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This article has greatly boosted my confidence, even though I am still a little scared of coming out to my parents. Deutsch MB, ed. Therefore we need further research about biological and psychological reasons and consequences like long-term effects of hormone therapy of transsexualism in the future. Most of our participants reported on an early age of onset, regardless of being FtM or MtF. The jaw bone may be shaved down to become more feminine appearing.

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The same applies to cisgender women who either identify as a lesbian, or sometimes even bisexual.

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Foucault M Come out to your support system. Depending on the patient's age, providers may want to aim for testosterone levels that correspond to Tanner stages as doses are escalated. Additional challenges arise when parents have discordant opinions about their TGNC child, or if a youth is in the custody of the courts.

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For those with implants, blood levels assessing efficacy should be obtained 8 weeks after the implant is placed.

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