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Retrieved from " https: The important is to keep the electrolyte balance between sodium and potassium in the body fluids. December 17, In addition, diabetes is a significant risk factor for cardiovascular disease and may have an important role in raising the risk of cardiovascular morbidity in trans women on estrogen, as this comorbidity has been found to be prevalent among the transgender population Featured May 16th, 0. Despite these metabolic changes, and negative impact on potential risk factors for cardiovascular disease, no studies have found an increase in the occurrence of cardiovascular events such as myocardial infarction, deep vein thrombosis, and cerebrovascular events 1629 My endo treats trans patients with a history of blood clots and is very experienced in this area.

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In reality some patients may respond favorably to progestogens while others may find negative effects on mood.

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Center of Excellence for Transgender Health

The process should include an individualized discussion of the risks, benefits, unknowns, alternatives, and risk of no treatment. J Sex Med ; 9: Migraines have a clear hormonal component and may be exacerbated by estrogen therapy. This page was last edited on 9 Januaryat Obtain baseline bone mineral density if a patient is at risk for osteoporosis; routine screening after age 60, or earlier if sex hormone levels consistently low.

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Lteif AN expert opinion. Testosterone also has an important role in increasing muscle mass, which further helps with bone health preservation. Davis 28 May Brittain 26 November Ethical concerns have been raised regarding the methods of production of equine estrogens. Since the mean age of menopause in the U.

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