What about alcohol? Will that affect my gender-affirming care?

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• What if I smoke? Will that affect my access to gender-affirming care?

  Smoking isn’t good for you, we all know that, so our advice is always to stop smoking. However, whether you smoke or not isn't related to your ability to medically transition and have gender-affirming medication. That said, your risk of heart ...

• What if I have an eating disorder? Will that affect my care?

  It's sad that some trans people use food restrictions to try and mimic the changes associated with their natural puberty. If you have an eating disorder, our advise is to please seek help. Remember, to see the benefits of gender-affirming hormones ...

• What if I take drugs? Will that affect my treatment?

  We always advise against you taking recreational drugs. However, that would not stop us from being able to recommend gender-affirming medication for you. Read More: Lifestyle and Gender-Affirming Medication: Is It Safe to Start?

• Who will sign a Gender Marker Letter?

  Your Gender Marker Letter, which will be sent to you after your Gender Marker Letter Consultation Session, will be signed by the doctor who authorises the letter after the session ends. You can opt for an electronic signature from the authorising ...

• What blood tests will I need to have?

  If you're over 40, you should have a general health check periodically anyway, just to make sure things like your cholesterol and blood count are okay (but this is for everyone, not just because you are going through hormone therapy). The specific ...