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It will need special cleaning procedures

The intention is to inconvenience smokers in lots of small ways in the hope they will eventually give up

Cornelius says

Smoking can reduce the effects of GAHT Health risks increase when combined with hormones Trans people smoke at higher rates due to social stress, discrimination, and targeted marketing Nicotine replacement therapy can make quitting easier and safer (available online at Plume Clinic) While GAHT can be a transformative and affirming process, its important to recognize how certain factors, such as smoking, can influence its effectiveness and overall safety

In males, the pathways that regulate liver scarring were affected, whereas in females glucose metabolism was more affected