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For many trans people, accessing gender-affirming care (such as hormone replacement therapy or puberty blockers) is life-saving. Yet, this care is under constant political assault, framed as experimental or dangerous despite decades of endorsement by major medical associations. Simultaneously, many trans individuals face barriers to routine care due to provider ignorance or refusal.
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A trans woman (assigned male at birth, identifies as female) can be lesbian, gay, bisexual, straight, or asexual. Gender identity and sexual orientation are separate. For many trans people, accessing gender-affirming care (such
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