhr: Der Protest startet mit einem ausgelassenen, familienfreundlichen Straßenprotest. Ohne Autos wird der Asphalt zum #Spielplatz – mit #Kleinkunst, #Picknick, Kreide, Dreiradparcours und mehr. Bringt Frisbees und Freunde mit und feiert eine Stadt, die lebt! Der Asphalt wird zum Spielplatz gemacht.
#Kinderprogramm: Der grüne Georg – Kinderklamauk und Zauberei rund um den #Umweltschutz – ein Show für Kinder, ein Potpourri aus Liedern, Jonglage, #Zauberei, Pantomime und Clownerie. Das Programm geht circa 45 Minuten und ist für 4 bis 7 Jährige Kinder gedacht, die auf unterhaltsame Weise an das Thema #Umwelt herangeführt werden.
#KidicalMass #Fahrraddemos für #Kinder und #Eltern, die von zahlreichen Startpunkten in Richtung #TreptowerPark zu #A100wegbassen führen
Am Abend wird die Musik aufgedreht. Die Stimmung wechselt – es wird laut! Eine Tanzdemo und ein Protest-Rave mit Techno-Musik übernehmen die Straßen. #Clubs, #Kollektive und #Kiezinitiativen legen auf, um gegen Beton und für Gemeinschaft zu kämpfen. Unter anderem das #DJ-Duo Kalte Liebe und Maurice Mino. Dazu gibt es:
🎤 Bühnen & Reden: Politische Statements und eine Podiumsdiskussion zur Mobilitätswende.
📚 #Infostände: Vernetzung und Infos rund um #Klimagerechtigkeit und #Stadtpolitik.
🌈 #FLINTAQ Openair:* Ein Safer Space für FLINTAQ*-Personen mit eigenem Programm.
🚨 Warum wir protestieren
Kurz vor der Eröffnung des 16. Bauabschnitts der A100 rufen wir zu Widerstand auf. Ein Bündnis aus Clubszene, Nachbarschaftsinitiativen, Klimaaktivisten und vielen mehr kämpft für ein lebendiges, grünes und gerechtes Berlin. Der Autobahnausbau zementiert eine veraltete Politik: Er zerstört Stadtraum, reißt Grünflächen und Wohnhäuser ab, verdrängt Clubs und Gewerbe und verschärft die #Klimakrise. Wir wollen den 17. Bauabschnitt stoppen und den 16. Abschnitt in eine klima- und menschenfreundliche Stadtstraße umwandeln – für #Fahrräder, #Fußgänger und Gemeinschaft statt für Abgase und Lärm.
Line-up: Musik gegen Beton
Beim Protest-Rave „A100 wegbassen“ am 17. Mai 2026 erwartet euch ein vielfältiges musikalisches Programm auf zahlreiche Bühnen – von Live-Acts bis DJ-Sets, organisiert von Berliner Clubs, Kollektiven und Initiativen. Jede Bühne steht für eine andere Facette des Protests – laut, bunt und solidarisch!
Bühne BI-A100 x Clubcommission x Geradedenken
Bühne Knallbunte Stadt (F*CD x STAUB XS x What A Playground x ://about blank)
Bühne Spatial Future (Spatial Tactics x Fridays for Future)
Bühne Pieps x GiB x DHT
FLINTAQ-Bühne (Queermany x A100 wegbassen)*
Bühne KAOS & Friends
Bühne Praerie
Bühne Renate / ELSE
Bühne Sisyphos
🏙️🚶♀️ Eine Stadt für Menschen, nicht für Autos ...
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CW: Updated helpful tips for supportive parents, guardians, family members, friends of trans kids in the UK, as well as trans-supportive medical professionals and organisations, in light of the extension of the ban on new prescriptions of puberty blockers and closing the NI loophole (boosts welcome :BoostsOKPrideSymbol:) (updated re: further extension) (updated again re: indefinite ban)
(Please note that we've¹ defaulted to the British English spellings of oestrogen and oestradiol instead of estrogen and estradiol, as this issue affects those in the UK. In general, we use and prefer the versions without the leading, silent O.Also, GnRH means gonadotropin-releasing hormone. You'll see us writing it a lot followed by "analogue", "agonist" or "antagonist". Those are all types of "puberty blockers".
Lastly, GAHT means gender-affirming hormone therapy. We prefer using this to HRT -- hormone replacement therapy -- which is a broader term.)
Original puberty blockers ban
Back on 2024-05-31, we wrote a post in response to the transphobic emergency restrictions for new prescriptions of puberty blockers to trans youth by the then health minister.
Our original post explaining that in more detail can be found here, but we have now unpinned it and replaced it with this post to ensure everyone has the most up-to-date info.
New government hopes dashed
It was hoped that the new government would not extend the ban, but as soon as they announced Wes "Weasel" Streeting (a highly vocal transphobe and self-loathing gay man) as the new Health Secretary, he pretty much immediately announced his intention to extend the temporary ban, with an aim to making it permanent.
Per this post by TransActual, it's not like Weasel and his advisors weren't made aware of all the negative impacts an extension would have, as "he was told about it when meeting with the representatives of LGBTQ+ organisations".
Even more darkly-farcical is that the justification Weasel used for continuing the targeted medical discrimination against trans youth is that it's being done "to avoid serious danger to health", which is not only contrary to the information provided by those LGBTQ+ organisations, but completely contrary to:
- increasing international condemnation of the Cass Review, which was the primary justification for the order;
- all valid scientific studies over decades, which were excluded by the Cass Review because they weren't "double blinded controlled studies" (which is medically unethical);
- even the frickin' BMA criticising and planning to review the Cass Review.
It's not that Weasel doesn't understand this: it's that he either doesn't care or actively wants to hurt trans youth by making it as difficult as possible for them to medically transition :PleadingFace: 😞
The temporary ban extension explained
The news page on on the government is coldly entitled Puberty blockers temporary ban extended, as if it's no big deal. It links to the original ban and to the new-and-worsened "The Medicines (Gonadotrophin-Releasing Hormone Analogues) (Emergency Prohibition) (Extension) Order 2024" that's replacing it.
This order extends the duration of the original ban until 2024-11-26, but also increases its scope. The original order did not apply to Northern Ireland and allowed EU professionals to prescribe. This small loophole gave a glimmer of hope for supportive parents of trans youth, who could essentially:
- Get a prescription via a private online gender service from an EU medical professional.
- Travel to Northern Ireland to pick up the prescription.
- Travel back home to use it to support their trans kid.
The government clearly discovered this, as the new order has 2 very clear statements on the news page:
It also prevents the sale and supply of the medicines from prescribers registered in the European Economic Area or Switzerland for any purposes to those under 18.
The government has also extended the order to cover Northern Ireland, following agreement from the Northern Ireland Executive, to come into effect from 27 August 2024.
Temporary ban extension number 2 😞
On 6th November 2024, a 2nd extension to the temporary ban was created, which will come into force on 27th November 2024 and last until the end of 31st December 2024.
Fortunately, it was only a time extension: not an expansion of the meds being blocked.
Indefinite ban
We bleeping hate this country. On 11th December 2024, an indefinite ban was imposed by the scumbags in power, under the false guise of safety. This will come into force from 1st January 2025 :FaceExhaling:
And now for the good news 🥰
GnRH antagonists
Weasel isn't as smart as he thinks he is. Under Article 2, they've continued to define GnRH analogues as:
a medicinal product that consists of or contains buserelin, gonadorelin, goserelin, leuprorelin acetate, nafarelin or triptorelin
It's been this way since the original temporary ban was introduced by the previous government and nobody has updated the wording.
Whilst technically calling them analogues isn't incorrect, all of the medications listed above are actually more-specifically GnRH agonists.
Just like the original order, they've ignored GnRH antagonists, as these don't tend to be typically prescribed for trans+ GAHT, despite being just as safe and effective, with the same low-risk profile.
GnRH agonists and antagonists are both types of GnRH analogues. It's just that, for some reason, the agonists tend to be prescribed rather than the antagonists.
The wiki page on GnRH antagonists even specifically states in the Other uses section:
GnRH antagonists could be used as puberty blockers in transgender youth and to suppress sex hormone levels in transgender adolescents and adults, but have not been studied in this context.
We've checked through the list of GnRH antagonists listed on NICE ("National Institute for Health and Care Excellence") as being able to be prescribed, and the following ones could be legally prescribed by any willing UK medical professional without infringing on the order:
- Cetrorelix (Wiki) (NICE) (EMC)
- Degarelix (Wiki) (NICE) (EMC)
- Ganirelix (Wiki) (NICE) (EMC)
- Relugolix (Wiki) (NICE) (No EMC page, but NICE has some details here)
The drugs would be being used off-label, but so are all the existing meds for trans people anyway! There are no officially-licensed medications for trans people in the UK. It's all outside of their prescription guidelines.
We actually had to sign 2 consent forms to request feminising GAHT (aka feminising hormone therapy), 1 of which genuinely reads:
I confirm I understand feminising hormones are not licenced for the treatment of Gender lncongruence; however, I am happy to receive this treatment.
That's not an outdated form either. It's what we had to return to the East of England Gender Service (EOEGS) in May 2024.
Elagolix appears to be starting to be used at 150 mg daily or 200 mg twice daily, but does not appear to be approved for use by NICE.
Alternatives to puberty blockers
Whilst puberty blockers are considered the gold standard:
- They were mainly offered in place of gender-affirming hormone therapy in order to delay the medical transition of trans kids, in the hopes that they could be "persuaded" that they're not actually trans (i.e., conversion therapy).
- Other alternatives to these do exist and are commonly available.
Anti-androgens (steroidal and non-steroidal)
For those who want to block testosterone, the other options are broadly steroidal anti-androgens or non-steroidal anti-androgens. They're typically grouped together under anti-androgens.
Of these, the prescribable options are:
Why no mention of 5-alpha-reductase inhibitors like finasteride or dutasteride? Because all they do is reduce the conversion of testosterone into dihydrotestosterone (DHT). They're technically considered anti-androgens, but both have some pretty common side effects, haven't been shown to be effective for trans healthcare, and interact badly with micronised progesterone.
Spironolactone
Spironolactone has tonnes of common, negative side effects and is a weak anti-androgen at best. The fact that it's still even prescribed to trans people to block testosterone is probably solely because it's cheap. Even its Wiki page states:
Its use continues despite the rise of various accessible alternatives such as bicalutamide and cyproterone acetate with more precise action and less side effects.
Cyproterone acetate
Cyproterone acetate, even at low daily doses (6.25-12.5 mg), isn't particular great either. It's a progestin (a synthetic progestogen), has a fair number of common side effects, and can cause liver issues. It can even cause depression and negatively impact breast development if taken from the start of feminising GAHT.
The only safe progestogen for feminising GAHT is bioidentical micronised progesterone, and only after at least 6 months and having reached stage 3 on the Tanner Scale. It's best to avoid progestins at all costs, due to their inherent risks.
Bicalutamide
Now we come to the oft-overlooked and demonised bicalutamide, even though one of its key uses, as listed on its wiki page, is:
as a puberty blocker and component of feminizing hormone therapy for transgender girls and women
Bicalutamide is a first-generation non-steroidal anti-androgen and works in a different way to other anti-androgens. It actually increases testosterone production slightly, but then converts the excess into oestradiol (E2) and blocks androgen receptors. It's kind of an invisible blocker, as any blood tests will show a higher testosterone level, but androgenic effects will stop, due to the blocked receptors.
Its common side-effects are actually positive effects for many seeking feminisation (e.g., breast growth; decreased libido; reduced body hair growth) alongside blocking androgen receptors. This is, however, worth taking into consideration for someone who may want to block androgenic effects, but not particularly feminise, as this would not be best for them.
Bicalutamide does have a common chance of raising liver enzymes, so it's absolutely vital to monitor closely and get regular liver function blood tests.
Why vital? Because seeing elevated liver enzymes is an indicator of liver cells breaking down at an unusual rate, which can be an early warning sign of liver toxicity (toxic hepatitis). Further tests can then be run to confirm.
The liver is very capable organ in terms of recovery and regeneration, so stopping bicalutamide early if further tests are positive for liver toxicity will stop further damage and increase the likelihood of the liver repairing any slight damage caused.
And now we come to the reason why it's not more-commonly used: there have been 10 published case reports of liver toxicity reported to the FDA Adverse Event Reporting System (FAERS) in the USA, from which there were 2 deaths. As far as we can tell from reading the links into this, none of these were trans people (of any age) taking a low daily dose of 25-50 mg.
In other words, the fear of bicalutamide is disproportionate to the actual real-world risk, especially for trans patients taking low doses.
This is what the bicalutamide comparison section has to say:
The side effect profile of bicalutamide in men and women differs from that of other antiandrogens and is considered favorable in comparison....Relative to GnRH analogues and the steroidal antiandrogen (SAA) cyproterone acetate (CPA), bicalutamide monotherapy has a much lower incidence and severity of hot flashes and sexual dysfunction.... In addition, unlike GnRH analogues and CPA, bicalutamide monotherapy is not associated with decreased bone mineral density or osteoporosis.
Bicalutamide is the best alternative for most, but not all, trans youths wishing to block testosterone and achieve some bonus feminisation before being prescribed oestradiol. It has a lower risk profile overall than cyproterone acetate, but due to extremely rare risks of liver toxicity and lung diseases, many medical practitioners won't prescribe it 😞
Second generation non-steroidal anti-androgens
There are some promising second generation non-steroidal anti-androgens which may both be more effective and have an even lower risk profile than bicalutamide. These are:
Of these, enzalutamide appears to be beginning to be used as part of feminising GAHT, at a dose of 160 mg daily, and the drug is approved by NICE at this dose.
Apalutamide has been approved by NICE at a dose of 240 mg daily.
Darolutamide, the newest of the meds, has been approved at a higher dose of 600 mg twice daily.
Each of these has its own risks and side effects that should be reviewed and taken into account. Enzalutamide purportedly "shows no risk of elevated liver enzymes or hepatotoxicity", but both it and apalutamide list a low possible risk of seizures.
Anti-oestrogens
There are anti-oestrogens, particularly SERMs, but they typically have a lot of side effects and risks. As a rule, most don't come highly recommended.
We wish we could be more positive about them here, but we wouldn't recommend any of them for anyone wishing to block oestrogen production or an oestrogenic puberty.
Look to the GnRH antagonists that aren't blocked (like relugolix), or consider the option below.
Monotherapy
It's very notable that the extended ban still does not ban any oestradiol (oestrogen) or testosterone prescriptions.
This means that there is still nothing to stop supportive parents from helping their trans kids to get a private prescription for oestradiol or testosterone.
Furthermore, due to the way human bodies work, if you maintain a high-enough trough (lowest) level of either oestradiol or testosterone, the body will basically tell the gonads to stop producing that hormones.
This is due to the HPG axis, which works by negative feedback.
For people with testes taking feminising GAHT, sufficient estradiol indirectly puts testes into sleep mode.
For people with ovaries taking masculinising GAHT (aka masculinising hormone therapy), sufficient testosterone likewise puts ovaries into sleep mode.
For those taking testosterone, please do be careful not go above recommend peaks, as otherwise testosterone aromatisation will kick in and convert the excess into estradiol.
Aromatase is localized in the endoplasmic reticulum where it is regulated by tissue-specific promoters that are in turn controlled by hormones, cytokines, and other factors. It catalyzes the last steps of estrogen biosynthesis from androgens (specifically, it transforms androstenedione to estrone and testosterone to estradiol).
Please note that DHT (dihydrotestosterone) (aka androstanolone) -- a powerful androgen synthesised irreversibly from testosterone -- is not aromatised into any forms of oestrogen. Whilst not widely available, it can be used as an alternative to testosterone for masculinising GAHT.
Level ranges for monotherapy
Please note that the figures quoted below are the typical figures for trans adults. Even WPATH SOC8 seems to have no defined ranges for trans youth, just same vague dosage suggestions adapted from the Endocrine Society Guidelines under "Appendix C GENDER-AFFIRMING HORMONAL TREATMENTS" within "Table 3".
Feminising GAHT
For feminising GAHT in adults, monotherapy typically requires maintaining an oestradiol trough of ~734 pmol/L (200 pg/mL). It varies from person to person, so some folks might need as little as ~367 pmol/L (100 pg/mL) or as high as ~918 pmol/L (250 pg/mL).
You'll know if their oestradiol trough is sufficient if their testosterone level is <=2.4 nmol/L, though <=3 nmol/L is often still considered to be within the high-end of normal range. Please note that the target range varies wildly, with ranges such as 30-100 ng/dL (~1.04 to ~3.47 nmol/L) and <50 ng/dL (~1.73 nmol/L).
(On a sports tangent, the flawed Court of Arbitration for Sports (CAS) arbitrarily assigned a maximum testosterone level of 2 nmol/L in 2019 in relation to Caster Semenya. Please note that Semenya took CAS to the ECtHR over their regulations and won in July 2025.)
Please note that there's a lot of scaremongering over oestradiol level. The NHS typically demands you be within 400 to 600 pmol/L... despite the fact that the NHS considers normal, safe ranges during menstruation to be:
- Mid-luteal: 180 to 1068 pmol/L
- Peri-ovulatory: 349 to 1590 pmol/L
Broadly-speaking, an oestradiol range that is considered safe in the long-term for monotherapy is 200 to 400 pg/mL (~734 to ~1469 pmol/L). If you wish to be more cautious, then you could aim for 200 to 300 pg/mL (~734 to ~1101 pmol/L).
Masculinising GAHT
For masculinising GAHT in adults, the targets vary and keep changing.
On the previous 2024 version of Tavistock and Portman guidance ("Treatment of Gender Dysphoria in Trans masculine People v12.4.1"), the levels were listed as follows when using the prescription testosterone medication Sustanon 250 mg/mL every 2-4 weeks:
- a rather-low testosterone trough of ~10-12 nmol/L "on the day of the injection just before it is administered";
- a peak of ~25-30 nmol/L "one week after the injection".
The latest version of guidance we've found is Treatment of Gender Incongruence in Transgender men, Transmasculine and Non-
binary People (Assigned Female at Birth) v13.1 from April 2025. If anything, it's even shittier now, aiming for a trough range of 8-12 nmol/L!!!The aim of therapy is to achieve trough testosterone levels at the bottom
of the normal male range (8-12 nmol/l) on the day of the injection, just
before it is administered, and to achieve peak testosterone levels in the
high normal male range but less than 30 nmol/l one week after the
injection.For context, international guidance is 300 to 1,000 ng/dL (~10.4 nmol/L to ~34.7 nmol/L).
The NHS trough aim allows for a narrow testosterone range that is right at the very low end of tolerability and actually goes below it. Please note that low testosterone levels are associated with low mood and low energy.
In relation to arbitrarily taking a blood test 1 week after administration, please note that Sustanon 250 tends to peak within a few days, then steadily falls. (Put something like "sustanon 250 level curve" into your preferred search engine and look for image graphs: you'll soon see what we mean.) It's just nonsense endocrinology!
