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Shit my GIC says

@shitmygicsays.bsky.social
173 followers 1 following 31 posts

All screenshots are from publicly available webpages and documents produced by NHS GICs. Posts from a queue. Submissions and suggestions from public sources in DMs welcome.

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Shit my GIC says @shitmygicsays.bsky.social · 05/02/2026
the URL for this reads 'BS-Information'.
A screenshot from nhs lothian's screening advice page.


Transmen & Non-Binary

If you’re a trans woman and taking hormones, the development of breast tissue means that you may be at risk of developing breast cancer.
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Shit my GIC says @shitmygicsays.bsky.social · 02/02/2026
Even the other GICs actually bother to measure estrogen levels.
Screenshot from NHS Lothian's SHARED CARE AGREEMENT for Feminising Endocrine Treatment (Estradiol and GnRHa), 2024

Estradiol levels up to 600 pmol/L are appropriate though regular screening of estradiol levels is not recommended. The
GIC will base its advice regarding changing dose primarily according to clinical response.
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Shit my GIC says @shitmygicsays.bsky.social · 30/01/2026
NHS Lothian joining the enough CPA to give an elephant brain cancer brigade in a document freshly created in 2024.
Screenshot from NHS Lothian's SHARED CARE AGREEMENT for Feminising Endocrine Treatment (Estradiol and GnRHa), 2024.

OR
• Cyproterone acetate (25-100 mg daily: 6 monthly checks of LFTs are necessary as serious hepatotoxicity has
been reported). This is likely to be used only when patients are already taking it eg prior to moving to Lothian and
is rarely prescribed.
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Reposted by Shit my GIC says
jamie ‼️🏳️‍⚧️ @jamologies.net · 19/01/2026
the 'lumpy comment made me so angry i wrote a complaint to the GIC 9it's northampton btw). they actually replied, with a complete nothingburger! here's their reply:
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Shit my GIC says @shitmygicsays.bsky.social · 18/01/2026
Content note: Anti trans slur This is from the RCP rather than a GIC directly, but the authors are (or were) mostly GIC clinicians. This is also just completely false.
Screenshot from the 2012 version of Royal College of Psychiatrists' Good practice guidelines for the assessment and treatment of adults with gender dysphoria.

progesterone is not usually indicated since no biologically
significant progesterone receptor sites exist for biological males.
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Shit my GIC says @shitmygicsays.bsky.social · 17/01/2026
uwu we're just a smol bean gender clinic pwease can we use the unethical research because *we* think it's useful uwu
Screenshot from the Northern Region Gender Service's analysis of a potential patient outcome rating scale. 

If we felt that a scale was useful, but that there might be questions about the
ethics used to develop the scale, would that matter to you? (N=104)
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Shit my GIC says @shitmygicsays.bsky.social · 06/01/2026
GP required for self referral.
Screenshot of the Tavistock and Portman GIC self referral form. 


SECTION 1 

Please forward Section 1 and 2 of this referral form must be completed by your GP.  Without this information the Self-Referral would be deemed in complete and unable to proceed with the referral.

[Account note- grammatical and spelling errors are reproduced accurately to the original text]
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Shit my GIC says @shitmygicsays.bsky.social · 05/01/2026
Just in case anyone was worried trans women didn't also get a bizarre word salad.
Screenshot from Sheffield GIC prescribing guidelines. 

Prescribing Guidelines
Trans woman medication
(This applies to a person assigned male, cis male, at birth undertaking gender transition to become a female)
These guidelines are to support GPs in the ongoing management of adult patients requiring life-long medication.
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Shit my GIC says @shitmygicsays.bsky.social · 04/01/2026
Great number of ethical concerns.

Screenshot from the Nottingham GIC website. 

Is surgery funded on the NHS?
Yes. Chest reconstructive surgery and genital reconstruction surgery (GRS or SRS) is necessary for many trans men or non-binary people to live their lives; and for some denial of access to treatment can be life-threatening. However, for a nationalised healthcare system such as the NHS it is important that only people who would benefit from surgery are given it. This is one of the reasons, aside from the great number of ethical considerations, that we have a process of diagnosis and evaluation.
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Shit my GIC says @shitmygicsays.bsky.social · 03/01/2026
One from Ireland- your mum made you trans
Screenshot from the Irish National Gender Service. 

National Gender Service

What to expect
A member of the team will ask about your:
Early life: Your Mother's pregnancy, your birth
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Shit my GIC says @shitmygicsays.bsky.social · 02/01/2026
This is from the same clinic. Both guides were last updated in Jan/Feb 2025. The top (and correct) one is aimed at other healthcare professionals, whereas the bottom one with the factual error is aimed at patients.
A screenshot of two feminising hormone therapy guides from the Tavistock GIC on top of each other. 

