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finally expanded 11-25 because i accidentally started a public health educational campaign project so i guess i should
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pghrt.tex
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pghrt.tex
@@ -423,7 +423,7 @@ No. There is no way to tell what type of estrogen someone is taking based solely
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\section{TECHNIQUE AND SUPPLIES} \label{ts}
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\section{TECHNIQUE AND SUPPLIES}\label{ts}
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\subsection*{Sites \& Safety}
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\addcontentsline{toc}{subsection}{\textemdash{} Sites \& Safety}
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@@ -1059,9 +1059,11 @@ It can, however, directly change your eye prescription. That can definitely happ
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Similar to being dissociated as with above, HRT often incurs a lot more openness and acceptance with yourself which can cause a shift in how your sexuality presents itself. It is largely a semantics argument as to whether that is chemical or behavioral. A matter of perspective.
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\subsection{Should I be on PrEP?}
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\subsection{Should I be on PrEP?}\label{11-25}
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\textbf{Yes.}
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\textbf{Yes.} \href{https://en.wikipedia.org/wiki/Pre-exposure_prophylaxis_for_HIV_prevention}{\textit{Pre-exposure prophylaxis for HIV prevention} (PrEP)} is a category of antiviral drugs for the purpose of preventing HIV/AIDS. This is not directly related to HRT, but it is common for trans women to be at elevated risk of HIV/AIDs. Given the history of the AIDS pandemic, PrEP is a miracle of modern medicine that should interest you. \textbf{Note: There is no effect of any PrEP drug on HRT so you are encouraged to be on PrEP.}
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If you are sexually active, you should strongly consider being on PrEP. Even if you are not sexually active, trans women are at a significantly higher risk of sexual violence, so you should still strongly consider being on PrEP. In most places you are likely to be prescribed \textit{Truvada} as a once-daily pill, although if you experience nausea as a side effect you can likely swap to \textit{Descovy} with no change in effectiveness. In the US, insurance commonly does not cover \textit{Descovy} unless you have tried or say you have tried \textit{Truvada}. The novel drug \textit{lenacapavir} as a twice-yearly injection is expected to make PrEP significantly easier as access becomes more widely available, if current options are prohibitive for you.
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\subsection*{Medical Malpractice}
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\addcontentsline{toc}{subsection}{\textemdash{} Medical Malpractice}
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@@ -1340,4 +1342,6 @@ Shout out to my IB Chemistry HL teacher many years ago who quite reasonably doub
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\noindent 2025-10-11: Added an external link to Question \ref{11-20}. 19.6k words.
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\noindent 2025-10-14: Reduced the pithiness and expanded the usefulness of Question \ref{11-25} per repeat request because I \textit{guess} there is public health utility to doing so. 19.8k words.
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\end{document}
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