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I have received numerous private comments from readers about this article. It can be very emotional when your child is not the person you thought they were and it does help to talk to someone who is further along the path than you may be. Baltimore, MD: For Jazz, her gender confirmation surgery is what she says is "the final step of transitioning. Further details may exist on the talk page.

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Transgender men and transgender women should have a lipid profile check annually. All transgender patients should be screened for depression e. ABC News. The best thing to do if you are worried is practice, according to Mangin.

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A bone scan is obtained at the beginning of treatment if patients are at risk of osteoporosis or not achieving adequate levels, otherwise the bone scan screening starts at age

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