For Nebido 1000 mg (4 mL), the testosterone trough range is 10 to 15 nmol/L, which is low, but not as ridiculously bad as the guidance for Sustanon 250.
With testosterone gel (testogel), the guidance is very odd. They aim for a target range of 15 to 20 nmol/L, which is fairly decent... but they want this to be tested 4 to 6 hours after application, rather than at trough... which kind of makes their guidance dumb AF.
To give you a real-world comparison, our testosterone level before starting feminising GAHT was ~18.6 nmol/L in our late 30s. Given that our voice had broken at age 10 and fully dropped by age 11, we are fairly sure our testosterone level was much higher than 18.6 nmol/L back then!
You'll typically know if your kid's testosterone trough is sufficient if their oestradiol level is under 150 pmol/L, though some folks may be up to around 180 pmol/L.
Benefits of monotherapy
Monotherapy completely avoids the need for any kind of puberty blocker, anti-androgen, or anti-oestrogen.
It also has the delightful side-effect of making your trans kid happy to be starting the puberty that they want to go through sooner, thus alleviating their feelings of gender dysphoria and allowing them to enjoy their lives, rather than continuing to wait on non-existent NHS healthcare.
With feminising GAHT, monotherapy is most easily achieved by a daily high-dose of oestradiol in the form of oestrogel (oestrogen gel) typically applied to the thighs or abdomen, but could in theory be achieved by sufficient patches applied twice weekly. Transdermal methods can benefit from being applied on the upper buttocks, but this will not be convenient or comfortable for everyone. Injections are sadly not available on prescription, and implants will be very, very expensive and only privately prescribed.
For masculinising GAHT, monotherapy can be easily achieved by daily application of testosterone gel or cream, but is more easily achieved by testosterone injections (Nebido or Sustanon). However, the injection recommendations are all for adults, so these may be harder to adjust.
Blood tests
These can be done privately, completely avoiding the need for the NHS.
You can find more information here:
- https://web.archive.org/web/20250416012633/https://genderkit.org.uk/resources/blood-testing/
- https://transactual.org.uk/medical-transition/hormone-therapy/
Where can we find more information about gender-affirming care by experts who actually want to help trans kids?
Although far from perfect, arguably the best sources currently are:
We've already written up a shorter post with links to other resources here.
What if I'm still confused about all this?
Ask for help. We're all in this together. Some of us know a lot about how broken trans healthcare is on the NHS right now, not just for trans kids but for trans adults too.
The key thing to remember is that you are never alone. All you have to do is reach out and ask for help from the community :TransHeart: :HeartHands:
Here is a non-exhaustive list of organisations who may be able to offer you some immediate support:
You can find more info resources and support on this Gender Construction Kit page.
And here are some other websites / people you may want to look up:
- Trans Kids Deserve Better
- Trans Kids Deserve To Grow Up
- Dee Whitnell (Founder of TransKidsDeservetoGrowUp)
- Queer AF
- Nancy Kelley (Executive Director of DIVA Magazine) and big supporter of trans youth
- Anne (aka Anne Health Limited), which has a helpline and offers trans+ gender-affirming healthcare
Edits: Apologies for all the typos. We're trying to gradually get rid of them all 😅 Further apologies for the minor formatting edits as we notice issues.
Edits 2025-08-19:
- Added additional details for why we cyproterone acetate isn't recommended, including details from Wiki Trans (French resource).
- Added a link to a later post we've made to other resources.
- Updated some masculinising info based on most-recent NHS guidelines, mostly to show how dumb the guidance is.
- Fixed at least one dead link.
- Added in a note about switching terminology to GAHT.
- Added a note at the end about our plurality.
#TransKidsMatter #TransYouthAreLoved #TransKidsDeserveToGrowUp #TransKidsDeserveToThrive #TransKids #ProtectTransKids #trans #transgender #enby #NonBinary #agender #genderfluid #genderqueer #transition #TransLiberationNow #TransRightsAreHumanRights #TransRights #queer #LGBTQ+ #LGBTQIA+ #PubertyBlockers #GnRHAgonists #GnRHAntagonists #GnRHAnalogues #AntiAndrogens #AntiEstrogens #AntiOestrogens #SERM #spironolactone #CyproteroneAcetate #bicalutamide
¹ We're plural (median, blurian)
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CW: Updated helpful tips for supportive parents, guardians, family members, friends of trans kids in the UK, as well as trans-supportive medical professionals and organisations, in light of the extension of the ban on new prescriptions of puberty blockers and closing the NI loophole (boosts welcome :BoostsOKPrideSymbol:) (updated re: further extension) (updated again re: indefinite ban)
(Please note that we've¹ defaulted to the British English spellings of oestrogen and oestradiol instead of estrogen and estradiol, as this issue affects those in the UK. In general, we use and prefer the versions without the leading, silent O.Also, GnRH means gonadotropin-releasing hormone. You'll see us writing it a lot followed by "analogue", "agonist" or "antagonist". Those are all types of "puberty blockers".
Lastly, GAHT means gender-affirming hormone therapy. We prefer using this to HRT -- hormone replacement therapy -- which is a broader term.)
Original puberty blockers ban
Back on 2024-05-31, we wrote a post in response to the transphobic emergency restrictions for new prescriptions of puberty blockers to trans youth by the then health minister.
Our original post explaining that in more detail can be found here, but we have now unpinned it and replaced it with this post to ensure everyone has the most up-to-date info.
New government hopes dashed
It was hoped that the new government would not extend the ban, but as soon as they announced Wes "Weasel" Streeting (a highly vocal transphobe and self-loathing gay man) as the new Health Secretary, he pretty much immediately announced his intention to extend the temporary ban, with an aim to making it permanent.
Per this post by TransActual, it's not like Weasel and his advisors weren't made aware of all the negative impacts an extension would have, as "he was told about it when meeting with the representatives of LGBTQ+ organisations".
Even more darkly-farcical is that the justification Weasel used for continuing the targeted medical discrimination against trans youth is that it's being done "to avoid serious danger to health", which is not only contrary to the information provided by those LGBTQ+ organisations, but completely contrary to:
- increasing international condemnation of the Cass Review, which was the primary justification for the order;
- all valid scientific studies over decades, which were excluded by the Cass Review because they weren't "double blinded controlled studies" (which is medically unethical);
- even the frickin' BMA criticising and planning to review the Cass Review.
It's not that Weasel doesn't understand this: it's that he either doesn't care or actively wants to hurt trans youth by making it as difficult as possible for them to medically transition :PleadingFace: 😞
The temporary ban extension explained
The news page on on the government is coldly entitled Puberty blockers temporary ban extended, as if it's no big deal. It links to the original ban and to the new-and-worsened "The Medicines (Gonadotrophin-Releasing Hormone Analogues) (Emergency Prohibition) (Extension) Order 2024" that's replacing it.
This order extends the duration of the original ban until 2024-11-26, but also increases its scope. The original order did not apply to Northern Ireland and allowed EU professionals to prescribe. This small loophole gave a glimmer of hope for supportive parents of trans youth, who could essentially:
- Get a prescription via a private online gender service from an EU medical professional.
- Travel to Northern Ireland to pick up the prescription.
- Travel back home to use it to support their trans kid.
The government clearly discovered this, as the new order has 2 very clear statements on the news page:
It also prevents the sale and supply of the medicines from prescribers registered in the European Economic Area or Switzerland for any purposes to those under 18.
The government has also extended the order to cover Northern Ireland, following agreement from the Northern Ireland Executive, to come into effect from 27 August 2024.
Temporary ban extension number 2 😞
On 6th November 2024, a 2nd extension to the temporary ban was created, which will come into force on 27th November 2024 and last until the end of 31st December 2024.
Fortunately, it was only a time extension: not an expansion of the meds being blocked.
Indefinite ban
We bleeping hate this country. On 11th December 2024, an indefinite ban was imposed by the scumbags in power, under the false guise of safety. This will come into force from 1st January 2025 :FaceExhaling:
And now for the good news 🥰
GnRH antagonists
Weasel isn't as smart as he thinks he is. Under Article 2, they've continued to define GnRH analogues as:
a medicinal product that consists of or contains buserelin, gonadorelin, goserelin, leuprorelin acetate, nafarelin or triptorelin
It's been this way since the original temporary ban was introduced by the previous government and nobody has updated the wording.
Whilst technically calling them analogues isn't incorrect, all of the medications listed above are actually more-specifically GnRH agonists.
Just like the original order, they've ignored GnRH antagonists, as these don't tend to be typically prescribed for trans+ GAHT, despite being just as safe and effective, with the same low-risk profile.
GnRH agonists and antagonists are both types of GnRH analogues. It's just that, for some reason, the agonists tend to be prescribed rather than the antagonists.
The wiki page on GnRH antagonists even specifically states in the Other uses section:
GnRH antagonists could be used as puberty blockers in transgender youth and to suppress sex hormone levels in transgender adolescents and adults, but have not been studied in this context.
We've checked through the list of GnRH antagonists listed on NICE ("National Institute for Health and Care Excellence") as being able to be prescribed, and the following ones could be legally prescribed by any willing UK medical professional without infringing on the order:
- Cetrorelix (Wiki) (NICE) (EMC)
- Degarelix (Wiki) (NICE) (EMC)
- Ganirelix (Wiki) (NICE) (EMC)
- Relugolix (Wiki) (NICE) (No EMC page, but NICE has some details here)
The drugs would be being used off-label, but so are all the existing meds for trans people anyway! There are no officially-licensed medications for trans people in the UK. It's all outside of their prescription guidelines.
We actually had to sign 2 consent forms to request feminising GAHT (aka feminising hormone therapy), 1 of which genuinely reads:
I confirm I understand feminising hormones are not licenced for the treatment of Gender lncongruence; however, I am happy to receive this treatment.
That's not an outdated form either. It's what we had to return to the East of England Gender Service (EOEGS) in May 2024.
Elagolix appears to be starting to be used at 150 mg daily or 200 mg twice daily, but does not appear to be approved for use by NICE.
Alternatives to puberty blockers
Whilst puberty blockers are considered the gold standard:
- They were mainly offered in place of gender-affirming hormone therapy in order to delay the medical transition of trans kids, in the hopes that they could be "persuaded" that they're not actually trans (i.e., conversion therapy).
- Other alternatives to these do exist and are commonly available.
Anti-androgens (steroidal and non-steroidal)
For those who want to block testosterone, the other options are broadly steroidal anti-androgens or non-steroidal anti-androgens. They're typically grouped together under anti-androgens.
Of these, the prescribable options are:
Why no mention of 5-alpha-reductase inhibitors like finasteride or dutasteride? Because all they do is reduce the conversion of testosterone into dihydrotestosterone (DHT). They're technically considered anti-androgens, but both have some pretty common side effects, haven't been shown to be effective for trans healthcare, and interact badly with micronised progesterone.
Spironolactone
Spironolactone has tonnes of common, negative side effects and is a weak anti-androgen at best. The fact that it's still even prescribed to trans people to block testosterone is probably solely because it's cheap. Even its Wiki page states:
Its use continues despite the rise of various accessible alternatives such as bicalutamide and cyproterone acetate with more precise action and less side effects.
Cyproterone acetate
Cyproterone acetate, even at low daily doses (6.25-12.5 mg), isn't particular great either. It's a progestin (a synthetic progestogen), has a fair number of common side effects, and can cause liver issues. It can even cause depression and negatively impact breast development if taken from the start of feminising GAHT.
The only safe progestogen for feminising GAHT is bioidentical micronised progesterone, and only after at least 6 months and having reached stage 3 on the Tanner Scale. It's best to avoid progestins at all costs, due to their inherent risks.
Bicalutamide
Now we come to the oft-overlooked and demonised bicalutamide, even though one of its key uses, as listed on its wiki page, is:
as a puberty blocker and component of feminizing hormone therapy for transgender girls and women
Bicalutamide is a first-generation non-steroidal anti-androgen and works in a different way to other anti-androgens. It actually increases testosterone production slightly, but then converts the excess into oestradiol (E2) and blocks androgen receptors. It's kind of an invisible blocker, as any blood tests will show a higher testosterone level, but androgenic effects will stop, due to the blocked receptors.
Its common side-effects are actually positive effects for many seeking feminisation (e.g., breast growth; decreased libido; reduced body hair growth) alongside blocking androgen receptors. This is, however, worth taking into consideration for someone who may want to block androgenic effects, but not particularly feminise, as this would not be best for them.
Bicalutamide does have a common chance of raising liver enzymes, so it's absolutely vital to monitor closely and get regular liver function blood tests.
Why vital? Because seeing elevated liver enzymes is an indicator of liver cells breaking down at an unusual rate, which can be an early warning sign of liver toxicity (toxic hepatitis). Further tests can then be run to confirm.
The liver is very capable organ in terms of recovery and regeneration, so stopping bicalutamide early if further tests are positive for liver toxicity will stop further damage and increase the likelihood of the liver repairing any slight damage caused.
And now we come to the reason why it's not more-commonly used: there have been 10 published case reports of liver toxicity reported to the FDA Adverse Event Reporting System (FAERS) in the USA, from which there were 2 deaths. As far as we can tell from reading the links into this, none of these were trans people (of any age) taking a low daily dose of 25-50 mg.
In other words, the fear of bicalutamide is disproportionate to the actual real-world risk, especially for trans patients taking low doses.
This is what the bicalutamide comparison section has to say:
The side effect profile of bicalutamide in men and women differs from that of other antiandrogens and is considered favorable in comparison....Relative to GnRH analogues and the steroidal antiandrogen (SAA) cyproterone acetate (CPA), bicalutamide monotherapy has a much lower incidence and severity of hot flashes and sexual dysfunction.... In addition, unlike GnRH analogues and CPA, bicalutamide monotherapy is not associated with decreased bone mineral density or osteoporosis.
Bicalutamide is the best alternative for most, but not all, trans youths wishing to block testosterone and achieve some bonus feminisation before being prescribed oestradiol. It has a lower risk profile overall than cyproterone acetate, but due to extremely rare risks of liver toxicity and lung diseases, many medical practitioners won't prescribe it 😞
Second generation non-steroidal anti-androgens
There are some promising second generation non-steroidal anti-androgens which may both be more effective and have an even lower risk profile than bicalutamide. These are:
Of these, enzalutamide appears to be beginning to be used as part of feminising GAHT, at a dose of 160 mg daily, and the drug is approved by NICE at this dose.
Apalutamide has been approved by NICE at a dose of 240 mg daily.
Darolutamide, the newest of the meds, has been approved at a higher dose of 600 mg twice daily.
Each of these has its own risks and side effects that should be reviewed and taken into account. Enzalutamide purportedly "shows no risk of elevated liver enzymes or hepatotoxicity", but both it and apalutamide list a low possible risk of seizures.
Anti-oestrogens
There are anti-oestrogens, particularly SERMs, but they typically have a lot of side effects and risks. As a rule, most don't come highly recommended.
We wish we could be more positive about them here, but we wouldn't recommend any of them for anyone wishing to block oestrogen production or an oestrogenic puberty.
Look to the GnRH antagonists that aren't blocked (like relugolix), or consider the option below.
Monotherapy
It's very notable that the extended ban still does not ban any oestradiol (oestrogen) or testosterone prescriptions.
This means that there is still nothing to stop supportive parents from helping their trans kids to get a private prescription for oestradiol or testosterone.
Furthermore, due to the way human bodies work, if you maintain a high-enough trough (lowest) level of either oestradiol or testosterone, the body will basically tell the gonads to stop producing that hormones.
This is due to the HPG axis, which works by negative feedback.
For people with testes taking feminising GAHT, sufficient estradiol indirectly puts testes into sleep mode.
For people with ovaries taking masculinising GAHT (aka masculinising hormone therapy), sufficient testosterone likewise puts ovaries into sleep mode.
For those taking testosterone, please do be careful not go above recommend peaks, as otherwise testosterone aromatisation will kick in and convert the excess into estradiol.
Aromatase is localized in the endoplasmic reticulum where it is regulated by tissue-specific promoters that are in turn controlled by hormones, cytokines, and other factors. It catalyzes the last steps of estrogen biosynthesis from androgens (specifically, it transforms androstenedione to estrone and testosterone to estradiol).
Please note that DHT (dihydrotestosterone) (aka androstanolone) -- a powerful androgen synthesised irreversibly from testosterone -- is not aromatised into any forms of oestrogen. Whilst not widely available, it can be used as an alternative to testosterone for masculinising GAHT.
Level ranges for monotherapy
Please note that the figures quoted below are the typical figures for trans adults. Even WPATH SOC8 seems to have no defined ranges for trans youth, just same vague dosage suggestions adapted from the Endocrine Society Guidelines under "Appendix C GENDER-AFFIRMING HORMONAL TREATMENTS" within "Table 3".
Feminising GAHT
For feminising GAHT in adults, monotherapy typically requires maintaining an oestradiol trough of ~734 pmol/L (200 pg/mL). It varies from person to person, so some folks might need as little as ~367 pmol/L (100 pg/mL) or as high as ~918 pmol/L (250 pg/mL).
You'll know if their oestradiol trough is sufficient if their testosterone level is <=2.4 nmol/L, though <=3 nmol/L is often still considered to be within the high-end of normal range. Please note that the target range varies wildly, with ranges such as 30-100 ng/dL (~1.04 to ~3.47 nmol/L) and <50 ng/dL (~1.73 nmol/L).
(On a sports tangent, the flawed Court of Arbitration for Sports (CAS) arbitrarily assigned a maximum testosterone level of 2 nmol/L in 2019 in relation to Caster Semenya. Please note that Semenya took CAS to the ECtHR over their regulations and won in July 2025.)
Please note that there's a lot of scaremongering over oestradiol level. The NHS typically demands you be within 400 to 600 pmol/L... despite the fact that the NHS considers normal, safe ranges during menstruation to be:
- Mid-luteal: 180 to 1068 pmol/L
- Peri-ovulatory: 349 to 1590 pmol/L
Broadly-speaking, an oestradiol range that is considered safe in the long-term for monotherapy is 200 to 400 pg/mL (~734 to ~1469 pmol/L). If you wish to be more cautious, then you could aim for 200 to 300 pg/mL (~734 to ~1101 pmol/L).
Masculinising GAHT
For masculinising GAHT in adults, the targets vary and keep changing.
On the previous 2024 version of Tavistock and Portman guidance ("Treatment of Gender Dysphoria in Trans masculine People v12.4.1"), the levels were listed as follows when using the prescription testosterone medication Sustanon 250 mg/mL every 2-4 weeks:
- a rather-low testosterone trough of ~10-12 nmol/L "on the day of the injection just before it is administered";
- a peak of ~25-30 nmol/L "one week after the injection".
