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Others would say he was running from the modern world. For whatever reason he returned he hoped it would be forever. He had enough of the hustle and bustle of the city. He was tired of all the games men and especially women played to get one up on one another. Though he had departed this small town the moment he could he found living in the city was no better, just busier, noisier and more impersonal. In many aspects it was a worse existence than he had expected. He found women more high maintenance, more prone to tease and promise the moon then when they found out he could not provide expensive meals, shows and experiences they would dump him and scorn him. He had never known his neighbors in the city and when he tried to speak to them normally they grunted and walked on or worse, just ignored him.Now Mac believed he had made many incorrect decisions earlier in his life. When their parents became too frail to live alone he and his sister had been too busy to care for them. They had. "We do need to take thisone step at a time, but the first step IS hormone replacement therapy.As you're sixteen, we can prescribe a full course of hormones, but whatI'd like to do first is start you on a three-month course oftestosterone, just a mild dose to see how your body reacts to this. Ofcourse, for this, I will need the permission of your legal guardian." Do you feel this will help Ian?" Grandma asks before I have the chanceto speak."In the long run, absolutely," Dr Harris says. "As per the diagnosis, Ibelieve that Ian is a man trapped in the body of a woman. Hormonetherapy is the first step in all transgender treatments as it helpspatients to feel like the gender they wish to become, to start feelingcomfortable in their own bodies." What are the effects?" Grandma asks."In the long term," Dr Harris says, "psychologically Ian should startto feel more settled as his body more closely matches his genderidentity. Physically, his body will see many changes. He'll begin togrow.
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