InclusionNotRevolution

Sudden gender dysphoria is trending in teens & young adults, is complicated, and deserves a nuanced approach. Modern medical scandal. Invested in my #ROGD teen.

[InclusionNotRevolution @TakeLuckSerious]

@tarahaelle @Dr_ScottK @docamitay Catch 22. People want data to prove #ROGD, but data can't be collected. Why? Scientific inquiry is thwarted b/c of politics. Let it have it's day in the sun. Throw stones at it and see if it holds up. Allow distinction.

https://t.co/VHSvVMkrXU

https://t.co/JyxH9hZw2y

[Josh or whatever. @SerioJoshehe]

Does anyone know who this absolute babe is?

I’ve seen this video before and then forgot about it. If she’s on here I want to follow her.

[Greg Lukianoff @glukianoff]

We ran ourselves ragged this year for free speech. I paid for it in some ways, including getting sick after months of nonstop travel and missing my dad’s 100th birthday.

But as painful as it was, it was worth it, because this work matters.

[J.K. Rowling @jk_rowling]

@DannyWxo Gender identity ideology is the reason basic, hard won rights are being stripped from women and girls. This issue will only be definitively settled by society either accepting or repudiating the notion that men/boys become girls/women if they say they are.

[Afshine Emrani MD FACC @afshineemrani]

I'm a cardiologist. A 42-year-old mother of two came to my office complaining of jaw pain and crushing fatigue. She ran half-marathons. Her EKG was normal. Another doctor had sent her home with anxiety medication.
When I got her into the cath lab, I found severe microvascular disease — plaque choking the tiniest vessels of her heart, the ones standard angiograms routinely miss.
Her heart had been starving in silence while everyone told her she was stressed.
She is alive today. Too many women like her are not.
Heart disease kills more women than every cancer combined. And medicine is still diagnosing it through a male lens.
84% of cardiologists report having patients in the past year whose heart disease was misdiagnosed by another physician. Women with a STEMI heart attack have a 59% greater chance of being misdiagnosed compared to men. Women with an NSTEMI — 41% greater chance.
The reason is structural. For decades, we screened, tested, and treated women using a template built for men.
Men's heart attacks announce themselves — the crushing chest pain, the clutched fist, the Hollywood collapse. Women's hearts whisper. Crushing fatigue that feels like wearing a lead vest. Jaw pain written off as TMJ. Nausea blamed on a stomach bug. An ache between the shoulder blades blamed on a long week. Shortness of breath blamed on being out of shape.
For years, medicine called these "atypical" symptoms. They are not atypical. They are female-typical. Half of humanity is not a variant.
And the biology runs deeper than symptoms.
Women have smaller hearts and narrower coronary arteries. Plaque doesn't only clog the big highway vessels — it hides in the microvasculature, the tiny branches feeding the heart muscle itself. A woman can have a heart attack with a completely "clean" standard angiogram.
SCAD — spontaneous coronary artery dissection — occurs 90% of the time in women. Often young, fit women with zero traditional risk factors. It's the leading cause of heart attack in women under 50, accounting for roughly one quarter of all cases in that age group. Most doctors have never diagnosed one.
And some of the most dangerous cardiac risk factors are hidden in women's medical histories where no one thinks to look:
Preeclampsia or gestational hypertension doubles to quadruples lifetime heart disease and stroke risk. Pregnancy is the body's first cardiac stress test — and these complications are early warning sirens, not closed chapters.
Autoimmune disease — lupus, rheumatoid arthritis, psoriasis — far more common in women, turbocharges inflammation and plaque formation at any age.
Cardiovascular disease in women aged 20-44 is projected to surge nearly 50% by 2050.
The youngest patients in my practice keep getting younger.
What every woman should ask her doctor — and what every doctor should be asking:
"Given my pregnancy history, autoimmune status, and family history — what is my full cardiovascular risk?" If they don't ask about preeclampsia or gestational diabetes, volunteer it.
"Should I have an Lp(a) test and a coronary calcium score?" Standard cholesterol panels miss too much. Lp(a) is genetic, one-time, and most women have never been tested.
"My tests came back normal but my symptoms haven't stopped — what's next?" Normal stress tests and angiograms can miss microvascular disease, spasm, and SCAD. Persistent symptoms warrant coronary CT angiography or cardiac MRI.
And if something feels wrong — say these exact words to your doctor: "I am concerned this could be my heart."
That single sentence changes the workup. Do not soften it. Do not apologize for it.
80% of heart disease is preventable. But the playbook has to be built for female biology.
Two decades ago, I wrote one of the first books warning that heart disease was the number one killer of women and that medicine was diagnosing it through a male lens. It was recognized by First Lady Laura Bush at the White House during the early years of the national conversation about women's heart health.
I'm haunted by how much of that book I could republish today unchanged.
The science has advanced. The awareness has grown. But the gap between what we know and what happens in the exam room is still costing women their lives.
Share this with every woman you love — and every doctor who treats them. READ MORE: https://t.co/4LRugiY8q2