The latest version of guidance we've found is Treatment of Gender Incongruence in Transgender men, Transmasculine and Non-
binary People (Assigned Female at Birth) v13.1 from April 2025. If anything, it's even shittier now, aiming for a trough range of 8-12 nmol/L!!!The aim of therapy is to achieve trough testosterone levels at the bottom
of the normal male range (8-12 nmol/l) on the day of the injection, just
before it is administered, and to achieve peak testosterone levels in the
high normal male range but less than 30 nmol/l one week after the
injection.For context, international guidance is 300 to 1,000 ng/dL (~10.4 nmol/L to ~34.7 nmol/L).
The NHS trough aim allows for a narrow testosterone range that is right at the very low end of tolerability and actually goes below it. Please note that low testosterone levels are associated with low mood and low energy.
In relation to arbitrarily taking a blood test 1 week after administration, please note that Sustanon 250 tends to peak within a few days, then steadily falls. (Put something like "sustanon 250 level curve" into your preferred search engine and look for image graphs: you'll soon see what we mean.) It's just nonsense endocrinology!
For Nebido 1000 mg (4 mL), the testosterone trough range is 10 to 15 nmol/L, which is low, but not as ridiculously bad as the guidance for Sustanon 250.
With testosterone gel (testogel), the guidance is very odd. They aim for a target range of 15 to 20 nmol/L, which is fairly decent... but they want this to be tested 4 to 6 hours after application, rather than at trough... which kind of makes their guidance dumb AF.
To give you a real-world comparison, our testosterone level before starting feminising GAHT was ~18.6 nmol/L in our late 30s. Given that our voice had broken at age 10 and fully dropped by age 11, we are fairly sure our testosterone level was much higher than 18.6 nmol/L back then!
You'll typically know if your kid's testosterone trough is sufficient if their oestradiol level is under 150 pmol/L, though some folks may be up to around 180 pmol/L.
Benefits of monotherapy
Monotherapy completely avoids the need for any kind of puberty blocker, anti-androgen, or anti-oestrogen.
It also has the delightful side-effect of making your trans kid happy to be starting the puberty that they want to go through sooner, thus alleviating their feelings of gender dysphoria and allowing them to enjoy their lives, rather than continuing to wait on non-existent NHS healthcare.
With feminising GAHT, monotherapy is most easily achieved by a daily high-dose of oestradiol in the form of oestrogel (oestrogen gel) typically applied to the thighs or abdomen, but could in theory be achieved by sufficient patches applied twice weekly. Transdermal methods can benefit from being applied on the upper buttocks, but this will not be convenient or comfortable for everyone. Injections are sadly not available on prescription, and implants will be very, very expensive and only privately prescribed.
For masculinising GAHT, monotherapy can be easily achieved by daily application of testosterone gel or cream, but is more easily achieved by testosterone injections (Nebido or Sustanon). However, the injection recommendations are all for adults, so these may be harder to adjust.
Blood tests
These can be done privately, completely avoiding the need for the NHS.
You can find more information here:
- https://web.archive.org/web/20250416012633/https://genderkit.org.uk/resources/blood-testing/
- https://transactual.org.uk/medical-transition/hormone-therapy/
Where can we find more information about gender-affirming care by experts who actually want to help trans kids?
Although far from perfect, arguably the best sources currently are:
We've already written up a shorter post with links to other resources here.
What if I'm still confused about all this?
Ask for help. We're all in this together. Some of us know a lot about how broken trans healthcare is on the NHS right now, not just for trans kids but for trans adults too.
The key thing to remember is that you are never alone. All you have to do is reach out and ask for help from the community :TransHeart: :HeartHands:
Here is a non-exhaustive list of organisations who may be able to offer you some immediate support:
You can find more info resources and support on this Gender Construction Kit page.
And here are some other websites / people you may want to look up:
- Trans Kids Deserve Better
- Trans Kids Deserve To Grow Up
- Dee Whitnell (Founder of TransKidsDeservetoGrowUp)
- Queer AF
- Nancy Kelley (Executive Director of DIVA Magazine) and big supporter of trans youth
- Anne (aka Anne Health Limited), which has a helpline and offers trans+ gender-affirming healthcare
Edits: Apologies for all the typos. We're trying to gradually get rid of them all 😅 Further apologies for the minor formatting edits as we notice issues.
Edits 2025-08-19:
- Added additional details for why we cyproterone acetate isn't recommended, including details from Wiki Trans (French resource).
- Added a link to a later post we've made to other resources.
- Updated some masculinising info based on most-recent NHS guidelines, mostly to show how dumb the guidance is.
- Fixed at least one dead link.
- Added in a note about switching terminology to GAHT.
- Added a note at the end about our plurality.
#TransKidsMatter #TransYouthAreLoved #TransKidsDeserveToGrowUp #TransKidsDeserveToThrive #TransKids #ProtectTransKids #trans #transgender #enby #NonBinary #agender #genderfluid #genderqueer #transition #TransLiberationNow #TransRightsAreHumanRights #TransRights #queer #LGBTQ+ #LGBTQIA+ #PubertyBlockers #GnRHAgonists #GnRHAntagonists #GnRHAnalogues #AntiAndrogens #AntiEstrogens #AntiOestrogens #SERM #spironolactone #CyproteroneAcetate #bicalutamide
¹ We're plural (median, blurian)
-
CW: Updated helpful tips for supportive parents, guardians, family members, friends of trans kids in the UK, as well as trans-supportive medical professionals and organisations, in light of the extension of the ban on new prescriptions of puberty blockers and closing the NI loophole (boosts welcome :BoostsOKPrideSymbol:) (updated re: further extension) (updated again re: indefinite ban)
(Please note that we've¹ defaulted to the British English spellings of oestrogen and oestradiol instead of estrogen and estradiol, as this issue affects those in the UK. In general, we use and prefer the versions without the leading, silent O.Also, GnRH means gonadotropin-releasing hormone. You'll see us writing it a lot followed by "analogue", "agonist" or "antagonist". Those are all types of "puberty blockers".
Lastly, GAHT means gender-affirming hormone therapy. We prefer using this to HRT -- hormone replacement therapy -- which is a broader term.)
Original puberty blockers ban
Back on 2024-05-31, we wrote a post in response to the transphobic emergency restrictions for new prescriptions of puberty blockers to trans youth by the then health minister.
Our original post explaining that in more detail can be found here, but we have now unpinned it and replaced it with this post to ensure everyone has the most up-to-date info.
New government hopes dashed
It was hoped that the new government would not extend the ban, but as soon as they announced Wes "Weasel" Streeting (a highly vocal transphobe and self-loathing gay man) as the new Health Secretary, he pretty much immediately announced his intention to extend the temporary ban, with an aim to making it permanent.
Per this post by TransActual, it's not like Weasel and his advisors weren't made aware of all the negative impacts an extension would have, as "he was told about it when meeting with the representatives of LGBTQ+ organisations".
Even more darkly-farcical is that the justification Weasel used for continuing the targeted medical discrimination against trans youth is that it's being done "to avoid serious danger to health", which is not only contrary to the information provided by those LGBTQ+ organisations, but completely contrary to:
- increasing international condemnation of the Cass Review, which was the primary justification for the order;
- all valid scientific studies over decades, which were excluded by the Cass Review because they weren't "double blinded controlled studies" (which is medically unethical);
- even the frickin' BMA criticising and planning to review the Cass Review.
It's not that Weasel doesn't understand this: it's that he either doesn't care or actively wants to hurt trans youth by making it as difficult as possible for them to medically transition :PleadingFace: 😞
The temporary ban extension explained
The news page on on the government is coldly entitled Puberty blockers temporary ban extended, as if it's no big deal. It links to the original ban and to the new-and-worsened "The Medicines (Gonadotrophin-Releasing Hormone Analogues) (Emergency Prohibition) (Extension) Order 2024" that's replacing it.
This order extends the duration of the original ban until 2024-11-26, but also increases its scope. The original order did not apply to Northern Ireland and allowed EU professionals to prescribe. This small loophole gave a glimmer of hope for supportive parents of trans youth, who could essentially:
- Get a prescription via a private online gender service from an EU medical professional.
- Travel to Northern Ireland to pick up the prescription.
- Travel back home to use it to support their trans kid.
The government clearly discovered this, as the new order has 2 very clear statements on the news page:
It also prevents the sale and supply of the medicines from prescribers registered in the European Economic Area or Switzerland for any purposes to those under 18.
The government has also extended the order to cover Northern Ireland, following agreement from the Northern Ireland Executive, to come into effect from 27 August 2024.
Temporary ban extension number 2 😞
On 6th November 2024, a 2nd extension to the temporary ban was created, which will come into force on 27th November 2024 and last until the end of 31st December 2024.
Fortunately, it was only a time extension: not an expansion of the meds being blocked.
Indefinite ban
We bleeping hate this country. On 11th December 2024, an indefinite ban was imposed by the scumbags in power, under the false guise of safety. This will come into force from 1st January 2025 :FaceExhaling:
And now for the good news 🥰
GnRH antagonists
Weasel isn't as smart as he thinks he is. Under Article 2, they've continued to define GnRH analogues as:
a medicinal product that consists of or contains buserelin, gonadorelin, goserelin, leuprorelin acetate, nafarelin or triptorelin
It's been this way since the original temporary ban was introduced by the previous government and nobody has updated the wording.
Whilst technically calling them analogues isn't incorrect, all of the medications listed above are actually more-specifically GnRH agonists.
Just like the original order, they've ignored GnRH antagonists, as these don't tend to be typically prescribed for trans+ GAHT, despite being just as safe and effective, with the same low-risk profile.
GnRH agonists and antagonists are both types of GnRH analogues. It's just that, for some reason, the agonists tend to be prescribed rather than the antagonists.
The wiki page on GnRH antagonists even specifically states in the Other uses section:
GnRH antagonists could be used as puberty blockers in transgender youth and to suppress sex hormone levels in transgender adolescents and adults, but have not been studied in this context.
We've checked through the list of GnRH antagonists listed on NICE ("National Institute for Health and Care Excellence") as being able to be prescribed, and the following ones could be legally prescribed by any willing UK medical professional without infringing on the order:
- Cetrorelix (Wiki) (NICE) (EMC)
- Degarelix (Wiki) (NICE) (EMC)
- Ganirelix (Wiki) (NICE) (EMC)
- Relugolix (Wiki) (NICE) (No EMC page, but NICE has some details here)
The drugs would be being used off-label, but so are all the existing meds for trans people anyway! There are no officially-licensed medications for trans people in the UK. It's all outside of their prescription guidelines.
We actually had to sign 2 consent forms to request feminising GAHT (aka feminising hormone therapy), 1 of which genuinely reads:
I confirm I understand feminising hormones are not licenced for the treatment of Gender lncongruence; however, I am happy to receive this treatment.
That's not an outdated form either. It's what we had to return to the East of England Gender Service (EOEGS) in May 2024.
Elagolix appears to be starting to be used at 150 mg daily or 200 mg twice daily, but does not appear to be approved for use by NICE.
Alternatives to puberty blockers
Whilst puberty blockers are considered the gold standard:
- They were mainly offered in place of gender-affirming hormone therapy in order to delay the medical transition of trans kids, in the hopes that they could be "persuaded" that they're not actually trans (i.e., conversion therapy).
- Other alternatives to these do exist and are commonly available.
Anti-androgens (steroidal and non-steroidal)
For those who want to block testosterone, the other options are broadly steroidal anti-androgens or non-steroidal anti-androgens. They're typically grouped together under anti-androgens.
Of these, the prescribable options are:
Why no mention of 5-alpha-reductase inhibitors like finasteride or dutasteride? Because all they do is reduce the conversion of testosterone into dihydrotestosterone (DHT). They're technically considered anti-androgens, but both have some pretty common side effects, haven't been shown to be effective for trans healthcare, and interact badly with micronised progesterone.
Spironolactone
Spironolactone has tonnes of common, negative side effects and is a weak anti-androgen at best. The fact that it's still even prescribed to trans people to block testosterone is probably solely because it's cheap. Even its Wiki page states:
Its use continues despite the rise of various accessible alternatives such as bicalutamide and cyproterone acetate with more precise action and less side effects.
Cyproterone acetate
Cyproterone acetate, even at low daily doses (6.25-12.5 mg), isn't particular great either. It's a progestin (a synthetic progestogen), has a fair number of common side effects, and can cause liver issues. It can even cause depression and negatively impact breast development if taken from the start of feminising GAHT.
The only safe progestogen for feminising GAHT is bioidentical micronised progesterone, and only after at least 6 months and having reached stage 3 on the Tanner Scale. It's best to avoid progestins at all costs, due to their inherent risks.
Bicalutamide
Now we come to the oft-overlooked and demonised bicalutamide, even though one of its key uses, as listed on its wiki page, is:
as a puberty blocker and component of feminizing hormone therapy for transgender girls and women
Bicalutamide is a first-generation non-steroidal anti-androgen and works in a different way to other anti-androgens. It actually increases testosterone production slightly, but then converts the excess into oestradiol (E2) and blocks androgen receptors. It's kind of an invisible blocker, as any blood tests will show a higher testosterone level, but androgenic effects will stop, due to the blocked receptors.
Its common side-effects are actually positive effects for many seeking feminisation (e.g., breast growth; decreased libido; reduced body hair growth) alongside blocking androgen receptors. This is, however, worth taking into consideration for someone who may want to block androgenic effects, but not particularly feminise, as this would not be best for them.
Bicalutamide does have a common chance of raising liver enzymes, so it's absolutely vital to monitor closely and get regular liver function blood tests.
Why vital? Because seeing elevated liver enzymes is an indicator of liver cells breaking down at an unusual rate, which can be an early warning sign of liver toxicity (toxic hepatitis). Further tests can then be run to confirm.
The liver is very capable organ in terms of recovery and regeneration, so stopping bicalutamide early if further tests are positive for liver toxicity will stop further damage and increase the likelihood of the liver repairing any slight damage caused.
And now we come to the reason why it's not more-commonly used: there have been 10 published case reports of liver toxicity reported to the FDA Adverse Event Reporting System (FAERS) in the USA, from which there were 2 deaths. As far as we can tell from reading the links into this, none of these were trans people (of any age) taking a low daily dose of 25-50 mg.
In other words, the fear of bicalutamide is disproportionate to the actual real-world risk, especially for trans patients taking low doses.
This is what the bicalutamide comparison section has to say:
The side effect profile of bicalutamide in men and women differs from that of other antiandrogens and is considered favorable in comparison....Relative to GnRH analogues and the steroidal antiandrogen (SAA) cyproterone acetate (CPA), bicalutamide monotherapy has a much lower incidence and severity of hot flashes and sexual dysfunction.... In addition, unlike GnRH analogues and CPA, bicalutamide monotherapy is not associated with decreased bone mineral density or osteoporosis.
Bicalutamide is the best alternative for most, but not all, trans youths wishing to block testosterone and achieve some bonus feminisation before being prescribed oestradiol. It has a lower risk profile overall than cyproterone acetate, but due to extremely rare risks of liver toxicity and lung diseases, many medical practitioners won't prescribe it 😞
Second generation non-steroidal anti-androgens
There are some promising second generation non-steroidal anti-androgens which may both be more effective and have an even lower risk profile than bicalutamide. These are:
Of these, enzalutamide appears to be beginning to be used as part of feminising GAHT, at a dose of 160 mg daily, and the drug is approved by NICE at this dose.
Apalutamide has been approved by NICE at a dose of 240 mg daily.
Darolutamide, the newest of the meds, has been approved at a higher dose of 600 mg twice daily.
Each of these has its own risks and side effects that should be reviewed and taken into account. Enzalutamide purportedly "shows no risk of elevated liver enzymes or hepatotoxicity", but both it and apalutamide list a low possible risk of seizures.
Anti-oestrogens
There are anti-oestrogens, particularly SERMs, but they typically have a lot of side effects and risks. As a rule, most don't come highly recommended.
We wish we could be more positive about them here, but we wouldn't recommend any of them for anyone wishing to block oestrogen production or an oestrogenic puberty.
Look to the GnRH antagonists that aren't blocked (like relugolix), or consider the option below.
Monotherapy
It's very notable that the extended ban still does not ban any oestradiol (oestrogen) or testosterone prescriptions.
This means that there is still nothing to stop supportive parents from helping their trans kids to get a private prescription for oestradiol or testosterone.
Furthermore, due to the way human bodies work, if you maintain a high-enough trough (lowest) level of either oestradiol or testosterone, the body will basically tell the gonads to stop producing that hormones.
This is due to the HPG axis, which works by negative feedback.
For people with testes taking feminising GAHT, sufficient estradiol indirectly puts testes into sleep mode.
For people with ovaries taking masculinising GAHT (aka masculinising hormone therapy), sufficient testosterone likewise puts ovaries into sleep mode.
For those taking testosterone, please do be careful not go above recommend peaks, as otherwise testosterone aromatisation will kick in and convert the excess into estradiol.
Aromatase is localized in the endoplasmic reticulum where it is regulated by tissue-specific promoters that are in turn controlled by hormones, cytokines, and other factors. It catalyzes the last steps of estrogen biosynthesis from androgens (specifically, it transforms androstenedione to estrone and testosterone to estradiol).
Please note that DHT (dihydrotestosterone) (aka androstanolone) -- a powerful androgen synthesised irreversibly from testosterone -- is not aromatised into any forms of oestrogen. Whilst not widely available, it can be used as an alternative to testosterone for masculinising GAHT.
Level ranges for monotherapy
Please note that the figures quoted below are the typical figures for trans adults. Even WPATH SOC8 seems to have no defined ranges for trans youth, just same vague dosage suggestions adapted from the Endocrine Society Guidelines under "Appendix C GENDER-AFFIRMING HORMONAL TREATMENTS" within "Table 3".
Feminising GAHT
For feminising GAHT in adults, monotherapy typically requires maintaining an oestradiol trough of ~734 pmol/L (200 pg/mL). It varies from person to person, so some folks might need as little as ~367 pmol/L (100 pg/mL) or as high as ~918 pmol/L (250 pg/mL).
You'll know if their oestradiol trough is sufficient if their testosterone level is <=2.4 nmol/L, though <=3 nmol/L is often still considered to be within the high-end of normal range. Please note that the target range varies wildly, with ranges such as 30-100 ng/dL (~1.04 to ~3.47 nmol/L) and <50 ng/dL (~1.73 nmol/L).
(On a sports tangent, the flawed Court of Arbitration for Sports (CAS) arbitrarily assigned a maximum testosterone level of 2 nmol/L in 2019 in relation to Caster Semenya. Please note that Semenya took CAS to the ECtHR over their regulations and won in July 2025.)
Please note that there's a lot of scaremongering over oestradiol level. The NHS typically demands you be within 400 to 600 pmol/L... despite the fact that the NHS considers normal, safe ranges during menstruation to be:
- Mid-luteal: 180 to 1068 pmol/L
- Peri-ovulatory: 349 to 1590 pmol/L
Broadly-speaking, an oestradiol range that is considered safe in the long-term for monotherapy is 200 to 400 pg/mL (~734 to ~1469 pmol/L). If you wish to be more cautious, then you could aim for 200 to 300 pg/mL (~734 to ~1101 pmol/L).
