diff --git a/export/index.html b/export/index.html index 3a344ac..a4577e5 100644 --- a/export/index.html +++ b/export/index.html @@ -2111,7 +2111,7 @@
This is related to the above question. Nicotine usage on HRT, especially if you’re on pills, compounds your risk of a blood clot on top of all the other reasons that nicotine is not good. This extends to all forms of nicotine usage, but obviously smoking is by far the worst. You really do not want a blood clot. Even if you are not on pills, nicotine disrupts the way estrogen is metabolized and can lead to significantly reduced feminization effects. This aspect is understudied but community anecdotal reports are common. It’s not easy to quit, but I believe in you. There are good resources out there and strategies like tapering down by using patches really does work. You got this.
+This is related to the above question. Nicotine usage on HRT, especially if you’re on pills, compounds your risk of a blood clot on top of all the other reasons that nicotine is not good. This extends to all forms of nicotine usage, but obviously smoking is by far the worst. You really do not want a blood clot. Even if you are not on pills, nicotine disrupts the way estrogen is metabolized and can lead to significantly reduced feminization effects. This aspect is understudied but community anecdotal reports are common. It’s not easy to quit, but I believe in you. There are good resources out there and strategies like tapering down by using patches really do work. You got this.
However, to be abundantly clear, this does not mean that you cannot or should not take estrogen. The downsides of not taking estrogen at all far exceed the downsides of using nicotine. This section is simply seeking to make you aware of any increased risks and potentially slower transition as a very strong recommendation and encouragement to quit. One step at a time.
diff --git a/export/pghrt.pdf b/export/pghrt.pdf index 860a0eb..bb20e6a 100644 --- a/export/pghrt.pdf +++ b/export/pghrt.pdf @@ -9392,7 +9392,7 @@ endobj endobj 1531 0 obj << -/Length 2839 +/Length 2836 /Filter /FlateDecode >> stream @@ -9405,9 +9405,9 @@ h `1IzzL6z4A"tK8Nzs9 &h#K=<>7:@aȣ7zMaS֦teB*_uu Vgo-{h[I:~`WRI:!v)iA.fCaƮ77Lo0dڃ\,WM-J> S }/"( Ȩc ]Z%R@[ -2`X#8WQlm8l}BؕR*H*#z3fe\k#YVc# |9'am~[oU?(ZvN(