[Gerald Posner @geraldposner]

Three years ago today, the Wall Street Journal published my piece, “The Truth About Puberty Blockers.” It drew on my reporting from PHARMA to document the serious, hidden adverse effects of drugs that gender activists falsely pushed as “harmless” and “reversible” for children.

For those who haven’t read it, here’s a paywall-free link via the Congressional Record, where it was entered shortly after publication:
https://t.co/OlPCr5U9YO

In the three years since, I’ve weathered the reflexive “transphobic” label from gender zealots. I’ve also built meaningful connections on X with colleagues who have been on the front lines for many years protecting children from the pediatric gender industry. The effort to roll back the ideological capture of America’s leading medical institutions remains on ongoing battle.

[InclusionNotRevolution @TakeLuckSerious]

https://t.co/aOUwZRy00R

[Steve Schmidt @SteveSchmidtSES]

“The story of this era isn’t merely that powerful men demand obedience. History is full of powerful men demanding obedience. The story of this era is whether enough Americans still possess the courage to refuse. Scott Pelley did.”

https://t.co/Z9Wlmg4gEc

[Cathy Young 🇺🇸🇺🇦🇮🇱 @CathyYoung63]

Since Bari Weiss's Week of Long Knives at 60 Minutes is in the news, going to re-up my @Quillette piece about her CBS tenure and the CECOT story from January

https://t.co/bwUHkHNXSG

[Chris Murphy 🟧 @ChrisMurphyCT]

Here's how the corruption works:

Thursday: RJ Reynolds donates $5M to Trump

Saturday: Trump invites RJR execs to Mar a Lago; execs ask to loosen regs on flavored vapes; Trump calls up RFK Jr. and tells him to change it

Friday: FDA changes the policy
https://t.co/Udu1RhYtKI

[Mike Levin @MikeLevin]

This New York Times piece is worth your time. Here’s what is happening, as simply as I can put it.

Back in January, Trump sued the IRS, an agency he controls, demanding $10 billion over the leak of his tax returns a number of years ago.

IRS lawyers did their jobs. They wrote a memo laying out the defenses that could beat the suit, including the fact that Trump filed too late. His own lawyer was in court when the leaker pleaded guilty in October 2023, more than two years before Trump sued.

The Justice Department never showed up to court. Never argued back. Never used the defenses sitting on their desk.

The judge got suspicious and ordered both sides to explain whether they were actually opposing each other or just colluding. The day before that brief was due, Trump dropped the suit.

Same day, his Justice Department announced a $1.776 billion taxpayer-funded “anti-weaponization fund.” 

Trump gets a formal apology. The IRS agrees to drop any audits of him and his family, even though a 2024 Times report found a loss in an ongoing audit could cost him over $100 million.

The acting Attorney General, Trump’s former criminal defense attorney, picks the five commissioners who decide who gets paid. Trump can fire any of them. Proud Boys and Oath Keepers are not ruled out.

This is the most corrupt thing I’ve ever seen from an American president.

Where in the hell are my Republican colleagues?

https://t.co/La0nlLuz1r

[Greg Lukianoff @glukianoff]

Larry Bushart spent 37 days in jail for posting a meme on Facebook.

I’ve been doing this work for 25 years, and I can honestly say this is the worst First Amendment case I’ve ever seen.

Not because Larry threatened anyone. He didn’t. Not because he committed violence. He didn’t. Not because this was a close call. It wasn’t.

He posted a political meme — the kind of thing millions of Americans do every day — and local officials decided to treat it like a crime.

And because they had badges, prosecutors, jail cells, and the terrifying machinery of the state behind them, they got away with it for 37 days.

Larry is a retired police officer and National Guard veteran. The meme he shared quoted Donald Trump’s “we have to get over it” comment after a 2024 Iowa school shooting. Whatever you think of Trump, the meme was plainly political commentary. Perry County officials knew what it referred to. They knew it wasn’t a threat against a Tennessee school.