Masculinising GAHT
For masculinising GAHT in adults, the targets vary and keep changing.
On the previous 2024 version of Tavistock and Portman guidance ("Treatment of Gender Dysphoria in Trans masculine People v12.4.1"), the levels were listed as follows when using the prescription testosterone medication Sustanon 250 mg/mL every 2-4 weeks:
- a rather-low testosterone trough of ~10-12 nmol/L "on the day of the injection just before it is administered";
- a peak of ~25-30 nmol/L "one week after the injection".
The latest version of guidance we've found is Treatment of Gender Incongruence in Transgender men, Transmasculine and Non-
binary People (Assigned Female at Birth) v13.1 from April 2025. If anything, it's even shittier now, aiming for a trough range of 8-12 nmol/L!!!The aim of therapy is to achieve trough testosterone levels at the bottom
of the normal male range (8-12 nmol/l) on the day of the injection, just
before it is administered, and to achieve peak testosterone levels in the
high normal male range but less than 30 nmol/l one week after the
injection.For context, international guidance is 300 to 1,000 ng/dL (~10.4 nmol/L to ~34.7 nmol/L).
The NHS trough aim allows for a narrow testosterone range that is right at the very low end of tolerability and actually goes below it. Please note that low testosterone levels are associated with low mood and low energy.
In relation to arbitrarily taking a blood test 1 week after administration, please note that Sustanon 250 tends to peak within a few days, then steadily falls. (Put something like "sustanon 250 level curve" into your preferred search engine and look for image graphs: you'll soon see what we mean.) It's just nonsense endocrinology!
For Nebido 1000 mg (4 mL), the testosterone trough range is 10 to 15 nmol/L, which is low, but not as ridiculously bad as the guidance for Sustanon 250.
With testosterone gel (testogel), the guidance is very odd. They aim for a target range of 15 to 20 nmol/L, which is fairly decent... but they want this to be tested 4 to 6 hours after application, rather than at trough... which kind of makes their guidance dumb AF.
To give you a real-world comparison, our testosterone level before starting feminising GAHT was ~18.6 nmol/L in our late 30s. Given that our voice had broken at age 10 and fully dropped by age 11, we are fairly sure our testosterone level was much higher than 18.6 nmol/L back then!
You'll typically know if your kid's testosterone trough is sufficient if their oestradiol level is under 150 pmol/L, though some folks may be up to around 180 pmol/L.
Benefits of monotherapy
Monotherapy completely avoids the need for any kind of puberty blocker, anti-androgen, or anti-oestrogen.
It also has the delightful side-effect of making your trans kid happy to be starting the puberty that they want to go through sooner, thus alleviating their feelings of gender dysphoria and allowing them to enjoy their lives, rather than continuing to wait on non-existent NHS healthcare.
With feminising GAHT, monotherapy is most easily achieved by a daily high-dose of oestradiol in the form of oestrogel (oestrogen gel) typically applied to the thighs or abdomen, but could in theory be achieved by sufficient patches applied twice weekly. Transdermal methods can benefit from being applied on the upper buttocks, but this will not be convenient or comfortable for everyone. Injections are sadly not available on prescription, and implants will be very, very expensive and only privately prescribed.
For masculinising GAHT, monotherapy can be easily achieved by daily application of testosterone gel or cream, but is more easily achieved by testosterone injections (Nebido or Sustanon). However, the injection recommendations are all for adults, so these may be harder to adjust.
Blood tests
These can be done privately, completely avoiding the need for the NHS.
You can find more information here:
- https://web.archive.org/web/20250416012633/https://genderkit.org.uk/resources/blood-testing/
- https://transactual.org.uk/medical-transition/hormone-therapy/
Where can we find more information about gender-affirming care by experts who actually want to help trans kids?
Although far from perfect, arguably the best sources currently are:
We've already written up a shorter post with links to other resources here.
What if I'm still confused about all this?
Ask for help. We're all in this together. Some of us know a lot about how broken trans healthcare is on the NHS right now, not just for trans kids but for trans adults too.
The key thing to remember is that you are never alone. All you have to do is reach out and ask for help from the community :TransHeart: :HeartHands:
Here is a non-exhaustive list of organisations who may be able to offer you some immediate support:
You can find more info resources and support on this Gender Construction Kit page.
And here are some other websites / people you may want to look up:
- Trans Kids Deserve Better
- Trans Kids Deserve To Grow Up
- Dee Whitnell (Founder of TransKidsDeservetoGrowUp)
- Queer AF
- Nancy Kelley (Executive Director of DIVA Magazine) and big supporter of trans youth
- Anne (aka Anne Health Limited), which has a helpline and offers trans+ gender-affirming healthcare
Edits: Apologies for all the typos. We're trying to gradually get rid of them all 😅 Further apologies for the minor formatting edits as we notice issues.
Edits 2025-08-19:
- Added additional details for why we cyproterone acetate isn't recommended, including details from Wiki Trans (French resource).
- Added a link to a later post we've made to other resources.
- Updated some masculinising info based on most-recent NHS guidelines, mostly to show how dumb the guidance is.
- Fixed at least one dead link.
- Added in a note about switching terminology to GAHT.
- Added a note at the end about our plurality.
#TransKidsMatter #TransYouthAreLoved #TransKidsDeserveToGrowUp #TransKidsDeserveToThrive #TransKids #ProtectTransKids #trans #transgender #enby #NonBinary #agender #genderfluid #genderqueer #transition #TransLiberationNow #TransRightsAreHumanRights #TransRights #queer #LGBTQ+ #LGBTQIA+ #PubertyBlockers #GnRHAgonists #GnRHAntagonists #GnRHAnalogues #AntiAndrogens #AntiEstrogens #AntiOestrogens #SERM #spironolactone #CyproteroneAcetate #bicalutamide
¹ We're plural (median, blurian)
-
CW: Updated helpful tips for supportive parents, guardians, family members, friends of trans kids in the UK, as well as trans-supportive medical professionals and organisations, in light of the extension of the ban on new prescriptions of puberty blockers and closing the NI loophole (boosts welcome :BoostsOKPrideSymbol:) (updated re: further extension) (updated again re: indefinite ban)
(Please note that we've¹ defaulted to the British English spellings of oestrogen and oestradiol instead of estrogen and estradiol, as this issue affects those in the UK. In general, we use and prefer the versions without the leading, silent O.Also, GnRH means gonadotropin-releasing hormone. You'll see us writing it a lot followed by "analogue", "agonist" or "antagonist". Those are all types of "puberty blockers".
Lastly, GAHT means gender-affirming hormone therapy. We prefer using this to HRT -- hormone replacement therapy -- which is a broader term.)
Original puberty blockers ban
Back on 2024-05-31, we wrote a post in response to the transphobic emergency restrictions for new prescriptions of puberty blockers to trans youth by the then health minister.
Our original post explaining that in more detail can be found here, but we have now unpinned it and replaced it with this post to ensure everyone has the most up-to-date info.
New government hopes dashed
It was hoped that the new government would not extend the ban, but as soon as they announced Wes "Weasel" Streeting (a highly vocal transphobe and self-loathing gay man) as the new Health Secretary, he pretty much immediately announced his intention to extend the temporary ban, with an aim to making it permanent.
Per this post by TransActual, it's not like Weasel and his advisors weren't made aware of all the negative impacts an extension would have, as "he was told about it when meeting with the representatives of LGBTQ+ organisations".
Even more darkly-farcical is that the justification Weasel used for continuing the targeted medical discrimination against trans youth is that it's being done "to avoid serious danger to health", which is not only contrary to the information provided by those LGBTQ+ organisations, but completely contrary to:
- increasing international condemnation of the Cass Review, which was the primary justification for the order;
- all valid scientific studies over decades, which were excluded by the Cass Review because they weren't "double blinded controlled studies" (which is medically unethical);
- even the frickin' BMA criticising and planning to review the Cass Review.
It's not that Weasel doesn't understand this: it's that he either doesn't care or actively wants to hurt trans youth by making it as difficult as possible for them to medically transition :PleadingFace: 😞
The temporary ban extension explained
The news page on on the government is coldly entitled Puberty blockers temporary ban extended, as if it's no big deal. It links to the original ban and to the new-and-worsened "The Medicines (Gonadotrophin-Releasing Hormone Analogues) (Emergency Prohibition) (Extension) Order 2024" that's replacing it.
This order extends the duration of the original ban until 2024-11-26, but also increases its scope. The original order did not apply to Northern Ireland and allowed EU professionals to prescribe. This small loophole gave a glimmer of hope for supportive parents of trans youth, who could essentially:
- Get a prescription via a private online gender service from an EU medical professional.
- Travel to Northern Ireland to pick up the prescription.
- Travel back home to use it to support their trans kid.
The government clearly discovered this, as the new order has 2 very clear statements on the news page:
It also prevents the sale and supply of the medicines from prescribers registered in the European Economic Area or Switzerland for any purposes to those under 18.
The government has also extended the order to cover Northern Ireland, following agreement from the Northern Ireland Executive, to come into effect from 27 August 2024.
Temporary ban extension number 2 😞
On 6th November 2024, a 2nd extension to the temporary ban was created, which will come into force on 27th November 2024 and last until the end of 31st December 2024.
Fortunately, it was only a time extension: not an expansion of the meds being blocked.
Indefinite ban
We bleeping hate this country. On 11th December 2024, an indefinite ban was imposed by the scumbags in power, under the false guise of safety. This will come into force from 1st January 2025 :FaceExhaling:
And now for the good news 🥰
GnRH antagonists
Weasel isn't as smart as he thinks he is. Under Article 2, they've continued to define GnRH analogues as:
a medicinal product that consists of or contains buserelin, gonadorelin, goserelin, leuprorelin acetate, nafarelin or triptorelin
It's been this way since the original temporary ban was introduced by the previous government and nobody has updated the wording.
Whilst technically calling them analogues isn't incorrect, all of the medications listed above are actually more-specifically GnRH agonists.
Just like the original order, they've ignored GnRH antagonists, as these don't tend to be typically prescribed for trans+ GAHT, despite being just as safe and effective, with the same low-risk profile.
GnRH agonists and antagonists are both types of GnRH analogues. It's just that, for some reason, the agonists tend to be prescribed rather than the antagonists.
The wiki page on GnRH antagonists even specifically states in the Other uses section:
GnRH antagonists could be used as puberty blockers in transgender youth and to suppress sex hormone levels in transgender adolescents and adults, but have not been studied in this context.
We've checked through the list of GnRH antagonists listed on NICE ("National Institute for Health and Care Excellence") as being able to be prescribed, and the following ones could be legally prescribed by any willing UK medical professional without infringing on the order:
- Cetrorelix (Wiki) (NICE) (EMC)
- Degarelix (Wiki) (NICE) (EMC)
- Ganirelix (Wiki) (NICE) (EMC)
- Relugolix (Wiki) (NICE) (No EMC page, but NICE has some details here)
The drugs would be being used off-label, but so are all the existing meds for trans people anyway! There are no officially-licensed medications for trans people in the UK. It's all outside of their prescription guidelines.
We actually had to sign 2 consent forms to request feminising GAHT (aka feminising hormone therapy), 1 of which genuinely reads:
I confirm I understand feminising hormones are not licenced for the treatment of Gender lncongruence; however, I am happy to receive this treatment.
That's not an outdated form either. It's what we had to return to the East of England Gender Service (EOEGS) in May 2024.
Elagolix appears to be starting to be used at 150 mg daily or 200 mg twice daily, but does not appear to be approved for use by NICE.
Alternatives to puberty blockers
Whilst puberty blockers are considered the gold standard:
- They were mainly offered in place of gender-affirming hormone therapy in order to delay the medical transition of trans kids, in the hopes that they could be "persuaded" that they're not actually trans (i.e., conversion therapy).
- Other alternatives to these do exist and are commonly available.
Anti-androgens (steroidal and non-steroidal)
For those who want to block testosterone, the other options are broadly steroidal anti-androgens or non-steroidal anti-androgens. They're typically grouped together under anti-androgens.
Of these, the prescribable options are:
Why no mention of 5-alpha-reductase inhibitors like finasteride or dutasteride? Because all they do is reduce the conversion of testosterone into dihydrotestosterone (DHT). They're technically considered anti-androgens, but both have some pretty common side effects, haven't been shown to be effective for trans healthcare, and interact badly with micronised progesterone.
Spironolactone
Spironolactone has tonnes of common, negative side effects and is a weak anti-androgen at best. The fact that it's still even prescribed to trans people to block testosterone is probably solely because it's cheap. Even its Wiki page states:
Its use continues despite the rise of various accessible alternatives such as bicalutamide and cyproterone acetate with more precise action and less side effects.
Cyproterone acetate
Cyproterone acetate, even at low daily doses (6.25-12.5 mg), isn't particular great either. It's a progestin (a synthetic progestogen), has a fair number of common side effects, and can cause liver issues. It can even cause depression and negatively impact breast development if taken from the start of feminising GAHT.
The only safe progestogen for feminising GAHT is bioidentical micronised progesterone, and only after at least 6 months and having reached stage 3 on the Tanner Scale. It's best to avoid progestins at all costs, due to their inherent risks.
Bicalutamide
Now we come to the oft-overlooked and demonised bicalutamide, even though one of its key uses, as listed on its wiki page, is:
as a puberty blocker and component of feminizing hormone therapy for transgender girls and women
Bicalutamide is a first-generation non-steroidal anti-androgen and works in a different way to other anti-androgens. It actually increases testosterone production slightly, but then converts the excess into oestradiol (E2) and blocks androgen receptors. It's kind of an invisible blocker, as any blood tests will show a higher testosterone level, but androgenic effects will stop, due to the blocked receptors.
Its common side-effects are actually positive effects for many seeking feminisation (e.g., breast growth; decreased libido; reduced body hair growth) alongside blocking androgen receptors. This is, however, worth taking into consideration for someone who may want to block androgenic effects, but not particularly feminise, as this would not be best for them.
Bicalutamide does have a common chance of raising liver enzymes, so it's absolutely vital to monitor closely and get regular liver function blood tests.
Why vital? Because seeing elevated liver enzymes is an indicator of liver cells breaking down at an unusual rate, which can be an early warning sign of liver toxicity (toxic hepatitis). Further tests can then be run to confirm.
The liver is very capable organ in terms of recovery and regeneration, so stopping bicalutamide early if further tests are positive for liver toxicity will stop further damage and increase the likelihood of the liver repairing any slight damage caused.
And now we come to the reason why it's not more-commonly used: there have been 10 published case reports of liver toxicity reported to the FDA Adverse Event Reporting System (FAERS) in the USA, from which there were 2 deaths. As far as we can tell from reading the links into this, none of these were trans people (of any age) taking a low daily dose of 25-50 mg.
In other words, the fear of bicalutamide is disproportionate to the actual real-world risk, especially for trans patients taking low doses.
This is what the bicalutamide comparison section has to say:
The side effect profile of bicalutamide in men and women differs from that of other antiandrogens and is considered favorable in comparison....Relative to GnRH analogues and the steroidal antiandrogen (SAA) cyproterone acetate (CPA), bicalutamide monotherapy has a much lower incidence and severity of hot flashes and sexual dysfunction.... In addition, unlike GnRH analogues and CPA, bicalutamide monotherapy is not associated with decreased bone mineral density or osteoporosis.
Bicalutamide is the best alternative for most, but not all, trans youths wishing to block testosterone and achieve some bonus feminisation before being prescribed oestradiol. It has a lower risk profile overall than cyproterone acetate, but due to extremely rare risks of liver toxicity and lung diseases, many medical practitioners won't prescribe it 😞
Second generation non-steroidal anti-androgens
There are some promising second generation non-steroidal anti-androgens which may both be more effective and have an even lower risk profile than bicalutamide. These are:
Of these, enzalutamide appears to be beginning to be used as part of feminising GAHT, at a dose of 160 mg daily, and the drug is approved by NICE at this dose.
Apalutamide has been approved by NICE at a dose of 240 mg daily.
Darolutamide, the newest of the meds, has been approved at a higher dose of 600 mg twice daily.
Each of these has its own risks and side effects that should be reviewed and taken into account. Enzalutamide purportedly "shows no risk of elevated liver enzymes or hepatotoxicity", but both it and apalutamide list a low possible risk of seizures.
Anti-oestrogens
There are anti-oestrogens, particularly SERMs, but they typically have a lot of side effects and risks. As a rule, most don't come highly recommended.
We wish we could be more positive about them here, but we wouldn't recommend any of them for anyone wishing to block oestrogen production or an oestrogenic puberty.
Look to the GnRH antagonists that aren't blocked (like relugolix), or consider the option below.
Monotherapy
It's very notable that the extended ban still does not ban any oestradiol (oestrogen) or testosterone prescriptions.
This means that there is still nothing to stop supportive parents from helping their trans kids to get a private prescription for oestradiol or testosterone.
Furthermore, due to the way human bodies work, if you maintain a high-enough trough (lowest) level of either oestradiol or testosterone, the body will basically tell the gonads to stop producing that hormones.
This is due to the HPG axis, which works by negative feedback.
For people with testes taking feminising GAHT, sufficient estradiol indirectly puts testes into sleep mode.
For people with ovaries taking masculinising GAHT (aka masculinising hormone therapy), sufficient testosterone likewise puts ovaries into sleep mode.
For those taking testosterone, please do be careful not go above recommend peaks, as otherwise testosterone aromatisation will kick in and convert the excess into estradiol.
Aromatase is localized in the endoplasmic reticulum where it is regulated by tissue-specific promoters that are in turn controlled by hormones, cytokines, and other factors. It catalyzes the last steps of estrogen biosynthesis from androgens (specifically, it transforms androstenedione to estrone and testosterone to estradiol).
Please note that DHT (dihydrotestosterone) (aka androstanolone) -- a powerful androgen synthesised irreversibly from testosterone -- is not aromatised into any forms of oestrogen. Whilst not widely available, it can be used as an alternative to testosterone for masculinising GAHT.
Level ranges for monotherapy
Please note that the figures quoted below are the typical figures for trans adults. Even WPATH SOC8 seems to have no defined ranges for trans youth, just same vague dosage suggestions adapted from the Endocrine Society Guidelines under "Appendix C GENDER-AFFIRMING HORMONAL TREATMENTS" within "Table 3".
Feminising GAHT
For feminising GAHT in adults, monotherapy typically requires maintaining an oestradiol trough of ~734 pmol/L (200 pg/mL). It varies from person to person, so some folks might need as little as ~367 pmol/L (100 pg/mL) or as high as ~918 pmol/L (250 pg/mL).
