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A UTI becomes a prostate test for someone who never had one. A hospital wristband prints the wrong gender, and every interaction tilts from care to harm. With Kai Schweizer—researcher, educator, and trans advocate—we pull back the curtain on how systems ignore lived reality, why that costs lives, and what actually works when you put dignity first.

We move from personal stories to hard science. Kai explains how neuroimaging captures dysphoria in the brain, and why that matters when clinicians confuse it with body dysmorphia. We break down eating disorder treatments that help cis patients but retraumatise trans ones, and we talk frankly about why some teens starve to halt puberty when blockers are banned. This isn’t a culture war rant; it’s a clear-eyed look at outcomes, costs, and the biology of minority stress. Along the way, we explore co‑designed research, data literacy, and the nuance missing from public debates about prevalence and youth identity.

There’s hope here too. A receptionist who updates pronouns without fuss. A nurse who chooses the blue‑packaged pad. A clinician who asks, “What language do you want for your body?” Small choices stack into safety, especially while we push for policy reform, training that goes beyond tokenism, and healthcare that distinguishes dysphoria from dysmorphia. If you care about sex education, gender‑affirming care, neurodiversity, or just better medicine, this conversation gives you language, evidence, and practical steps.

Listen, share with someone who needs the science behind the headlines, and tell us the one change you want to see in healthcare. If the show moved you, subscribe, leave a review, and pass it on—your support keeps these vital conversations alive.

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