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Culture War Roundup for the week of January 8, 2024

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Strength loss with 12 months of GAHT also ranged from non-significant to 7%.

...

Explanations for this strength difference are unclear but may include transwomen actively refraining from building muscle and/or engaging in disordered eating or simply not being athletically inclined

Presumably men with interest in high-level athletic competition (in the women's division, but nevertheless) would be unlikely to actively refrain from building muscle, engage in disordered eating, and/or be athletically disinclined -- which one might suppose would tend to place them more in the 'non-significant' part of the strength loss range, were they in this study population.

(Trying to apply a population level metastudy to a freakish subpopulation (high-level athletes, not transpeople) is probably a mistake, IOW)

On a personal note, I have one bicep much smaller than the other due to surgery related to a horrible accident a long time ago. With physio etc the strength difference between the two arms is indeed minimal -- but the surgeon at the time warned me that while I should make every effort to rebuild strength, the arms would probably never 'match' in terms of muscle size. This was 30 years ago, so 'LBM != strength' does not seem like a novel concept to the medical community. I wonder why the reviewers at the BMJ would not point this out to an author trying to elide the difference?