Portal Icosahedron by Anthony James 

What do you mean it’s not a real portal?

Wow that’s a massive d20

Holy shit im dying right now..prob the best one

This actually probably is the best one hahahaha

a lot of my faves

Console-free Camping

If you like to play The Last of Us, then try Rot & Ruin by Jonathan Maberry

If you like to play Beyond: Two Souls, then try The Girl With All the Gifts by M.R. Carey

If you like to play Call of Duty: Black Ops (Zombies), then try World War Z by Max Brooks

If you like playing Grand Theft Auto, then try American Psycho by Bret Easton Ellis

If you like playing Sid Meier’s Civilization, then try A Game Of Thrones by George R. R. Martin

If you like playing Final Fantasy, try playing Fullmetal Alchemist by Hiromu Arakawa

If you like playing Mass Effect, then try Illuminae by Amie Kaufman and Jay Kristoff

If you like playing Alice: Madness Returns, then try Madness So Discreet by Mindy McGinnis

If you like playing Halo, then try Starship Troopers by Robert A Heinlein

If you like playing Portal, then try House Of Stairs by William Sleator

If you like playing Mario Kart, then try The Lovely Reckless by Kami Garcia 

If you like playing Dark Souls, then try Anna Dressed in Blood by Kendare Blake

If you like playing Life Is Strange, then try We Are Okay by Nina Lacour

If you like playing Stardew Valley, then try How I Live Now by Meg Rosoff

If you like playing Fable, then try Young Elites by Marie Lu

If you like playing Borderlands, then try Velocity by Chris Wooding

If you like playing Dishonored, then try Airman by Eoin Colfer

If you like playing The Oregon Trail, then try Under a Painted Sky by Stacey Lee

If you like playing the Elder Scrolls series, then try The Naming by Alison Croggon

If you like playing Red Dead Redemption, then try Vengeance Road by Erin Bowman

If you like playing Bioshock, then try  Dark Life by Kat Falls

If you like playing Fallout, then try Razorland by Ann Aguirre 

If you like playing Assasin’s Creed, then try The Way of Shadows Night by Brent Weeks

If you like playing Dragonage, then try Ember in the Ashes by Sabaa Tahir

If you like playing The Legend of Zelda, then try Graceling by Kristin Cashore

If you like playing Until Dawn, then try Ten by Gretchen McNeil

If you like playing Sonic, then try Maximum Ride by James Patterson

If you like playing Overwatch, then try Bluescreen by Dan Wells

If you like playing Uncharted, then try Passenger by Alexandra Bracken

If you like playing Pokemon, then try Fantastic Beasts & Where to Find Them by JK Rowling, and Newt Scamander

If you like playing Mario Party, then try Hunger Games by Suzanne Collins

This is amazing!!

I have to reblog for two reasons:

1)This is actually a good way to get people into reading.

2)That passive aggressive joke in the last one is pure genius. 

Wow, kudos to wh oever put in the effort on this one.

TRANS WOMEN: HERE'S SOME SHIT YOUR DOCTOR WONT TELL YOU ABOUT HRT

1. Progesterone: not for everyone, but for many people it may increase sex drive and WILL make your boobs bigger. Also effects mood in ways that many find positive (but some find negative). Most doctors won’t prescribe this to you unless you ask. Most trans girls I know swear by it.

2. Injectible estrogen: is more effective than pill or patch form. Get on it if you can bear needles bc you will see more effects more quickly.

3. Estradiol Cypionate: There is currently a shortage of injectible estradiol valerate. There is no shortage of estradiol cypionate. Functionally they do the same shit.

4. Bicalutamide: This is an anti-androgen that has almost none of the side-effects of spironolactone or finasteride. The girls I know who are on it are evangelical about it.

@euryale-dreams

Are there HRT medications that don’t increase blood clot risk? I’m already at risk because of my blood pressure, and my doctor won’t prescribe HRT that increases clot risk while I’m on the medication - and I may never not be on the medication.

Absolutely.

The concerns surrounding venous thromboembolic events as a side-effect of hormone replacement therapy can mostly be traced back to one particular study known as the Women’s Health Initiative. This study was an enormous undertaking which, unfortunately, demonstrated significant adverse effects of the hormone therapies studied. As a result of this the use of hormone replacement therapy in postmenopausal cis women was dramatically reduced as the medical community began to question whether or not the therapy caused more harm than good.

Naturally, trans women have been suffering from this fall-out ever since.