You'll know if their oestradiol trough is sufficient if their testosterone level is <=2.4 nmol/L, though <=3 nmol/L is often still considered to be within the high-end of normal range. Please note that the target range varies wildly, with ranges such as 30-100 ng/dL (~1.04 to ~3.47 nmol/L) and <50 ng/dL (~1.73 nmol/L).
(On a sports tangent, the flawed Court of Arbitration for Sports (CAS) arbitrarily assigned a maximum testosterone level of 2 nmol/L in 2019 in relation to Caster Semenya. Please note that Semenya took CAS to the ECtHR over their regulations and won in July 2025.)
Please note that there's a lot of scaremongering over oestradiol level. The NHS typically demands you be within 400 to 600 pmol/L... despite the fact that the NHS considers normal, safe ranges during menstruation to be:
- Mid-luteal: 180 to 1068 pmol/L
- Peri-ovulatory: 349 to 1590 pmol/L
Broadly-speaking, an oestradiol range that is considered safe in the long-term for monotherapy is 200 to 400 pg/mL (~734 to ~1469 pmol/L). If you wish to be more cautious, then you could aim for 200 to 300 pg/mL (~734 to ~1101 pmol/L).
Masculinising GAHT
For masculinising GAHT in adults, the targets vary and keep changing.
On the previous 2024 version of Tavistock and Portman guidance ("Treatment of Gender Dysphoria in Trans masculine People v12.4.1"), the levels were listed as follows when using the prescription testosterone medication Sustanon 250 mg/mL every 2-4 weeks:
- a rather-low testosterone trough of ~10-12 nmol/L "on the day of the injection just before it is administered";
- a peak of ~25-30 nmol/L "one week after the injection".
The latest version of guidance we've found is Treatment of Gender Incongruence in Transgender men, Transmasculine and Non-
binary People (Assigned Female at Birth) v13.1 from April 2025. If anything, it's even shittier now, aiming for a trough range of 8-12 nmol/L!!!The aim of therapy is to achieve trough testosterone levels at the bottom
of the normal male range (8-12 nmol/l) on the day of the injection, just
before it is administered, and to achieve peak testosterone levels in the
high normal male range but less than 30 nmol/l one week after the
injection.For context, international guidance is 300 to 1,000 ng/dL (~10.4 nmol/L to ~34.7 nmol/L).
The NHS trough aim allows for a narrow testosterone range that is right at the very low end of tolerability and actually goes below it. Please note that low testosterone levels are associated with low mood and low energy.
In relation to arbitrarily taking a blood test 1 week after administration, please note that Sustanon 250 tends to peak within a few days, then steadily falls. (Put something like "sustanon 250 level curve" into your preferred search engine and look for image graphs: you'll soon see what we mean.) It's just nonsense endocrinology!
For Nebido 1000 mg (4 mL), the testosterone trough range is 10 to 15 nmol/L, which is low, but not as ridiculously bad as the guidance for Sustanon 250.
With testosterone gel (testogel), the guidance is very odd. They aim for a target range of 15 to 20 nmol/L, which is fairly decent... but they want this to be tested 4 to 6 hours after application, rather than at trough... which kind of makes their guidance dumb AF.
To give you a real-world comparison, our testosterone level before starting feminising GAHT was ~18.6 nmol/L in our late 30s. Given that our voice had broken at age 10 and fully dropped by age 11, we are fairly sure our testosterone level was much higher than 18.6 nmol/L back then!
You'll typically know if your kid's testosterone trough is sufficient if their oestradiol level is under 150 pmol/L, though some folks may be up to around 180 pmol/L.
Benefits of monotherapy
Monotherapy completely avoids the need for any kind of puberty blocker, anti-androgen, or anti-oestrogen.
It also has the delightful side-effect of making your trans kid happy to be starting the puberty that they want to go through sooner, thus alleviating their feelings of gender dysphoria and allowing them to enjoy their lives, rather than continuing to wait on non-existent NHS healthcare.
With feminising GAHT, monotherapy is most easily achieved by a daily high-dose of oestradiol in the form of oestrogel (oestrogen gel) typically applied to the thighs or abdomen, but could in theory be achieved by sufficient patches applied twice weekly. Transdermal methods can benefit from being applied on the upper buttocks, but this will not be convenient or comfortable for everyone. Injections are sadly not available on prescription, and implants will be very, very expensive and only privately prescribed.
For masculinising GAHT, monotherapy can be easily achieved by daily application of testosterone gel or cream, but is more easily achieved by testosterone injections (Nebido or Sustanon). However, the injection recommendations are all for adults, so these may be harder to adjust.
Blood tests
These can be done privately, completely avoiding the need for the NHS.
You can find more information here:
- https://web.archive.org/web/20250416012633/https://genderkit.org.uk/resources/blood-testing/
- https://transactual.org.uk/medical-transition/hormone-therapy/
Where can we find more information about gender-affirming care by experts who actually want to help trans kids?
Although far from perfect, arguably the best sources currently are:
We've already written up a shorter post with links to other resources here.
What if I'm still confused about all this?
Ask for help. We're all in this together. Some of us know a lot about how broken trans healthcare is on the NHS right now, not just for trans kids but for trans adults too.
The key thing to remember is that you are never alone. All you have to do is reach out and ask for help from the community :TransHeart: :HeartHands:
Here is a non-exhaustive list of organisations who may be able to offer you some immediate support:
You can find more info resources and support on this Gender Construction Kit page.
And here are some other websites / people you may want to look up:
- Trans Kids Deserve Better
- Trans Kids Deserve To Grow Up
- Dee Whitnell (Founder of TransKidsDeservetoGrowUp)
- Queer AF
- Nancy Kelley (Executive Director of DIVA Magazine) and big supporter of trans youth
- Anne (aka Anne Health Limited), which has a helpline and offers trans+ gender-affirming healthcare
Edits: Apologies for all the typos. We're trying to gradually get rid of them all 😅 Further apologies for the minor formatting edits as we notice issues.
Edits 2025-08-19:
- Added additional details for why we cyproterone acetate isn't recommended, including details from Wiki Trans (French resource).
- Added a link to a later post we've made to other resources.
- Updated some masculinising info based on most-recent NHS guidelines, mostly to show how dumb the guidance is.
- Fixed at least one dead link.
- Added in a note about switching terminology to GAHT.
- Added a note at the end about our plurality.
#TransKidsMatter #TransYouthAreLoved #TransKidsDeserveToGrowUp #TransKidsDeserveToThrive #TransKids #ProtectTransKids #trans #transgender #enby #NonBinary #agender #genderfluid #genderqueer #transition #TransLiberationNow #TransRightsAreHumanRights #TransRights #queer #LGBTQ+ #LGBTQIA+ #PubertyBlockers #GnRHAgonists #GnRHAntagonists #GnRHAnalogues #AntiAndrogens #AntiEstrogens #AntiOestrogens #SERM #spironolactone #CyproteroneAcetate #bicalutamide
¹ We're plural (median, blurian)
-
CW: Updated helpful tips for supportive parents, guardians, family members, friends of trans kids in the UK, as well as trans-supportive medical professionals and organisations, in light of the extension of the ban on new prescriptions of puberty blockers and closing the NI loophole (boosts welcome :BoostsOKPrideSymbol:) (updated re: further extension) (updated again re: indefinite ban)
(Please note that we've¹ defaulted to the British English spellings of oestrogen and oestradiol instead of estrogen and estradiol, as this issue affects those in the UK. In general, we use and prefer the versions without the leading, silent O.Also, GnRH means gonadotropin-releasing hormone. You'll see us writing it a lot followed by "analogue", "agonist" or "antagonist". Those are all types of "puberty blockers".
Lastly, GAHT means gender-affirming hormone therapy. We prefer using this to HRT -- hormone replacement therapy -- which is a broader term.)
Original puberty blockers ban
Back on 2024-05-31, we wrote a post in response to the transphobic emergency restrictions for new prescriptions of puberty blockers to trans youth by the then health minister.
Our original post explaining that in more detail can be found here, but we have now unpinned it and replaced it with this post to ensure everyone has the most up-to-date info.
New government hopes dashed
It was hoped that the new government would not extend the ban, but as soon as they announced Wes "Weasel" Streeting (a highly vocal transphobe and self-loathing gay man) as the new Health Secretary, he pretty much immediately announced his intention to extend the temporary ban, with an aim to making it permanent.
Per this post by TransActual, it's not like Weasel and his advisors weren't made aware of all the negative impacts an extension would have, as "he was told about it when meeting with the representatives of LGBTQ+ organisations".
Even more darkly-farcical is that the justification Weasel used for continuing the targeted medical discrimination against trans youth is that it's being done "to avoid serious danger to health", which is not only contrary to the information provided by those LGBTQ+ organisations, but completely contrary to:
- increasing international condemnation of the Cass Review, which was the primary justification for the order;
- all valid scientific studies over decades, which were excluded by the Cass Review because they weren't "double blinded controlled studies" (which is medically unethical);
- even the frickin' BMA criticising and planning to review the Cass Review.
It's not that Weasel doesn't understand this: it's that he either doesn't care or actively wants to hurt trans youth by making it as difficult as possible for them to medically transition :PleadingFace: 😞
The temporary ban extension explained
The news page on on the government is coldly entitled Puberty blockers temporary ban extended, as if it's no big deal. It links to the original ban and to the new-and-worsened "The Medicines (Gonadotrophin-Releasing Hormone Analogues) (Emergency Prohibition) (Extension) Order 2024" that's replacing it.
This order extends the duration of the original ban until 2024-11-26, but also increases its scope. The original order did not apply to Northern Ireland and allowed EU professionals to prescribe. This small loophole gave a glimmer of hope for supportive parents of trans youth, who could essentially:
- Get a prescription via a private online gender service from an EU medical professional.
- Travel to Northern Ireland to pick up the prescription.
- Travel back home to use it to support their trans kid.
The government clearly discovered this, as the new order has 2 very clear statements on the news page:
It also prevents the sale and supply of the medicines from prescribers registered in the European Economic Area or Switzerland for any purposes to those under 18.
The government has also extended the order to cover Northern Ireland, following agreement from the Northern Ireland Executive, to come into effect from 27 August 2024.
Temporary ban extension number 2 😞
On 6th November 2024, a 2nd extension to the temporary ban was created, which will come into force on 27th November 2024 and last until the end of 31st December 2024.
Fortunately, it was only a time extension: not an expansion of the meds being blocked.
Indefinite ban
We bleeping hate this country. On 11th December 2024, an indefinite ban was imposed by the scumbags in power, under the false guise of safety. This will come into force from 1st January 2025 :FaceExhaling:
And now for the good news 🥰
GnRH antagonists
Weasel isn't as smart as he thinks he is. Under Article 2, they've continued to define GnRH analogues as:
a medicinal product that consists of or contains buserelin, gonadorelin, goserelin, leuprorelin acetate, nafarelin or triptorelin
It's been this way since the original temporary ban was introduced by the previous government and nobody has updated the wording.
Whilst technically calling them analogues isn't incorrect, all of the medications listed above are actually more-specifically GnRH agonists.
Just like the original order, they've ignored GnRH antagonists, as these don't tend to be typically prescribed for trans+ GAHT, despite being just as safe and effective, with the same low-risk profile.
GnRH agonists and antagonists are both types of GnRH analogues. It's just that, for some reason, the agonists tend to be prescribed rather than the antagonists.
The wiki page on GnRH antagonists even specifically states in the Other uses section:
GnRH antagonists could be used as puberty blockers in transgender youth and to suppress sex hormone levels in transgender adolescents and adults, but have not been studied in this context.
We've checked through the list of GnRH antagonists listed on NICE ("National Institute for Health and Care Excellence") as being able to be prescribed, and the following ones could be legally prescribed by any willing UK medical professional without infringing on the order:
- Cetrorelix (Wiki) (NICE) (EMC)
- Degarelix (Wiki) (NICE) (EMC)
- Ganirelix (Wiki) (NICE) (EMC)
- Relugolix (Wiki) (NICE) (No EMC page, but NICE has some details here)
The drugs would be being used off-label, but so are all the existing meds for trans people anyway! There are no officially-licensed medications for trans people in the UK. It's all outside of their prescription guidelines.
We actually had to sign 2 consent forms to request feminising GAHT (aka feminising hormone therapy), 1 of which genuinely reads:
I confirm I understand feminising hormones are not licenced for the treatment of Gender lncongruence; however, I am happy to receive this treatment.
That's not an outdated form either. It's what we had to return to the East of England Gender Service (EOEGS) in May 2024.
Elagolix appears to be starting to be used at 150 mg daily or 200 mg twice daily, but does not appear to be approved for use by NICE.
Alternatives to puberty blockers
Whilst puberty blockers are considered the gold standard:
- They were mainly offered in place of gender-affirming hormone therapy in order to delay the medical transition of trans kids, in the hopes that they could be "persuaded" that they're not actually trans (i.e., conversion therapy).
- Other alternatives to these do exist and are commonly available.
Anti-androgens (steroidal and non-steroidal)
For those who want to block testosterone, the other options are broadly steroidal anti-androgens or non-steroidal anti-androgens. They're typically grouped together under anti-androgens.
Of these, the prescribable options are:
Why no mention of 5-alpha-reductase inhibitors like finasteride or dutasteride? Because all they do is reduce the conversion of testosterone into dihydrotestosterone (DHT). They're technically considered anti-androgens, but both have some pretty common side effects, haven't been shown to be effective for trans healthcare, and interact badly with micronised progesterone.
Spironolactone
Spironolactone has tonnes of common, negative side effects and is a weak anti-androgen at best. The fact that it's still even prescribed to trans people to block testosterone is probably solely because it's cheap. Even its Wiki page states:
Its use continues despite the rise of various accessible alternatives such as bicalutamide and cyproterone acetate with more precise action and less side effects.
Cyproterone acetate
Cyproterone acetate, even at low daily doses (6.25-12.5 mg), isn't particular great either. It's a progestin (a synthetic progestogen), has a fair number of common side effects, and can cause liver issues. It can even cause depression and negatively impact breast development if taken from the start of feminising GAHT.
The only safe progestogen for feminising GAHT is bioidentical micronised progesterone, and only after at least 6 months and having reached stage 3 on the Tanner Scale. It's best to avoid progestins at all costs, due to their inherent risks.
Bicalutamide
Now we come to the oft-overlooked and demonised bicalutamide, even though one of its key uses, as listed on its wiki page, is:
as a puberty blocker and component of feminizing hormone therapy for transgender girls and women
Bicalutamide is a first-generation non-steroidal anti-androgen and works in a different way to other anti-androgens. It actually increases testosterone production slightly, but then converts the excess into oestradiol (E2) and blocks androgen receptors. It's kind of an invisible blocker, as any blood tests will show a higher testosterone level, but androgenic effects will stop, due to the blocked receptors.
Its common side-effects are actually positive effects for many seeking feminisation (e.g., breast growth; decreased libido; reduced body hair growth) alongside blocking androgen receptors. This is, however, worth taking into consideration for someone who may want to block androgenic effects, but not particularly feminise, as this would not be best for them.
Bicalutamide does have a common chance of raising liver enzymes, so it's absolutely vital to monitor closely and get regular liver function blood tests.
Why vital? Because seeing elevated liver enzymes is an indicator of liver cells breaking down at an unusual rate, which can be an early warning sign of liver toxicity (toxic hepatitis). Further tests can then be run to confirm.
The liver is very capable organ in terms of recovery and regeneration, so stopping bicalutamide early if further tests are positive for liver toxicity will stop further damage and increase the likelihood of the liver repairing any slight damage caused.
And now we come to the reason why it's not more-commonly used: there have been 10 published case reports of liver toxicity reported to the FDA Adverse Event Reporting System (FAERS) in the USA, from which there were 2 deaths. As far as we can tell from reading the links into this, none of these were trans people (of any age) taking a low daily dose of 25-50 mg.
In other words, the fear of bicalutamide is disproportionate to the actual real-world risk, especially for trans patients taking low doses.
This is what the bicalutamide comparison section has to say:
The side effect profile of bicalutamide in men and women differs from that of other antiandrogens and is considered favorable in comparison....Relative to GnRH analogues and the steroidal antiandrogen (SAA) cyproterone acetate (CPA), bicalutamide monotherapy has a much lower incidence and severity of hot flashes and sexual dysfunction.... In addition, unlike GnRH analogues and CPA, bicalutamide monotherapy is not associated with decreased bone mineral density or osteoporosis.
Bicalutamide is the best alternative for most, but not all, trans youths wishing to block testosterone and achieve some bonus feminisation before being prescribed oestradiol. It has a lower risk profile overall than cyproterone acetate, but due to extremely rare risks of liver toxicity and lung diseases, many medical practitioners won't prescribe it 😞
Second generation non-steroidal anti-androgens
There are some promising second generation non-steroidal anti-androgens which may both be more effective and have an even lower risk profile than bicalutamide. These are:
Of these, enzalutamide appears to be beginning to be used as part of feminising GAHT, at a dose of 160 mg daily, and the drug is approved by NICE at this dose.
Apalutamide has been approved by NICE at a dose of 240 mg daily.
Darolutamide, the newest of the meds, has been approved at a higher dose of 600 mg twice daily.
Each of these has its own risks and side effects that should be reviewed and taken into account. Enzalutamide purportedly "shows no risk of elevated liver enzymes or hepatotoxicity", but both it and apalutamide list a low possible risk of seizures.
Anti-oestrogens
There are anti-oestrogens, particularly SERMs, but they typically have a lot of side effects and risks. As a rule, most don't come highly recommended.
We wish we could be more positive about them here, but we wouldn't recommend any of them for anyone wishing to block oestrogen production or an oestrogenic puberty.
Look to the GnRH antagonists that aren't blocked (like relugolix), or consider the option below.
Monotherapy
It's very notable that the extended ban still does not ban any oestradiol (oestrogen) or testosterone prescriptions.
This means that there is still nothing to stop supportive parents from helping their trans kids to get a private prescription for oestradiol or testosterone.
Furthermore, due to the way human bodies work, if you maintain a high-enough trough (lowest) level of either oestradiol or testosterone, the body will basically tell the gonads to stop producing that hormones.
This is due to the HPG axis, which works by negative feedback.
For people with testes taking feminising GAHT, sufficient estradiol indirectly puts testes into sleep mode.
For people with ovaries taking masculinising GAHT (aka masculinising hormone therapy), sufficient testosterone likewise puts ovaries into sleep mode.
For those taking testosterone, please do be careful not go above recommend peaks, as otherwise testosterone aromatisation will kick in and convert the excess into estradiol.
Aromatase is localized in the endoplasmic reticulum where it is regulated by tissue-specific promoters that are in turn controlled by hormones, cytokines, and other factors. It catalyzes the last steps of estrogen biosynthesis from androgens (specifically, it transforms androstenedione to estrone and testosterone to estradiol).
Please note that DHT (dihydrotestosterone) (aka androstanolone) -- a powerful androgen synthesised irreversibly from testosterone -- is not aromatised into any forms of oestrogen. Whilst not widely available, it can be used as an alternative to testosterone for masculinising GAHT.
