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Intramuscular dosing of testosterone weekly or bi-weekly with an escalating schedule that is similar; 25 mg IM every week for 8 weeks, then increase to 50 mg IM every week. Retrieved 23 December As a result, many transgender men are shorter, have some degree of feminine subcutaneous fat distribution, and often have broader hips than biologic males Andrologia ; While historically mental health professionals have been charged with authenticating the gender of their TGNC clients, this approach is rapidly falling out of favor, and is being replaced by a support model, rather than a gatekeeper model of accessing care. The number of transgender individuals seeking cross-sex hormone therapy has risen over the years 6.

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Stopping puberty, advocates argue, provides psychological relief to a transgender child; any hormonal changes are fully reversible — once the medication is stopped, puberty progresses as usual — so the medication simply provides an adolescent more time to explore their identity as well as any desire they may have for gender reassignment.

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These data come from studies examining children with congenital genitourinary anomalies who were assigned gender at birth 12as well as postmortem cadaveric studies 3. Curr Opin Endocrinol Diabetes Obes ; Special considerations Routine laboratory monitoring of patients on cross-sex hormone therapy can be challenging because results are often reported using gender-specific reference intervals, which are not all appropriate for transgender patients. In these cases, and most adolescent cases, it is important to have a multi-disciplinary approach to treatment and management, and parental support is imperative.

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Additionally, some compounding pharmacies suspend testosterone cypionate in sesame oil for a less expensive option.

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