What physicians seem to fail to recognize is that the study examined a very specific hormone regimen which was, arguably, outmoded at the time the study was conducted: It examined the use of conjugated equine estrogen (Premarin) with or without the use of medroxyprogesterone acetate. Neither of these drugs is regularly used for the treatment of transgender women.

The estrogen most commonly used to treat transgender women nowadays is 17β-estradiol either in pill form or in the form of a sticky patch that you apply to your skin. Esters of estrogen (e.g. estradiol valerate) are also sometimes used either in a pill form or as an intramuscular injection.

Transdermal estradiol patches are the gold standard when it comes to treating women who are at high risk of a venous thromboembolic event. It simply does not increase the risk of developing a venous thromboembolism. The only thing you should keep in mind is that patches are not always well tolerated because of the lifestyle changes required to keep them from falling off and the fact that they tend to irritate the skin.

Fortunately, oral 17β-estradiol appears to be safe, regardless of the increased risk. At least one large study has shown that the use of oral estradiol in trans women is not associated with venous thromboembolic events. An individual woman’s risk would need to be substantial in order to contraindicate the use of oral estradiol.

For those who have significant risk of venous thromboembolism because they have had a previous thromboembolic event, because they are paralyzed, or because of some other factor it is good to know the relative risk between oral and transdermal estrogen. The latest research indicates that the use of transdermal estrogen lowers your risk of a thromboembolism to 80% of what your risk would be using oral estrogens.

It’s difficult to find hard numbers regarding the relative risk of venous thromboembolic events with regards to hypertension. The best I could find after an hour or so of searching was this study regarding VTE in lung cancer patients. Hypertension increased the risk by a factor of 1.8.

However, to put that into perspective being of African descent increases your relative risk for deep vein thrombosis by a factor of 1.3 when compared to Europeans. Europeans are, themselves, at increased risk when compared to Asians and Pacific Islanders by a considerable margin: a four-fold increase.

I should point out that being ‘male’ is also a risk factor for developing a thromboembolism and hormones are likely to be a contributing factor. Also, menopause is another serious risk factor. Given this information it is likely that the use of transdermal estradiol will lower your risk of thromboembolic events significantly.

As far as the anti-androgen is concerned: The primary use for spironolactone for cisgender people is as an antihypertensive.

Even if the risk of thromboembolism was truly significant with modern hormone replacement therapy it wouldn’t justify what your doctor is doing to you. The fact is that mortality in the transgender community from suicide–caused in part due to the lack of access to hormone therapy–is substantial. The quality of life lost when a trans woman is denied hormone therapy is substantial. The fact that your doctor does not appear to be taking this into consideration when they weigh the risk of thromboembolism against not receiving necessary medical care is deeply concerning.

I strongly recommend that you seek a doctor who is more sensitive to your medical needs as a transgender woman.

Edit: Fixed a minor, but embarrassing, error.

oh wow this is so helpful & good info

Everyone who cares about transfem people please reblog this

this was really fucking helpful

I know a lot of trans women dont have acess to information like this and its very helpful.

TRANS WOMEN: HERE'S SOME SHIT YOUR DOCTOR WONT TELL YOU ABOUT HRT

1. Progesterone: not for everyone, but for many people it may increase sex drive and WILL make your boobs bigger. Also effects mood in ways that many find positive (but some find negative). Most doctors won’t prescribe this to you unless you ask. Most trans girls I know swear by it.

2. Injectible estrogen: is more effective than pill or patch form. Get on it if you can bear needles bc you will see more effects more quickly.

3. Estradiol Cypionate: There is currently a shortage of injectible estradiol valerate. There is no shortage of estradiol cypionate. Functionally they do the same shit.

4. Bicalutamide: This is an anti-androgen that has almost none of the side-effects of spironolactone or finasteride. The girls I know who are on it are evangelical about it.

@euryale-dreams

Are there HRT medications that don’t increase blood clot risk? I’m already at risk because of my blood pressure, and my doctor won’t prescribe HRT that increases clot risk while I’m on the medication - and I may never not be on the medication.

Absolutely.

The concerns surrounding venous thromboembolic events as a side-effect of hormone replacement therapy can mostly be traced back to one particular study known as the Women’s Health Initiative. This study was an enormous undertaking which, unfortunately, demonstrated significant adverse effects of the hormone therapies studied. As a result of this the use of hormone replacement therapy in postmenopausal cis women was dramatically reduced as the medical community began to question whether or not the therapy caused more harm than good.

