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: Transgender women on GAHT already face a higher incidence of venous thromboembolism, ischemic stroke, and myocardial infarction compared to cisgender peers; smoking further exacerbates these cardiovascular risks .

Research indicates that transgender and gender-expansive (TGE) adults are significantly more likely to smoke than cisgender individuals. hot shemale smoking

: Tobacco use can interfere with estrogen therapy. It is known to potentially lower the effectiveness of oral estrogen and significantly increase the risk of dangerous blood clots. : Transgender women on GAHT already face a

Smoking poses unique health risks for transgender women, particularly those undergoing . particularly those undergoing .