Alkaline phosphatase, hemoglobin and hematocrit, and creatinine may vary depending on the patient's current sex hormone configuration. Several factors contribute to these differences, bone mass, muscle mass, number of myocytes, presence or lack of menstruation, and erythropoetic effect of testosterone. Many transgender men do not menstruate, and those with male-range testosterone levels will experience an erythropoetic effect. As such an amenorrheic transgender man taking testosterone, registered as female and with hemoglobin/hematocrit in the range between the male and female lower limits of normal, may be considered to have anemia, even though the lab report may not indicate so. Conversely, the lack of menstruation, and presence of exogenous testosterone make it reasonable to use the male-range upper limit of normal for hemoglobin/hematocrit. Using the male-range upper limit of normal for alkaline phosphatase and creatinine may also be appropriate for transgender men due to increased bone and muscle mass, respectively. In these cases the provider should reference the male normal ranges for their lab.
More top male graduates are being encouraged to follow suit and take advantage of the great opportunities a primary teaching career provides. The same pay scales apply to all teachers, regardless of whether they teach primary or secondary, and career progression opportunities are excellent. Teachers are twice as likely to be in management positions, than graduates in comparable professions after years. The average starting salary for teachers now stands at £23,010 and the current average after 4 years is 30 per cent higher. Training bursaries of £5000 are available for those with a 2:1 degree applying to primary teaching, and £9000 for those with a First.