: 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 .
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Research indicates that transgender and gender-expansive (TGE) adults are significantly more likely to smoke than cisgender individuals. : Transgender women on GAHT already face a
: 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. It is known to potentially lower the effectiveness
: Eroticized portrayals of smoking, often referred to as a smoking fetish , are prevalent in online media, frequently featuring "sexy" and young subjects. Medical Risks for Transgender Women
: Approximately 36% of TGE adults smoke cigarettes, compared to 21% of heterosexual cisgender adults.