They arrested him anyway.

In the middle of the night.

They set his bond at $2 million.

He lost his job. He missed family milestones. He sat in jail for more than a month before the charges finally collapsed — because, of course, there was no crime here.

Today, @theFIREorg secured a measure of justice: Perry County agreed to pay Larry Bushart $835,000 for violating his constitutional rights.

This case should scare the hell out of people across the political spectrum.

Because if the government can jail you for a meme by pretending not to understand obvious political commentary, your rights are only as secure as the good faith of the most authoritarian official in your town.

That is exactly why we have the First Amendment. Not for speech everyone likes. Not for opinions that flatter the powerful. Not for the bland, safe, committee-approved stuff.

It exists for moments when fear, outrage, politics, and authority all line up and say: “Surely this is the exception.”

No. It isn’t.

I’m incredibly proud of @theFIREorg’s legal team. And I’m even prouder of Larry Bushart for refusing to let the government get away with treating his constitutional rights like a suggestion.

But despite the correct verdict, I'll probably always get angry every time I think of this case.

Let’s make this the last time anyone in America is arrested — let alone thrown in jail — for a meme.

Celebrate your independence. Defend your First Amendment.

https://t.co/7ADQTxeHsL

[Greg Lukianoff @glukianoff]

SLAPP lawsuits are censorship by process.

The point is not always to win. Sometimes the point is to make criticizing a powerful person so expensive, exhausting, and frightening that others think twice before speaking.

I explain why strong anti-SLAPP laws matter on @cspanwj.

[Kim Shasby Jones @KimJonesICONS]

Dude - This is SO stupid.

Fist of all - there is no way to undo male development & male advantage. It’s permanent. But, more important even than that…

Women’s sports are not to give medically hobbled men a chance to play with women.

We don’t let short men play with boys.
We don’t let a man with his arm tied behind his back compete in the para categories.
We don’t let men who can’t make the men’s team play with women.

Women are not weak, unathletic, or cosmetically altered men.

It’s so freaking misogynistic.

[Greg Lukianoff @glukianoff]

Cancel culture did not happen because students suddenly got worse on their own. It took an unholy alliance between students ready to punish and administrators ready to enable them.

A key point from this conversation with @RIKKISCHLOTT on @freespeechtalk.

[Cuckturd @CattardSlim]

JD Vance is in Hungary trying to relelect a Russian backed dictator.

Don Jr is in Bosnia trying to help Russian backed leaders.

Jared Kushner is Israel's biggest cheerleader, & our Iran negotiator.

This is what Maga calls America First.

[Greg Lukianoff @glukianoff]

Caraballo proceeds, utterly predictably, to act out exactly the kind of behavior that created the chill. Anyone who disagrees, anyone who questions, is a transphobe, a right-wing conspiracist, or otherwise an evil un-person.

I know that still works on some people. But it doesn’t work on me. And it can’t continue to work on people who study issues the public cares about. Because if the public knows, and they surely do know, that experts are terrified of pissing off a political constituency, they will never trust them to be objective about any fact.

In fact, this very dynamic is one of the reasons we find it so hard to share common facts. I wrote a whole book about it with the great @RIKKISCHLOTT : https://t.co/WvRiz2Fxyp

[Greg Lukianoff @glukianoff]

In my career defending academic freedom and free speech, I never saw anything become as immediately radioactive as views that ran counter to the narrative on trans issues. Papers were retracted, compelled speech was treated as normal, and people were canceled for saying things that would have sounded like common sense just a few years earlier. It seemed to become a kind of secular blasphemy overnight. And usually, that is a sign that the true believers know, at some level, that they are on shaky ground.

@hoovlet

[Caitlin Flanagan @CaitlinPacific]

His work in cancer - which he did in concert with UCLA - has saved so many women’s lives around the world. The targeted therapy Herceptin changed the face of one of the most aggressive type of breast cancer. I’m alive because of it

https://t.co/a4LkFicbdb via @NYTimes

[InclusionNotRevolution @TakeLuckSerious]

@jessesingal Thank you, Jesse. For keeping on keeping on, shining a light.

[Jesse Singal @jessesingal]

I have a piece in The New York times about what it means to "trust the science" when it comes to the professional guidelines on youth gender medicine

https://t.co/8W1OCxBX5w