The top one is SHARED CARE PRESCRIBING GUIDANCE FOR Treatment of Gender Incongruence in Transgender women, Transfeminine and Non-binary People (Assigned Male at Birth)

In the trans feminine population the risk of breast cancer appears to be reduced
compared to cisgender females (incident ratio 0.3 [0.2–0.4]). This value is
significantly higher than cisgender men (incident ratio 46.7 [27.2–75.4])[13]

The bottom one is Hormone Treatment – feminine – information leaflet v2

It is known that for cisgender women prolonged HRT use beyond 5 years after the menopause (about age 55) is associated with an increased risk of breast cancer. However, we also know that breast cancer risk remains the same as your birth gender which is 10 lower than a cis gendered female,

Author note: as stated in the main post, the claim that breast cancer risk in trans women remains the same as in cis men is false
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Shit my GIC says @shitmygicsays.bsky.social · 01/01/2026
Preferred.
Screenshot from the Exeter GIC website.

Appropriate use of pronouns may become an issue. Politely advise people of your preferred pronoun.
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Shit my GIC says @shitmygicsays.bsky.social · 31/12/2025
Unless you assert you're trans before you've been seen by two experts/
Screenshot from the Exeter GIC website.

Will you respect my point of view?

We will respect your point of view.

The West of England Specialist Gender Identity Clinic is commited to a caring relationship of mutual respect.
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Shit my GIC says @shitmygicsays.bsky.social · 30/12/2025
(yes)
Screenshot from the Welsh GIC website.
The Gender Construction Kit provides useful information for (is there something missing here)
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Shit my GIC says @shitmygicsays.bsky.social · 29/12/2025
Don't forget to consult your named cis expert for help living in role! It's not like you'll have had 31 years of experience with it by the time you reach the top of the list.
Screenshot from the Exeter GIC clinic website. 

Living life in your new social role may be very different to your current life and you are likely to have many new experiences; be ready for change and for some challenging situations. Ask your named professional for help if you feel overwhelmed by everything; difficult challenges can be overcome with help
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Shit my GIC says @shitmygicsays.bsky.social · 28/12/2025
Cop approved gender cops
Screenshot from the Sheffield GIC website. 

Top police award for our gender identity clinic
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Shit my GIC says @shitmygicsays.bsky.social · 27/12/2025
You. Are. Valid.
Screenshot from the welsh GIC website.
In light of the recent Supreme Court ruling, we want you to know that you are valid
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Shit my GIC says @shitmygicsays.bsky.social · 26/12/2025
Are *you* concerned about gender?
Screenshot from the Exeter GIC referal form. 

Please provide information regarding the following;
    • Development and duration’s of your patient’s gender concern (grammatical error reproduced accurately to the source)
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Shit my GIC says @shitmygicsays.bsky.social · 25/12/2025
Patients should be urged not to make their own decisions.
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Shit my GIC says @shitmygicsays.bsky.social · 24/12/2025
This is just factually incorrect and the clinicians involved should know better. There is no way for estrogen to become testosterone inside the human body.
Screenshot from Hormone Treatment – feminine – information leaflet v2 (02/02/2025) by Tavistock GIC

Similarly, using excessive amounts of oestrogen does not improve breast development and may even be counterproductive, as there is an enzyme present in the body that converts excess oestrogen back into testosterone.
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Shit my GIC says @shitmygicsays.bsky.social · 23/12/2025
Presented without comment.
Screenshot from the Exeter GIC website.

Your pension and any benefits arrangements might be affected if you're a transgender. Seek advice from your private provider and/or the Department of Works and Pensions.
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Reposted by Shit my GIC says
Beccas can't be choosers @beccanical.bsky.social · 23/12/2025
taking oestrogen, or as i call it "becoming one of the lumpen-areoliat"
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Shit my GIC says @shitmygicsays.bsky.social · 23/12/2025
I started this account to document all the nonsense that appears on GIC websites and resources. I was inspired by a complaint in the Levy review that patients often source information online and this is inaccurate. There certainly is misinfo online, but some of that is from the GICs themselves.
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Shit my GIC says @shitmygicsays.bsky.social · 22/12/2025
New definition of cis just dropped.
Screenshot from Sheffield GICs prescribing guideline for professionals.

Prescribing Guidelines
Trans man medication
(This applies to a person assigned female,
cis female, at birth undertaking gender
transition to become a male)
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Shit my GIC says @shitmygicsays.bsky.social · 22/12/2025
Novel way to attempt to reduce the GIC waitlist
Screenshot from the Northamptonshire GICs website. 

- Effects of taking oestrogen

Penis and testicles getting smaller

Less muscle

More fat on hips

Breasts becoming lumpy and increasing in size slightly

Less facial and body hair
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