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- Figure 1. UK locations of specialist gender identity clinics.
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Trans women Trans men • Breast development takes 2 years • Beard and body hair growth • Decreased hair loss • Male pattern baldness • Reduced muscle bulk • Enlarged clitoris • Erection/orgasm harder to achieve • Heightened libido • Weight gain • Acne • Reproductive implications, such as infertility • Sleep apnoea • Weight gain • Reproductive implications, such as infertility Medications for trans women Medications for trans men Self-medication Thrombosis Polycythaemia Non-genuine or inactive product Gallstones Hyperlipidaemia Contaminated/harmful preparation Elevated liver enzymes Cardiovascular disease May have contraindications Hypertriglyceridemia Hypertension Inadequate monitoring, such as liver fuction tests Hyperprolactinaemia Type 2 diabetes Over- or underdosing Type 2 diabetes
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The transgender patient in primary care: practical advice for a 10-minute consultation
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