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fixing subject-verb agreement still at this point is humiliating
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@@ -2111,7 +2111,7 @@
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<h3 class="ltx_title ltx_title_subsection">
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<span class="ltx_tag ltx_tag_subsection">11.2 </span>Is it okay to use nicotine while on HRT?<a class="ltx_ref chain" href="#S11.SS2" onclick="copyURI(event)" title="Click to copy a link here"> 🔗</a></h3>
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<div class="ltx_para" id="S11.SS2.p1">
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<p class="ltx_p">This is related to the above question. <span class="ltx_text ltx_font_bold">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.</span> 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.</p>
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<p class="ltx_p">This is related to the above question. <span class="ltx_text ltx_font_bold">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.</span> 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.</p>
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</div>
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<div class="ltx_para" id="S11.SS2.p2">
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<p class="ltx_p">However, to be abundantly clear, <span class="ltx_text ltx_font_bold">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.</span> 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.</p>
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