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Smoking poses unique health risks for transgender women, particularly those undergoing .

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: Some individuals use smoking as a way to affirm gender identity—for instance, viewing it as a "masculine" or "rebellious" trait. Conversely, stressors like internalized transphobia and targeted advertising by the tobacco industry contribute to higher rates. Smoking poses unique health risks for transgender women,

Research indicates that transgender and gender-expansive (TGE) adults are significantly more likely to smoke than cisgender individuals. hot shemale smoking

: 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 .