47,XXY and why the "t gut" is not based on testosterone
I wrote this in response to a question on a facebook group regarding the horrible Testosterone GUT that XXY people develop which is similar to but not the same in most cases of XXY to natal XY males. XXY people are not natal males, for the most part, some few are fortunate to be able to exist in the male paradigm and experience male based care without issues. Most XXY people require a balanced approach with charts in both MALE and FEMALE with all aspects of both genders openly discussed and dealt with. Just like women, balancing estradiol is perhaps the single most important issue for most of the people whom are 47,XXY or variants.
you take testosterone the presumption from the Doctor is that it will
give you a HUGE kick in the ass to get out and DO life, ie .. lots of
physical work. Some people would call it play, because they are working
.. HARD.. at playing and having a great time doing it. Others spend
alot of time riding their bikes long distance, in gyms trying to impress
other guys, or hiking, skiing, etc. Men whom do not actively
participate in life end up with fat, primarily in the gut. What it
means to have the T gut when you are on testosterone is that you get too
many calories and don't use them.
Now there is a second group
whom should not call their gut a "T" thing, and this includes people who
do not have so much testosterone like the average XXY person whom on Australia's scale of nmol/L would be down around 5 nmol/L or less, or
in the USA on ng/ml would be under 300 ng/ml. That is because when your
hormone levels are low, fat develops so that you can process what
little testosterone you have into estradiol. The fat is an organ of the
body which translates Testosterone into Estradiol.
is this... regardless of how much testosterone you take, the Body NEEDS
estradiol. And it will get it one way or another. The body could
really care less about testosterone, despite that it takes testosterone
to be a Man. The body HAS TO HAVE estradiol or it DIES. There is no
... oh you only need estradiol to be a woman. The BODY, Organs, Brain,
and everything in it NEEDs estradiol. If you starve your estradiol
supply then you will get fat when the body goes into survival mode and
starts converting testosterone to estradiol.
So if you are
doing it all "right" taking T and working out, and eating right... and
you cannot get rid of the "T gut" then your estradiol level is low.
Simple. Most guys do not require alot of estradiol. Most XXY people
require anywhere from 3x to 10x as much estradiol as Men, and generally
about half as much as women average in their middle years. I wrote
REQUIRE for a reason.. starving yourself of estradiol will make you fat.
The body/brain system will get its estradiol one way or another,
regardless of what you want to happen.
Now.. I often talk about
the banding study I did for my own research. Anyone in the left 4
bands (of 5) will absolutely need to balance their estradiol levels
despite any desire (generally the 4th band) to take testosterone. The
only group which can for the most part not worry about estradiol balance
are the 5th group or right most 20th percentile of the XXY population,
whom identify as male, take only testosterone and need nothing else
barring significant other problem. About 80% of the known... based on
my research of actual people whom are known to be XXY, need to balance
their estradiol levels.
ps... most Guys.. do not eat well,
exercise enough, or take care of themselves in any way. Which is why
hormone balance is among the last things doctors will look for.
I was diagnosed at the age of 35 with XXy, commonly called Klinefelter’s Syndrome, however I reject the diagnosis of forced masculinity. I have spent most of my time since then becoming an expert on the topic, because in the end no one cares about my health like I do. There is a lot of scary mis-information printed about people with Klinefelter’s Syndrome, or 47,XXY, or XXY. Thanks in part to the medical establishment treating each case like a single rare event, something shameful, to be hidden away.
I hold no shame for being XXY, yet I use a pseudo-name. Hi, I’m a working professional in the world of information technology. I’m one of those people you call when your international network breaks, the heavens are falling, and it’s the end of the world as your company knows it. I like to be employable, and because of the negativity printed about this syndrome I must exercise caution on the internet. My apologies to those whom are intersex, and a public persona, I choose not to release my privacy at this time.