Level ranges for monotherapy
Please note that the figures quoted below are the typical figures for trans adults. Even WPATH SOC8 seems to have no defined ranges for trans youth, just same vague dosage suggestions adapted from the Endocrine Society Guidelines under "Appendix C GENDER-AFFIRMING HORMONAL TREATMENTS" within "Table 3".
Feminising GAHT
For feminising GAHT in adults, monotherapy typically requires maintaining an oestradiol trough of ~734 pmol/L (200 pg/mL). It varies from person to person, so some folks might need as little as ~367 pmol/L (100 pg/mL) or as high as ~918 pmol/L (250 pg/mL).
You'll know if their oestradiol trough is sufficient if their testosterone level is <=2.4 nmol/L, though <=3 nmol/L is often still considered to be within the high-end of normal range. Please note that the target range varies wildly, with ranges such as 30-100 ng/dL (~1.04 to ~3.47 nmol/L) and <50 ng/dL (~1.73 nmol/L).
(On a sports tangent, the flawed Court of Arbitration for Sports (CAS) arbitrarily assigned a maximum testosterone level of 2 nmol/L in 2019 in relation to Caster Semenya. Please note that Semenya took CAS to the ECtHR over their regulations and won in July 2025.)
Please note that there's a lot of scaremongering over oestradiol level. The NHS typically demands you be within 400 to 600 pmol/L... despite the fact that the NHS considers normal, safe ranges during menstruation to be:
- Mid-luteal: 180 to 1068 pmol/L
- Peri-ovulatory: 349 to 1590 pmol/L
Broadly-speaking, an oestradiol range that is considered safe in the long-term for monotherapy is 200 to 400 pg/mL (~734 to ~1469 pmol/L). If you wish to be more cautious, then you could aim for 200 to 300 pg/mL (~734 to ~1101 pmol/L).
Masculinising GAHT
For masculinising GAHT in adults, the targets vary and keep changing.
On the previous 2024 version of Tavistock and Portman guidance ("Treatment of Gender Dysphoria in Trans masculine People v12.4.1"), the levels were listed as follows when using the prescription testosterone medication Sustanon 250 mg/mL every 2-4 weeks:
- a rather-low testosterone trough of ~10-12 nmol/L "on the day of the injection just before it is administered";
- a peak of ~25-30 nmol/L "one week after the injection".
The latest version of guidance we've found is Treatment of Gender Incongruence in Transgender men, Transmasculine and Non-
binary People (Assigned Female at Birth) v13.1 from April 2025. If anything, it's even shittier now, aiming for a trough range of 8-12 nmol/L!!!The aim of therapy is to achieve trough testosterone levels at the bottom
of the normal male range (8-12 nmol/l) on the day of the injection, just
before it is administered, and to achieve peak testosterone levels in the
high normal male range but less than 30 nmol/l one week after the
injection.For context, international guidance is 300 to 1,000 ng/dL (~10.4 nmol/L to ~34.7 nmol/L).
The NHS trough aim allows for a narrow testosterone range that is right at the very low end of tolerability and actually goes below it. Please note that low testosterone levels are associated with low mood and low energy.
In relation to arbitrarily taking a blood test 1 week after administration, please note that Sustanon 250 tends to peak within a few days, then steadily falls. (Put something like "sustanon 250 level curve" into your preferred search engine and look for image graphs: you'll soon see what we mean.) It's just nonsense endocrinology!
For Nebido 1000 mg (4 mL), the testosterone trough range is 10 to 15 nmol/L, which is low, but not as ridiculously bad as the guidance for Sustanon 250.
With testosterone gel (testogel), the guidance is very odd. They aim for a target range of 15 to 20 nmol/L, which is fairly decent... but they want this to be tested 4 to 6 hours after application, rather than at trough... which kind of makes their guidance dumb AF.
To give you a real-world comparison, our testosterone level before starting feminising GAHT was ~18.6 nmol/L in our late 30s. Given that our voice had broken at age 10 and fully dropped by age 11, we are fairly sure our testosterone level was much higher than 18.6 nmol/L back then!
You'll typically know if your kid's testosterone trough is sufficient if their oestradiol level is under 150 pmol/L, though some folks may be up to around 180 pmol/L.
Benefits of monotherapy
Monotherapy completely avoids the need for any kind of puberty blocker, anti-androgen, or anti-oestrogen.
It also has the delightful side-effect of making your trans kid happy to be starting the puberty that they want to go through sooner, thus alleviating their feelings of gender dysphoria and allowing them to enjoy their lives, rather than continuing to wait on non-existent NHS healthcare.
With feminising GAHT, monotherapy is most easily achieved by a daily high-dose of oestradiol in the form of oestrogel (oestrogen gel) typically applied to the thighs or abdomen, but could in theory be achieved by sufficient patches applied twice weekly. Transdermal methods can benefit from being applied on the upper buttocks, but this will not be convenient or comfortable for everyone. Injections are sadly not available on prescription, and implants will be very, very expensive and only privately prescribed.
For masculinising GAHT, monotherapy can be easily achieved by daily application of testosterone gel or cream, but is more easily achieved by testosterone injections (Nebido or Sustanon). However, the injection recommendations are all for adults, so these may be harder to adjust.
Blood tests
These can be done privately, completely avoiding the need for the NHS.
You can find more information here:
- https://web.archive.org/web/20250416012633/https://genderkit.org.uk/resources/blood-testing/
- https://transactual.org.uk/medical-transition/hormone-therapy/
Where can we find more information about gender-affirming care by experts who actually want to help trans kids?
Although far from perfect, arguably the best sources currently are:
We've already written up a shorter post with links to other resources here.
What if I'm still confused about all this?
Ask for help. We're all in this together. Some of us know a lot about how broken trans healthcare is on the NHS right now, not just for trans kids but for trans adults too.
The key thing to remember is that you are never alone. All you have to do is reach out and ask for help from the community :TransHeart: :HeartHands:
Here is a non-exhaustive list of organisations who may be able to offer you some immediate support:
You can find more info resources and support on this Gender Construction Kit page.
And here are some other websites / people you may want to look up:
- Trans Kids Deserve Better
- Trans Kids Deserve To Grow Up
- Dee Whitnell (Founder of TransKidsDeservetoGrowUp)
- Queer AF
- Nancy Kelley (Executive Director of DIVA Magazine) and big supporter of trans youth
- Anne (aka Anne Health Limited), which has a helpline and offers trans+ gender-affirming healthcare
Edits: Apologies for all the typos. We're trying to gradually get rid of them all 😅 Further apologies for the minor formatting edits as we notice issues.
Edits 2025-08-19:
- Added additional details for why we cyproterone acetate isn't recommended, including details from Wiki Trans (French resource).
- Added a link to a later post we've made to other resources.
- Updated some masculinising info based on most-recent NHS guidelines, mostly to show how dumb the guidance is.
- Fixed at least one dead link.
- Added in a note about switching terminology to GAHT.
- Added a note at the end about our plurality.
#TransKidsMatter #TransYouthAreLoved #TransKidsDeserveToGrowUp #TransKidsDeserveToThrive #TransKids #ProtectTransKids #trans #transgender #enby #NonBinary #agender #genderfluid #genderqueer #transition #TransLiberationNow #TransRightsAreHumanRights #TransRights #queer #LGBTQ+ #LGBTQIA+ #PubertyBlockers #GnRHAgonists #GnRHAntagonists #GnRHAnalogues #AntiAndrogens #AntiEstrogens #AntiOestrogens #SERM #spironolactone #CyproteroneAcetate #bicalutamide
¹ We're plural (median, blurian)
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Back on my #dinky #KoalaSampler shit. What an amazing piece of software.
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Did the Proto-Indo-Europeans borrow agricultural and cultural terms from a population that spoke something close to Proto-Semitic? Rasmus Bjørn has just published a new paper (paywalled) discussing 21 (Proto-)Indo-European words that have been suggested to be borrowed from Semitic or Afroasiatic more generally and argues that yes: there are enough terms in Proto-Indo-European and its daughters to posit the existence of a Semitoid “Old Balkanic” language bordering the PIE steppe homeland to the west.
A very exciting possibility! Unfortunately, there are some issues with the words that Bjørn compares. Let’s dive right in. The main question we’ll try to answer: do these Indo-European words really have close parallels in Semitic, and if so, is there convincing evidence that Semitic was the source and not the recipient language? (I’ve modified some of the transcriptions of reconstructed words to match conventions I’m more used to. (P)IE means that a reconstruction is reflected in several branches of Indo-European but is probably not Proto-Indo-European proper.)
The comparanda
- PIE *h₂ster– ‘star’, PS *ʕaθtar– ‘deified morning star’ (Ishtar, Astarte, etc.). Aren Wilson-Wright wrote a 2016 book about the Semitic deity and has suggested before (probably also in the book) that this is a loanword from Indo-European. I’m inclined to agree that ‘star’ > ‘deified Venus’ is a more likely development than vice versa. With four more-or-less matching consonants and very similar meanings, I think a coincidence is unlikely in this case.
- PIE *h₃or-(n-) ‘eagle’, PS *ġVrVn– ‘eagle’. I can’t find the alleged Arabic reflex ġaran- in Lane, which leaves just Akkadian urinn- (possibly a Sumerian loanword). If these words are related, the fact that *-n- is only present in a few of the Indo-European reflexes suggests that it was borrowed from Indo-European (or a third language family) into Semitic, not vice versa.
- PIE *ḱer-(n-)(h₂/u-) ‘horn’, PS *ḳarn– ‘horn’. Bjørn cites the PS form as *ḳar-n-, but the *n is part of the root in Semitic. I don’t know what’s going on with “Tigre ḳär(n)“, but if it lacks the –n sometimes, I’m highly skeptical that this says anything about Proto-Semitic; all of Tigre’s closest relatives do have the n. The tentative derivation from Proto-Afroasiatic *ḳar– relies on “Omotic [ḳ]ar” and “Egyptian ḳr.ty (dual) ‘horns of the crown (of one of the manifestations of Amun)’”. Omotic isn’t a language; it’s a language family, and we need attested forms to judge the possible relationship. Moreover, Omotic has not been demonstrated to be Afroasiatic. As Marwan Kilani’s personal communication in a footnote points out, the Egyptian attestation is highly specific; if it’s related to the Indo-European word, it could perhaps be a borrowing from something like Greek (I have no idea when or where the word is attested, so this may be difficult). Without any indication that the Semitic –n is a suffix, it is again hard to see the PIE word which sometimes lacks it as a borrowing from Semitic.
- PIE *guōu– ‘cow’ (I’ve also seen this as *gueh₃(-)u-). “[T]his is an item that is not attested in PS proper while being shared with the wider Northern Afro-Asiatic speech community”, i.e. Egyptian gw (referring to a certain kind of bull). The similar words in Northwest Caucasian, Northeast Caucasian, and Sumerian (and elsewhere, like Proto-Bantu gòmbè ‘cattle’) suggest a much wider cultural diffusion and/or onomatopoeia.
- PIE *septm ‘seven’, PS *tsabʕ– ‘seven’. I greatly appreciate the informed PS reconstruction based on some Twitter discussions we had in the past. Bjørn cites the masculine stem, *tsabʕ–at-; to really make the comparison to PIE work we should probably add the absolute state ending and make it *tsabʕ–at-Vm. Is there some known PIE process that would get rid of the laryngeal in a form like *seph2tm? If so, the fact that we can understand the *t and *m as Semitic morphemes does make PS > PIE a good possibility, if this isn’t a coincidence.
- PIE *(s)ueḱs ‘six’, PS *sidθ– (not “*sidt”) ‘six’. “On the surface not very compelling as a contact phenomenon directly between PIE and PS, but the sequential nature and the similarities that permeate the same group of languages as for the number seven nonetheless make the comparison worth entertaining.” The similarities for ‘seven’ mainly consisted of many languages having a sibilant at the beginning. Either way, the argument for both ‘six’ and ‘seven’ being borrowed from Semitic would be much stronger if PIE ‘six’ also ended in *-tm.
- PIE *(H)oḱtoH ‘eight’, Proto-Berber *okkuz ‘four’ (sic; this should probably be *ăkkuẓ, Maarten Kossman p.c.), (Proto?-)Kartvelian *otxo ‘four’. In the background here is the idea that the PIE numeral is a dual, either ending in the PIE dual suffix *-h1 (Bjørn thinks this unlikely) or something related to the PS dual suffix *-ā–na, making it ‘two fours’. The argument is that what looks like a coincidence for ‘eight’ individually may be significant given the pattern that ‘seven’ and ‘six’ also have relatives. We just heard the same argument for ‘six’, so where this isn’t circular, it all relies on ‘seven’. Note that ‘eight’ is not ‘two fours’ anywhere in Afroasiatic.
- PIE *medhu- ‘sweet, mead’, PS *mtḳ ‘to be sweet’. “Likely comparanda in both NE Caucasian and Uralic point to a wanderwort, possibly of Afro-Asiatic provenance.” Bjørn cites these comparanda, neither of which has anything corresponding to the PS *ḳ. PIE *dh : PS *t also isn’t very convincing. Also, the word does not mean ‘sweet’ in PIE (that would be *sueh2d-), just ‘mead’ and/or ‘honey’—at least, that’s my understanding of it, but Bjørn has written more about this.
- PIE *dh2p- ‘sacrifice, feast’, PS *ðabḥ- ‘sacrifice, slaughter’. The metathesis increases the chance of a coincidental match, but otherwise this one is nice. It would be annoying to bring up Zulu hlaba ‘to stab, slaughter, sacrifice’.
- PIE *dhoHn- ‘grain’, PS *duḫn– ‘millet’. This one looks great! No notes. If related, the direction of borrowing is ambiguous.
- PIE *gwrH-n- ‘quern, millstone’, PS *gurn- ‘threshing floor’. The PIE *-n- is normally taken to be a nominal suffix so the word can be related to *gwrh2-u- ‘heavy’, but Bjørn suggests folk etymology in PIE. That would also explain why the PKIE laryngeal finds no counterpart in PS. Still, “the comparison between PIE and PS suffers from discontinuous semantics” (in other words: a quern is not a threshing floor).
- PIE *kleh2-u- ‘lock, key, bolt’, PS *klʔ ‘to retain, detain’. As Bjørn writes, “[t]he semantic match is not immaculate”. PIE *h2 : PS *ʔ is not so intuitive either.
- PIE *(s)teuros, *tauros (with *a!) ‘bull’, PS *θawr- ‘bull, ox’. “The European reflexes of *tauros are uniform to a degree that suggests a late (dialectal) distribution”. The originality of the Semitic form is based on Militarev & Kogan identifying Afroasiatic cognates, which are not presented.
- (P)IE *ghaid- ‘goat kid’, PS *gady-. Pretty nice. As with ‘bull’, the form (*a!) and distribution suggest a late loanword. Bjørn also brings in Proto-Berber *a-ɣăyd, which matches the Indo-European forms even better (note that PB *ɣ probably corresponds to PS *ḳ, not *g).
- (P)IE *lāp- ‘calf, cow’, PS *ʔalp– ‘bovine’. This one is piggybacking on the credentials of the previous two *a-nimals, which have similar distributions.
- (P)IE *bhar-(s-) ‘grain, barley’, PS *bVrr- ‘grain, wheat’. Pretty good: *barr- with an *a is reflected in Hebrew, and the simplification of the *rr to *r is expected in Indo-European.
- PIE *h2eǵ–ro-s ‘field’. The Semitic is a bit of a mess here: a PS reconstruction *ḫagar- is based on a Ge’ez form that can’t descend from it (hagar with h) and an Aramaic form that doesn’t exist (haǧar with h and a ǧ that doesn’t exist in premodern Aramaic; haḡar doesn’t exist either). This last one appears to be based on a misinterpretation of Leslau’s note “Ar[abic] ([of] Dat[ina]) haǧar village in ruins”. As Ge’ez hagar means ‘city’ etc., not ‘field’ either, I don’t understand where this *ḫagar ‘arable field’ is coming from.
- PIE *h2endh– ‘flower’, PS *ḥinṭ– ‘wheat’. The Semitic etymon is well attested, but the Indo-European one seems spurious (‘marshgrass’, ‘flower’, ‘arable field’, ‘soma plant’… are all of these related?). The formal correspondence is pretty nice, apart from PIE *dh : PS *ṭ.
- PIE *ǵlh3(o)u- ‘sister-in-law’, PS *kall-at- ‘bride, daughter-in-law, sister-in-law’ (Arabic kannat- has that last meaning; thanks, Marijn!). Citing earlier publications of his, he states that “the term should … be considered a Wanderwort tied to marriage and alliance strategies defying linguistic and cultural barriers”. This sounds exciting but I find the forms pretty different.
- (P)IE *h1is(h2)-u- ‘arrow’, PS *ḥVθ̣θ̣– (not “*ḥiθ̣w-“) ‘arrow’. The *w in Bjørn’s PS reconstruction must be based on Classical Arabic ḥað̣w-at- ‘small (headless) arrow used for practice’, ‘twig’. Without it, there’s hardly any resemblance between the IE and PS words.
- (P)IE *peleḱu– ‘axe’, PS *plḳ ‘to split apart’. The semantics are nice but the *-e-e- vocalism would look as strange in PS as it does in Indo-European.
Evaluation
So what have we got?
- ‘seven’ has the same meaning in both families, is formally similar, and has linguistic arguments supporting a borrowing from Semitoid to PIE.
- ‘grain’/’millet’ is semantically and formally very close, with no reason to see either family as the source.
- ‘star’/’Venus’ is formally very close, with the semantics making IE more likely as the source than Semitoid.
- ‘eagle’ and ‘horn’ have formal reasons to see IE as the source, not the recipient (if the Semitic words are even related).
- ‘six’, ‘mead’/’sweet’, ‘quern’/’threshing floor’, ‘bolt’/’to detain’, ‘flower’/’wheat’, ‘sister-in-law’, and ‘axe’/’to split’ all have formal and/or semantic mismatches or problems increasing the chance that they just look similar by accident.
- ‘cow’, ‘eight’, ‘field’, and ‘arrow’ lack a convincing Semitic counterpart. Bringing in other branches of Afroasiatic (which have massively different lexicons!) greatly increases the chance of a coincidental match, especially when we allow for diagonal comparisons like ‘eight’ : ‘four’ and ‘cow’ : ‘class of bull’.
Most interestingly:
- ‘bull’ and ‘grain, barley’/’wheat’ both show a very close formal resemblance; allowing for metathesis, so do ‘calf’/’bovine’ and ‘goat kid’, and maybe ‘sacrifice’. Most of these cannot go back to Proto-Indo-European due to the presence of an *a (rare or non-existent in PIE). Whether ‘sacrifice’ is PIE depends on the identification of possible reflexes in Hittite and Tocharian. Notably, the forms with *a are all limited to European languages, and these words all belong to the same, agricultural semantic field.