Naturally, trans women have been suffering from this fall-out ever since.

What physicians seem to fail to recognize is that the study examined a very specific hormone regimen which was, arguably, outmoded at the time the study was conducted: It examined the use of conjugated equine estrogen (Premarin) with or without the use of medroxyprogesterone acetate. Neither of these drugs is regularly used for the treatment of transgender women.

The estrogen most commonly used to treat transgender women nowadays is 17β-estradiol either in pill form or in the form of a sticky patch that you apply to your skin. Esters of estrogen (e.g. estradiol valerate) are also sometimes used either in a pill form or as an intramuscular injection.

Transdermal estradiol patches are the gold standard when it comes to treating women who are at high risk of a venous thromboembolic event. It simply does not increase the risk of developing a venous thromboembolism. The only thing you should keep in mind is that patches are not always well tolerated because of the lifestyle changes required to keep them from falling off and the fact that they tend to irritate the skin.

Fortunately, oral 17β-estradiol appears to be safe, regardless of the increased risk. At least one large study has shown that the use of oral estradiol in trans women is not associated with venous thromboembolic events. An individual woman’s risk would need to be substantial in order to contraindicate the use of oral estradiol.

For those who have significant risk of venous thromboembolism because they have had a previous thromboembolic event, because they are paralyzed, or because of some other factor it is good to know the relative risk between oral and transdermal estrogen. The latest research indicates that the use of transdermal estrogen lowers your risk of a thromboembolism to 80% of what your risk would be using oral estrogens.

It’s difficult to find hard numbers regarding the relative risk of venous thromboembolic events with regards to hypertension. The best I could find after an hour or so of searching was this study regarding VTE in lung cancer patients. Hypertension increased the risk by a factor of 1.8.

However, to put that into perspective being of African descent increases your relative risk for deep vein thrombosis by a factor of 1.3 when compared to Europeans. Europeans are, themselves, at increased risk when compared to Asians and Pacific Islanders by a considerable margin: a four-fold increase.

I should point out that being ‘male’ is also a risk factor for developing a thromboembolism and hormones are likely to be a contributing factor. Also, menopause is another serious risk factor. Given this information it is likely that the use of transdermal estradiol will lower your risk of thromboembolic events significantly.

As far as the anti-androgen is concerned: The primary use for spironolactone for cisgender people is as an antihypertensive.

Even if the risk of thromboembolism was truly significant with modern hormone replacement therapy it wouldn’t justify what your doctor is doing to you. The fact is that mortality in the transgender community from suicide–caused in part due to the lack of access to hormone therapy–is substantial. The quality of life lost when a trans woman is denied hormone therapy is substantial. The fact that your doctor does not appear to be taking this into consideration when they weigh the risk of thromboembolism against not receiving necessary medical care is deeply concerning.

I strongly recommend that you seek a doctor who is more sensitive to your medical needs as a transgender woman.

Edit: Fixed a minor, but embarrassing, error.

What's your superpower? No rerolls!

http://powerlisting.wikia.com/wiki/Special:Random

wow. what a superpower.

HELICOPTER PROPULSION

TRUE FORM.

The power to assume one’s power, item, or their own body’s true form to obtain its true power. A variation ofPower Manifestation, Super Form, and Double-Edged Power. The opposite of Sealed Form.

Dance Combat…..isn’t that capoeira? I mean, that’s cool, but I don’t know if it’s a superpower exactly…

Habitable Anatomy. 

I don’t think I like this. 

Jade, you can use it to make your body habitable. No more chronic illnesses. No nothing. That would be awesome. (I got Meta-Concept Manipulation. Which… Could be amazing?)

Spirit Possession

Orbital debris manipulation.

Wow.

Um… ooops.

http://powerlisting.wikia.com/wiki/Almighty_Absorbing_Replication

I got Psiconics! @themetaisawesome @thefingerfuckingfemalefury @dr-archeville @pixiebutterandjelly @brookietf @ealperin

I got chain manipulation!

Vampire Physiology.

light mimicry

I am made of light wow

Aaaaaaaa I got Aerokinetic Surfing  I’m SO Into this. “User controls the air/wind in a way that increases their ability to move and/or maneuver either by granting them abilities they otherwise lack or allowing them to ignore normally needed equipment.“   http://powerlisting.wikia.com/wiki/Aerokinetic_Surfing

Superhuman Agility! yaaaaaa!

http://powerlisting.wikia.com/wiki/Supernatural_Agility