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Men and women, so different, so similar: Transgender women who retain their gonads but withdraw hormone therapy may experience return of virilization. These effects are gradual and might lessen if you stop taking hormones. While laboratory monitoring of hormone levels may seem complex, it is of similar difficulty to the monitoring of other similarly complex lab-monitored conditions managed by primary care providers, such as thyroid disorders, anticoagulation, or diabetes. Estrogen is the predominant sex hormone that slows bone loss, even in men.

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Monitor for virilizing and adverse effects every 3 months for the first year, then every 6—12 months.

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Cyproterone has been associated with uncommon episodes of fulminant hepatitis. Body fat: Mayo Clinic, Rochester, Minn. A Resource for the Transgender Community.

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