Two strong examples and three weak ones isn’t a lot to base a whole account of European prehistory on, but I think this last category could point to post-PIE borrowings from Semitic or something close to it, which is a cool finding! For the rest, with just one word that is more likely to have been borrowed from Semitic into PIE than vice versa and one that could go either way, I don’t think there’s sufficient evidence to say that there are Semitoid loans in Proto-Indo-European proper. The two possible examples should be attributed to chance resemblance.
Coincidence, really?
I want to finish with a note on this last point, chance resemblance. Can it really be a coincidence that ‘seven’ is *septm in PIE and *tsabʕ-at-Vm in PS; that ‘grain’ is *dhoHn- in PIE and ‘millet’ is *duḫn– in PS; and so forth, if you want to include more examples? Well… yes. Depending on how many of the comparanda you find close enough to consider them being related, we could just be dealing with the couple of words that end up looking similar and having similar meanings in any two languages you compare. In the case at hand, this risk of coincidence is increased because Bjørn isn’t very strict when identifying formal matches. For example, PIE had (at least) three laryngeals: guttural sounds of unknown realization, labeled *h1, *h2, and *h3. *H means “one of these three but we can’t tell which one”. PS, on the other hand, had six guttural sounds: uvular *ḫ and *ġ, pharyngeal *ḥ and *ʕ, and glottal *h and *ʔ. Bjørn is OK with any of these matching each other:
*h1*h2*h3*H*ḫ*h2eǵ–ro-s/*ḫagar-?*dhoHn-/*duḫn–*ġ*h₃or-(n-)/*ġVrVn–*ḥ*h1is(h2)-u/*ḥiθ̣w-*dh2p-/*ðabḥ-; *h2endh–/*ḥinṭ–*ʕ*h₂ster-/*ʕaθtar–*h*h2eǵ–ro-s/*hagar-?*ʔ*kleh2-u-/*klʔIt’s also fine for a laryngeal or guttural to be present in either language with nothing matching it in the other, as with *septm/*tsabʕ-, *(H)oḱtoH (is this a suffix?)/*okkuz, *lāp-/*ʔalp-, and *ǵlh3(o)u-/*kall-at-. That means that we can increase our forms that would count as a match: PIE *dhoHn– would match all of the following:
- *duḫn–
- *duġn–
- *duḥn–
- *duʕn–
- *duhn–
- *duʔn–
- *dunn–
Moreover, PIE has three series of stops: voiceless, voiced, and voiced aspirated. PS has similar triads of voiceless, voiced, and ejective stops, affricates, and fricatives. These, too, can mix and match:
*T*D*Dh*T*h₂ster-/*ʕaθtar-, *kleh2-u-/*klʔ, *(s)teuros~*tauros/*θawr-, *lāp-/*ʔalp–*ǵlh3(o)u-/*kall-at-*medhu-/*mtḳ*D*septm/*tsabʕ-, *(s)ueḱs/*sidθ-, *dh2p–/*ðabḥ-*dh2p/*ðabḥ-, *ghaid–/*gady-, *h2eǵ–ro-s/*ḫagar-*dhoHn-/*duḫn-, *gwrH-n-/*gurn-, *ghaid-/*gady-, *bhar-(s-)/*bVrr-*Ṭ*ḱer-(n-)(h₂/u-)/*ḳarn-, *peleḱu-/*plḳ*h2endh–/*ḥinṭ–The one correspondence Bjørn does not find is PIE voiced/PS ejective, which would have worked so well for the Glottalic Theory.So we can expand our list of acceptable PS matches for PIE *dhoHn-; this now includes:
- *tuḫn–
- *tuġn–
- *tuḥn–
- *tuʕn–
- *tuhn–
- *tuʔn–
- *tunn–
- *duḫn–
- *duġn–
- *duḥn–
- *duʕn–
- *duhn–
- *duʔn–
- *dunn–
- *ṭuḫn–
- *ṭuġn–
- *ṭuḥn– (this root means ‘to grind’, as in tahini! Semantically close enough to match ‘grain’, right?)
- *ṭuʕn–
- *ṭuhn–
- *ṭuʔn–
- *ṭunn–
We’ve increased the odds of getting a match by coincidence by 21 times, and have indeed found another match in the root *ṭḥn ‘to grind’.1 So if we really want to consider how likely it is that these similarities between PIE and PS are coincidental, we should ask ourselves how likely it is for one match as nice as *dhoHn-/*duḫn– to occur by chance, and then multiply that chance by 21. Would we really expect this to happen through sheer chance? In my view: yes, we totally should.
- This is only made worse by allowing for metathesis of the second and third consonant: now we have 40 options. Allowing for an additional final consonant corresponding to nothing, as in *medhu-/*mtḳ, multiplies the chance by a factor of 27 or so, taking some root co-occurrence restrictions into account. That would give us 1080 potential matches, although these wouldn’t all look as nice as *dhoHn-/*duḫn-. ↩︎
https://bnuyaminim.wordpress.com/2023/11/13/bjorn-old-european-afro-asiatic/
#Afroasiatic #Akkadian #Arabic #Aramaic #Berber #Egyptian #GeEz #Hebrew #IndoEuropean #linguistics #NECaucasian #news #Omotic #ProtoSemitic #Sumerian
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Did the Proto-Indo-Europeans borrow agricultural and cultural terms from a population that spoke something close to Proto-Semitic? Rasmus Bjørn has just published a new paper (paywalled) discussing 21 (Proto-)Indo-European words that have been suggested to be borrowed from Semitic or Afroasiatic more generally and argues that yes: there are enough terms in Proto-Indo-European and its daughters to posit the existence of a Semitoid “Old Balkanic” language bordering the PIE steppe homeland to the west.
A very exciting possibility! Unfortunately, there are some issues with the words that Bjørn compares. Let’s dive right in. The main question we’ll try to answer: do these Indo-European words really have close parallels in Semitic, and if so, is there convincing evidence that Semitic was the source and not the recipient language? (I’ve modified some of the transcriptions of reconstructed words to match conventions I’m more used to. (P)IE means that a reconstruction is reflected in several branches of Indo-European but is probably not Proto-Indo-European proper.)
The comparanda
- PIE *h₂ster– ‘star’, PS *ʕaθtar– ‘deified morning star’ (Ishtar, Astarte, etc.). Aren Wilson-Wright wrote a 2016 book about the Semitic deity and has suggested before (probably also in the book) that this is a loanword from Indo-European. I’m inclined to agree that ‘star’ > ‘deified Venus’ is a more likely development than vice versa. With four more-or-less matching consonants and very similar meanings, I think a coincidence is unlikely in this case.
- PIE *h₃or-(n-) ‘eagle’, PS *ġVrVn– ‘eagle’. I can’t find the alleged Arabic reflex ġaran- in Lane, which leaves just Akkadian urinn- (possibly a Sumerian loanword). If these words are related, the fact that *-n- is only present in a few of the Indo-European reflexes suggests that it was borrowed from Indo-European (or a third language family) into Semitic, not vice versa.
- PIE *ḱer-(n-)(h₂/u-) ‘horn’, PS *ḳarn– ‘horn’. Bjørn cites the PS form as *ḳar-n-, but the *n is part of the root in Semitic. I don’t know what’s going on with “Tigre ḳär(n)“, but if it lacks the –n sometimes, I’m highly skeptical that this says anything about Proto-Semitic; all of Tigre’s closest relatives do have the n. The tentative derivation from Proto-Afroasiatic *ḳar– relies on “Omotic [ḳ]ar” and “Egyptian ḳr.ty (dual) ‘horns of the crown (of one of the manifestations of Amun)’”. Omotic isn’t a language; it’s a language family, and we need attested forms to judge the possible relationship. Moreover, Omotic has not been demonstrated to be Afroasiatic. As Marwan Kilani’s personal communication in a footnote points out, the Egyptian attestation is highly specific; if it’s related to the Indo-European word, it could perhaps be a borrowing from something like Greek (I have no idea when or where the word is attested, so this may be difficult). Without any indication that the Semitic –n is a suffix, it is again hard to see the PIE word which sometimes lacks it as a borrowing from Semitic.
- PIE *guōu– ‘cow’ (I’ve also seen this as *gueh₃(-)u-). “[T]his is an item that is not attested in PS proper while being shared with the wider Northern Afro-Asiatic speech community”, i.e. Egyptian gw (referring to a certain kind of bull). The similar words in Northwest Caucasian, Northeast Caucasian, and Sumerian (and elsewhere, like Proto-Bantu gòmbè ‘cattle’) suggest a much wider cultural diffusion and/or onomatopoeia.
- PIE *septm ‘seven’, PS *tsabʕ– ‘seven’. I greatly appreciate the informed PS reconstruction based on some Twitter discussions we had in the past. Bjørn cites the masculine stem, *tsabʕ–at-; to really make the comparison to PIE work we should probably add the absolute state ending and make it *tsabʕ–at-Vm. Is there some known PIE process that would get rid of the laryngeal in a form like *seph2tm? If so, the fact that we can understand the *t and *m as Semitic morphemes does make PS > PIE a good possibility, if this isn’t a coincidence.
- PIE *(s)ueḱs ‘six’, PS *sidθ– (not “*sidt”) ‘six’. “On the surface not very compelling as a contact phenomenon directly between PIE and PS, but the sequential nature and the similarities that permeate the same group of languages as for the number seven nonetheless make the comparison worth entertaining.” The similarities for ‘seven’ mainly consisted of many languages having a sibilant at the beginning. Either way, the argument for both ‘six’ and ‘seven’ being borrowed from Semitic would be much stronger if PIE ‘six’ also ended in *-tm.
- PIE *(H)oḱtoH ‘eight’, Proto-Berber *okkuz ‘four’ (sic; this should probably be *ăkkuẓ, Maarten Kossman p.c.), (Proto?-)Kartvelian *otxo ‘four’. In the background here is the idea that the PIE numeral is a dual, either ending in the PIE dual suffix *-h1 (Bjørn thinks this unlikely) or something related to the PS dual suffix *-ā–na, making it ‘two fours’. The argument is that what looks like a coincidence for ‘eight’ individually may be significant given the pattern that ‘seven’ and ‘six’ also have relatives. We just heard the same argument for ‘six’, so where this isn’t circular, it all relies on ‘seven’. Note that ‘eight’ is not ‘two fours’ anywhere in Afroasiatic.
- PIE *medhu- ‘sweet, mead’, PS *mtḳ ‘to be sweet’. “Likely comparanda in both NE Caucasian and Uralic point to a wanderwort, possibly of Afro-Asiatic provenance.” Bjørn cites these comparanda, neither of which has anything corresponding to the PS *ḳ. PIE *dh : PS *t also isn’t very convincing. Also, the word does not mean ‘sweet’ in PIE (that would be *sueh2d-), just ‘mead’ and/or ‘honey’—at least, that’s my understanding of it, but Bjørn has written more about this.
- PIE *dh2p- ‘sacrifice, feast’, PS *ðabḥ- ‘sacrifice, slaughter’. The metathesis increases the chance of a coincidental match, but otherwise this one is nice. It would be annoying to bring up Zulu hlaba ‘to stab, slaughter, sacrifice’.
- PIE *dhoHn- ‘grain’, PS *duḫn– ‘millet’. This one looks great! No notes. If related, the direction of borrowing is ambiguous.
- PIE *gwrH-n- ‘quern, millstone’, PS *gurn- ‘threshing floor’. The PIE *-n- is normally taken to be a nominal suffix so the word can be related to *gwrh2-u- ‘heavy’, but Bjørn suggests folk etymology in PIE. That would also explain why the PKIE laryngeal finds no counterpart in PS. Still, “the comparison between PIE and PS suffers from discontinuous semantics” (in other words: a quern is not a threshing floor).
- PIE *kleh2-u- ‘lock, key, bolt’, PS *klʔ ‘to retain, detain’. As Bjørn writes, “[t]he semantic match is not immaculate”. PIE *h2 : PS *ʔ is not so intuitive either.
- PIE *(s)teuros, *tauros (with *a!) ‘bull’, PS *θawr- ‘bull, ox’. “The European reflexes of *tauros are uniform to a degree that suggests a late (dialectal) distribution”. The originality of the Semitic form is based on Militarev & Kogan identifying Afroasiatic cognates, which are not presented.
- (P)IE *ghaid- ‘goat kid’, PS *gady-. Pretty nice. As with ‘bull’, the form (*a!) and distribution suggest a late loanword. Bjørn also brings in Proto-Berber *a-ɣăyd, which matches the Indo-European forms even better (note that PB *ɣ probably corresponds to PS *ḳ, not *g).
- (P)IE *lāp- ‘calf, cow’, PS *ʔalp– ‘bovine’. This one is piggybacking on the credentials of the previous two *a-nimals, which have similar distributions.
- (P)IE *bhar-(s-) ‘grain, barley’, PS *bVrr- ‘grain, wheat’. Pretty good: *barr- with an *a is reflected in Hebrew, and the simplification of the *rr to *r is expected in Indo-European.
- PIE *h2eǵ–ro-s ‘field’. The Semitic is a bit of a mess here: a PS reconstruction *ḫagar- is based on a Ge’ez form that can’t descend from it (hagar with h) and an Aramaic form that doesn’t exist (haǧar with h and a ǧ that doesn’t exist in premodern Aramaic; haḡar doesn’t exist either). This last one appears to be based on a misinterpretation of Leslau’s note “Ar[abic] ([of] Dat[ina]) haǧar village in ruins”. As Ge’ez hagar means ‘city’ etc., not ‘field’ either, I don’t understand where this *ḫagar ‘arable field’ is coming from.
- PIE *h2endh– ‘flower’, PS *ḥinṭ– ‘wheat’. The Semitic etymon is well attested, but the Indo-European one seems spurious (‘marshgrass’, ‘flower’, ‘arable field’, ‘soma plant’… are all of these related?). The formal correspondence is pretty nice, apart from PIE *dh : PS *ṭ.
- PIE *ǵlh3(o)u- ‘sister-in-law’, PS *kall-at- ‘bride, daughter-in-law, sister-in-law’ (Arabic kannat- has that last meaning; thanks, Marijn!). Citing earlier publications of his, he states that “the term should … be considered a Wanderwort tied to marriage and alliance strategies defying linguistic and cultural barriers”. This sounds exciting but I find the forms pretty different.
- (P)IE *h1is(h2)-u- ‘arrow’, PS *ḥVθ̣θ̣– (not “*ḥiθ̣w-“) ‘arrow’. The *w in Bjørn’s PS reconstruction must be based on Classical Arabic ḥað̣w-at- ‘small (headless) arrow used for practice’, ‘twig’. Without it, there’s hardly any resemblance between the IE and PS words.
- (P)IE *peleḱu– ‘axe’, PS *plḳ ‘to split apart’. The semantics are nice but the *-e-e- vocalism would look as strange in PS as it does in Indo-European.
Evaluation
So what have we got?
- ‘seven’ has the same meaning in both families, is formally similar, and has linguistic arguments supporting a borrowing from Semitoid to PIE.
- ‘grain’/’millet’ is semantically and formally very close, with no reason to see either family as the source.
- ‘star’/’Venus’ is formally very close, with the semantics making IE more likely as the source than Semitoid.
- ‘eagle’ and ‘horn’ have formal reasons to see IE as the source, not the recipient (if the Semitic words are even related).
- ‘six’, ‘mead’/’sweet’, ‘quern’/’threshing floor’, ‘bolt’/’to detain’, ‘flower’/’wheat’, ‘sister-in-law’, and ‘axe’/’to split’ all have formal and/or semantic mismatches or problems increasing the chance that they just look similar by accident.
- ‘cow’, ‘eight’, ‘field’, and ‘arrow’ lack a convincing Semitic counterpart. Bringing in other branches of Afroasiatic (which have massively different lexicons!) greatly increases the chance of a coincidental match, especially when we allow for diagonal comparisons like ‘eight’ : ‘four’ and ‘cow’ : ‘class of bull’.
Most interestingly:
- ‘bull’ and ‘grain, barley’/’wheat’ both show a very close formal resemblance; allowing for metathesis, so do ‘calf’/’bovine’ and ‘goat kid’, and maybe ‘sacrifice’. Most of these cannot go back to Proto-Indo-European due to the presence of an *a (rare or non-existent in PIE). Whether ‘sacrifice’ is PIE depends on the identification of possible reflexes in Hittite and Tocharian. Notably, the forms with *a are all limited to European languages, and these words all belong to the same, agricultural semantic field.
Two strong examples and three weak ones isn’t a lot to base a whole account of European prehistory on, but I think this last category could point to post-PIE borrowings from Semitic or something close to it, which is a cool finding! For the rest, with just one word that is more likely to have been borrowed from Semitic into PIE than vice versa and one that could go either way, I don’t think there’s sufficient evidence to say that there are Semitoid loans in Proto-Indo-European proper. The two possible examples should be attributed to chance resemblance.
Coincidence, really?
I want to finish with a note on this last point, chance resemblance. Can it really be a coincidence that ‘seven’ is *septm in PIE and *tsabʕ-at-Vm in PS; that ‘grain’ is *dhoHn- in PIE and ‘millet’ is *duḫn– in PS; and so forth, if you want to include more examples? Well… yes. Depending on how many of the comparanda you find close enough to consider them being related, we could just be dealing with the couple of words that end up looking similar and having similar meanings in any two languages you compare. In the case at hand, this risk of coincidence is increased because Bjørn isn’t very strict when identifying formal matches. For example, PIE had (at least) three laryngeals: guttural sounds of unknown realization, labeled *h1, *h2, and *h3. *H means “one of these three but we can’t tell which one”. PS, on the other hand, had six guttural sounds: uvular *ḫ and *ġ, pharyngeal *ḥ and *ʕ, and glottal *h and *ʔ. Bjørn is OK with any of these matching each other:
*h1*h2*h3*H*ḫ*h2eǵ–ro-s/*ḫagar-?*dhoHn-/*duḫn–*ġ*h₃or-(n-)/*ġVrVn–*ḥ*h1is(h2)-u/*ḥiθ̣w-*dh2p-/*ðabḥ-; *h2endh–/*ḥinṭ–*ʕ*h₂ster-/*ʕaθtar–*h*h2eǵ–ro-s/*hagar-?*ʔ*kleh2-u-/*klʔIt’s also fine for a laryngeal or guttural to be present in either language with nothing matching it in the other, as with *septm/*tsabʕ-, *(H)oḱtoH (is this a suffix?)/*okkuz, *lāp-/*ʔalp-, and *ǵlh3(o)u-/*kall-at-. That means that we can increase our forms that would count as a match: PIE *dhoHn– would match all of the following:
- *duḫn–
- *duġn–
- *duḥn–
- *duʕn–
- *duhn–
- *duʔn–
- *dunn–
Moreover, PIE has three series of stops: voiceless, voiced, and voiced aspirated. PS has similar triads of voiceless, voiced, and ejective stops, affricates, and fricatives. These, too, can mix and match:
*T*D*Dh*T*h₂ster-/*ʕaθtar-, *kleh2-u-/*klʔ, *(s)teuros~*tauros/*θawr-, *lāp-/*ʔalp–*ǵlh3(o)u-/*kall-at-*medhu-/*mtḳ*D*septm/*tsabʕ-, *(s)ueḱs/*sidθ-, *dh2p–/*ðabḥ-*dh2p/*ðabḥ-, *ghaid–/*gady-, *h2eǵ–ro-s/*ḫagar-*dhoHn-/*duḫn-, *gwrH-n-/*gurn-, *ghaid-/*gady-, *bhar-(s-)/*bVrr-*Ṭ*ḱer-(n-)(h₂/u-)/*ḳarn-, *peleḱu-/*plḳ*h2endh–/*ḥinṭ–The one correspondence Bjørn does not find is PIE voiced/PS ejective, which would have worked so well for the Glottalic Theory.So we can expand our list of acceptable PS matches for PIE *dhoHn-; this now includes:
- *tuḫn–
- *tuġn–
- *tuḥn–
- *tuʕn–
- *tuhn–
- *tuʔn–
- *tunn–
- *duḫn–
- *duġn–
- *duḥn–
- *duʕn–
- *duhn–
- *duʔn–
- *dunn–
- *ṭuḫn–
- *ṭuġn–
- *ṭuḥn– (this root means ‘to grind’, as in tahini! Semantically close enough to match ‘grain’, right?)
- *ṭuʕn–
- *ṭuhn–
- *ṭuʔn–
- *ṭunn–
We’ve increased the odds of getting a match by coincidence by 21 times, and have indeed found another match in the root *ṭḥn ‘to grind’.1 So if we really want to consider how likely it is that these similarities between PIE and PS are coincidental, we should ask ourselves how likely it is for one match as nice as *dhoHn-/*duḫn– to occur by chance, and then multiply that chance by 21. Would we really expect this to happen through sheer chance? In my view: yes, we totally should.
- This is only made worse by allowing for metathesis of the second and third consonant: now we have 40 options. Allowing for an additional final consonant corresponding to nothing, as in *medhu-/*mtḳ, multiplies the chance by a factor of 27 or so, taking some root co-occurrence restrictions into account. That would give us 1080 potential matches, although these wouldn’t all look as nice as *dhoHn-/*duḫn-. ↩︎
https://bnuyaminim.wordpress.com/2023/11/13/bjorn-old-european-afro-asiatic/
#Afroasiatic #Akkadian #Arabic #Aramaic #Berber #Egyptian #GeEz #Hebrew #IndoEuropean #linguistics #NECaucasian #news #Omotic #ProtoSemitic #Sumerian
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Did the Proto-Indo-Europeans borrow agricultural and cultural terms from a population that spoke something close to Proto-Semitic? Rasmus Bjørn has just published a new paper (paywalled) discussing 21 (Proto-)Indo-European words that have been suggested to be borrowed from Semitic or Afroasiatic more generally and argues that yes: there are enough terms in Proto-Indo-European and its daughters to posit the existence of a Semitoid “Old Balkanic” language bordering the PIE steppe homeland to the west.
A very exciting possibility! Unfortunately, there are some issues with the words that Bjørn compares. Let’s dive right in. The main question we’ll try to answer: do these Indo-European words really have close parallels in Semitic, and if so, is there convincing evidence that Semitic was the source and not the recipient language? (I’ve modified some of the transcriptions of reconstructed words to match conventions I’m more used to. (P)IE means that a reconstruction is reflected in several branches of Indo-European but is probably not Proto-Indo-European proper.)
The comparanda
- PIE *h₂ster– ‘star’, PS *ʕaθtar– ‘deified morning star’ (Ishtar, Astarte, etc.). Aren Wilson-Wright wrote a 2016 book about the Semitic deity and has suggested before (probably also in the book) that this is a loanword from Indo-European. I’m inclined to agree that ‘star’ > ‘deified Venus’ is a more likely development than vice versa. With four more-or-less matching consonants and very similar meanings, I think a coincidence is unlikely in this case.
- PIE *h₃or-(n-) ‘eagle’, PS *ġVrVn– ‘eagle’. I can’t find the alleged Arabic reflex ġaran- in Lane, which leaves just Akkadian urinn- (possibly a Sumerian loanword). If these words are related, the fact that *-n- is only present in a few of the Indo-European reflexes suggests that it was borrowed from Indo-European (or a third language family) into Semitic, not vice versa.
- PIE *ḱer-(n-)(h₂/u-) ‘horn’, PS *ḳarn– ‘horn’. Bjørn cites the PS form as *ḳar-n-, but the *n is part of the root in Semitic. I don’t know what’s going on with “Tigre ḳär(n)“, but if it lacks the –n sometimes, I’m highly skeptical that this says anything about Proto-Semitic; all of Tigre’s closest relatives do have the n. The tentative derivation from Proto-Afroasiatic *ḳar– relies on “Omotic [ḳ]ar” and “Egyptian ḳr.ty (dual) ‘horns of the crown (of one of the manifestations of Amun)’”. Omotic isn’t a language; it’s a language family, and we need attested forms to judge the possible relationship. Moreover, Omotic has not been demonstrated to be Afroasiatic. As Marwan Kilani’s personal communication in a footnote points out, the Egyptian attestation is highly specific; if it’s related to the Indo-European word, it could perhaps be a borrowing from something like Greek (I have no idea when or where the word is attested, so this may be difficult). Without any indication that the Semitic –n is a suffix, it is again hard to see the PIE word which sometimes lacks it as a borrowing from Semitic.
- PIE *guōu– ‘cow’ (I’ve also seen this as *gueh₃(-)u-). “[T]his is an item that is not attested in PS proper while being shared with the wider Northern Afro-Asiatic speech community”, i.e. Egyptian gw (referring to a certain kind of bull). The similar words in Northwest Caucasian, Northeast Caucasian, and Sumerian (and elsewhere, like Proto-Bantu gòmbè ‘cattle’) suggest a much wider cultural diffusion and/or onomatopoeia.
- PIE *septm ‘seven’, PS *tsabʕ– ‘seven’. I greatly appreciate the informed PS reconstruction based on some Twitter discussions we had in the past. Bjørn cites the masculine stem, *tsabʕ–at-; to really make the comparison to PIE work we should probably add the absolute state ending and make it *tsabʕ–at-Vm. Is there some known PIE process that would get rid of the laryngeal in a form like *seph2tm? If so, the fact that we can understand the *t and *m as Semitic morphemes does make PS > PIE a good possibility, if this isn’t a coincidence.
- PIE *(s)ueḱs ‘six’, PS *sidθ– (not “*sidt”) ‘six’. “On the surface not very compelling as a contact phenomenon directly between PIE and PS, but the sequential nature and the similarities that permeate the same group of languages as for the number seven nonetheless make the comparison worth entertaining.” The similarities for ‘seven’ mainly consisted of many languages having a sibilant at the beginning. Either way, the argument for both ‘six’ and ‘seven’ being borrowed from Semitic would be much stronger if PIE ‘six’ also ended in *-tm.
- PIE *(H)oḱtoH ‘eight’, Proto-Berber *okkuz ‘four’ (sic; this should probably be *ăkkuẓ, Maarten Kossman p.c.), (Proto?-)Kartvelian *otxo ‘four’. In the background here is the idea that the PIE numeral is a dual, either ending in the PIE dual suffix *-h1 (Bjørn thinks this unlikely) or something related to the PS dual suffix *-ā–na, making it ‘two fours’. The argument is that what looks like a coincidence for ‘eight’ individually may be significant given the pattern that ‘seven’ and ‘six’ also have relatives. We just heard the same argument for ‘six’, so where this isn’t circular, it all relies on ‘seven’. Note that ‘eight’ is not ‘two fours’ anywhere in Afroasiatic.
- PIE *medhu- ‘sweet, mead’, PS *mtḳ ‘to be sweet’. “Likely comparanda in both NE Caucasian and Uralic point to a wanderwort, possibly of Afro-Asiatic provenance.” Bjørn cites these comparanda, neither of which has anything corresponding to the PS *ḳ. PIE *dh : PS *t also isn’t very convincing. Also, the word does not mean ‘sweet’ in PIE (that would be *sueh2d-), just ‘mead’ and/or ‘honey’—at least, that’s my understanding of it, but Bjørn has written more about this.
- PIE *dh2p- ‘sacrifice, feast’, PS *ðabḥ- ‘sacrifice, slaughter’. The metathesis increases the chance of a coincidental match, but otherwise this one is nice. It would be annoying to bring up Zulu hlaba ‘to stab, slaughter, sacrifice’.
- PIE *dhoHn- ‘grain’, PS *duḫn– ‘millet’. This one looks great! No notes. If related, the direction of borrowing is ambiguous.
- PIE *gwrH-n- ‘quern, millstone’, PS *gurn- ‘threshing floor’. The PIE *-n- is normally taken to be a nominal suffix so the word can be related to *gwrh2-u- ‘heavy’, but Bjørn suggests folk etymology in PIE. That would also explain why the PKIE laryngeal finds no counterpart in PS. Still, “the comparison between PIE and PS suffers from discontinuous semantics” (in other words: a quern is not a threshing floor).
- PIE *kleh2-u- ‘lock, key, bolt’, PS *klʔ ‘to retain, detain’. As Bjørn writes, “[t]he semantic match is not immaculate”. PIE *h2 : PS *ʔ is not so intuitive either.
- PIE *(s)teuros, *tauros (with *a!) ‘bull’, PS *θawr- ‘bull, ox’. “The European reflexes of *tauros are uniform to a degree that suggests a late (dialectal) distribution”. The originality of the Semitic form is based on Militarev & Kogan identifying Afroasiatic cognates, which are not presented.
- (P)IE *ghaid- ‘goat kid’, PS *gady-. Pretty nice. As with ‘bull’, the form (*a!) and distribution suggest a late loanword. Bjørn also brings in Proto-Berber *a-ɣăyd, which matches the Indo-European forms even better (note that PB *ɣ probably corresponds to PS *ḳ, not *g).
- (P)IE *lāp- ‘calf, cow’, PS *ʔalp– ‘bovine’. This one is piggybacking on the credentials of the previous two *a-nimals, which have similar distributions.
- (P)IE *bhar-(s-) ‘grain, barley’, PS *bVrr- ‘grain, wheat’. Pretty good: *barr- with an *a is reflected in Hebrew, and the simplification of the *rr to *r is expected in Indo-European.
- PIE *h2eǵ–ro-s ‘field’. The Semitic is a bit of a mess here: a PS reconstruction *ḫagar- is based on a Ge’ez form that can’t descend from it (hagar with h) and an Aramaic form that doesn’t exist (haǧar with h and a ǧ that doesn’t exist in premodern Aramaic; haḡar doesn’t exist either). This last one appears to be based on a misinterpretation of Leslau’s note “Ar[abic] ([of] Dat[ina]) haǧar village in ruins”. As Ge’ez hagar means ‘city’ etc., not ‘field’ either, I don’t understand where this *ḫagar ‘arable field’ is coming from.
- PIE *h2endh– ‘flower’, PS *ḥinṭ– ‘wheat’. The Semitic etymon is well attested, but the Indo-European one seems spurious (‘marshgrass’, ‘flower’, ‘arable field’, ‘soma plant’… are all of these related?). The formal correspondence is pretty nice, apart from PIE *dh : PS *ṭ.
- PIE *ǵlh3(o)u- ‘sister-in-law’, PS *kall-at- ‘bride, daughter-in-law, sister-in-law’ (Arabic kannat- has that last meaning; thanks, Marijn!). Citing earlier publications of his, he states that “the term should … be considered a Wanderwort tied to marriage and alliance strategies defying linguistic and cultural barriers”. This sounds exciting but I find the forms pretty different.
- (P)IE *h1is(h2)-u- ‘arrow’, PS *ḥVθ̣θ̣– (not “*ḥiθ̣w-“) ‘arrow’. The *w in Bjørn’s PS reconstruction must be based on Classical Arabic ḥað̣w-at- ‘small (headless) arrow used for practice’, ‘twig’. Without it, there’s hardly any resemblance between the IE and PS words.
- (P)IE *peleḱu– ‘axe’, PS *plḳ ‘to split apart’. The semantics are nice but the *-e-e- vocalism would look as strange in PS as it does in Indo-European.
Evaluation
So what have we got?
- ‘seven’ has the same meaning in both families, is formally similar, and has linguistic arguments supporting a borrowing from Semitoid to PIE.
- ‘grain’/’millet’ is semantically and formally very close, with no reason to see either family as the source.
- ‘star’/’Venus’ is formally very close, with the semantics making IE more likely as the source than Semitoid.
- ‘eagle’ and ‘horn’ have formal reasons to see IE as the source, not the recipient (if the Semitic words are even related).
- ‘six’, ‘mead’/’sweet’, ‘quern’/’threshing floor’, ‘bolt’/’to detain’, ‘flower’/’wheat’, ‘sister-in-law’, and ‘axe’/’to split’ all have formal and/or semantic mismatches or problems increasing the chance that they just look similar by accident.
- ‘cow’, ‘eight’, ‘field’, and ‘arrow’ lack a convincing Semitic counterpart. Bringing in other branches of Afroasiatic (which have massively different lexicons!) greatly increases the chance of a coincidental match, especially when we allow for diagonal comparisons like ‘eight’ : ‘four’ and ‘cow’ : ‘class of bull’.
Most interestingly:
- ‘bull’ and ‘grain, barley’/’wheat’ both show a very close formal resemblance; allowing for metathesis, so do ‘calf’/’bovine’ and ‘goat kid’, and maybe ‘sacrifice’. Most of these cannot go back to Proto-Indo-European due to the presence of an *a (rare or non-existent in PIE). Whether ‘sacrifice’ is PIE depends on the identification of possible reflexes in Hittite and Tocharian. Notably, the forms with *a are all limited to European languages, and these words all belong to the same, agricultural semantic field.
Two strong examples and three weak ones isn’t a lot to base a whole account of European prehistory on, but I think this last category could point to post-PIE borrowings from Semitic or something close to it, which is a cool finding! For the rest, with just one word that is more likely to have been borrowed from Semitic into PIE than vice versa and one that could go either way, I don’t think there’s sufficient evidence to say that there are Semitoid loans in Proto-Indo-European proper. The two possible examples should be attributed to chance resemblance.
Coincidence, really?
I want to finish with a note on this last point, chance resemblance. Can it really be a coincidence that ‘seven’ is *septm in PIE and *tsabʕ-at-Vm in PS; that ‘grain’ is *dhoHn- in PIE and ‘millet’ is *duḫn– in PS; and so forth, if you want to include more examples? Well… yes. Depending on how many of the comparanda you find close enough to consider them being related, we could just be dealing with the couple of words that end up looking similar and having similar meanings in any two languages you compare. In the case at hand, this risk of coincidence is increased because Bjørn isn’t very strict when identifying formal matches. For example, PIE had (at least) three laryngeals: guttural sounds of unknown realization, labeled *h1, *h2, and *h3. *H means “one of these three but we can’t tell which one”. PS, on the other hand, had six guttural sounds: uvular *ḫ and *ġ, pharyngeal *ḥ and *ʕ, and glottal *h and *ʔ. Bjørn is OK with any of these matching each other:
*h1*h2*h3*H*ḫ*h2eǵ–ro-s/*ḫagar-?*dhoHn-/*duḫn–*ġ*h₃or-(n-)/*ġVrVn–*ḥ*h1is(h2)-u/*ḥiθ̣w-*dh2p-/*ðabḥ-; *h2endh–/*ḥinṭ–*ʕ*h₂ster-/*ʕaθtar–*h*h2eǵ–ro-s/*hagar-?*ʔ*kleh2-u-/*klʔIt’s also fine for a laryngeal or guttural to be present in either language with nothing matching it in the other, as with *septm/*tsabʕ-, *(H)oḱtoH (is this a suffix?)/*okkuz, *lāp-/*ʔalp-, and *ǵlh3(o)u-/*kall-at-. That means that we can increase our forms that would count as a match: PIE *dhoHn– would match all of the following:
- *duḫn–
- *duġn–
- *duḥn–
- *duʕn–
- *duhn–
- *duʔn–
- *dunn–
Moreover, PIE has three series of stops: voiceless, voiced, and voiced aspirated. PS has similar triads of voiceless, voiced, and ejective stops, affricates, and fricatives. These, too, can mix and match:
*T*D*Dh*T*h₂ster-/*ʕaθtar-, *kleh2-u-/*klʔ, *(s)teuros~*tauros/*θawr-, *lāp-/*ʔalp–*ǵlh3(o)u-/*kall-at-*medhu-/*mtḳ*D*septm/*tsabʕ-, *(s)ueḱs/*sidθ-, *dh2p–/*ðabḥ-*dh2p/*ðabḥ-, *ghaid–/*gady-, *h2eǵ–ro-s/*ḫagar-*dhoHn-/*duḫn-, *gwrH-n-/*gurn-, *ghaid-/*gady-, *bhar-(s-)/*bVrr-*Ṭ*ḱer-(n-)(h₂/u-)/*ḳarn-, *peleḱu-/*plḳ*h2endh–/*ḥinṭ–The one correspondence Bjørn does not find is PIE voiced/PS ejective, which would have worked so well for the Glottalic Theory.So we can expand our list of acceptable PS matches for PIE *dhoHn-; this now includes:
- *tuḫn–
- *tuġn–
- *tuḥn–
- *tuʕn–
- *tuhn–
- *tuʔn–
- *tunn–
- *duḫn–
- *duġn–
- *duḥn–
- *duʕn–
- *duhn–
- *duʔn–
- *dunn–
- *ṭuḫn–
- *ṭuġn–
- *ṭuḥn– (this root means ‘to grind’, as in tahini! Semantically close enough to match ‘grain’, right?)
- *ṭuʕn–
- *ṭuhn–
- *ṭuʔn–
- *ṭunn–
We’ve increased the odds of getting a match by coincidence by 21 times, and have indeed found another match in the root *ṭḥn ‘to grind’.1 So if we really want to consider how likely it is that these similarities between PIE and PS are coincidental, we should ask ourselves how likely it is for one match as nice as *dhoHn-/*duḫn– to occur by chance, and then multiply that chance by 21. Would we really expect this to happen through sheer chance? In my view: yes, we totally should.
- This is only made worse by allowing for metathesis of the second and third consonant: now we have 40 options. Allowing for an additional final consonant corresponding to nothing, as in *medhu-/*mtḳ, multiplies the chance by a factor of 27 or so, taking some root co-occurrence restrictions into account. That would give us 1080 potential matches, although these wouldn’t all look as nice as *dhoHn-/*duḫn-. ↩︎
https://bnuyaminim.wordpress.com/2023/11/13/bjorn-old-european-afro-asiatic/
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