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: Transgender women on GAHT already face a higher incidence of venous thromboembolism, ischemic stroke, and myocardial infarction compared to cisgender peers; smoking further exacerbates these cardiovascular risks .

: Approximately 36% of TGE adults smoke cigarettes, compared to 21% of heterosexual cisgender adults. hot shemale smoking

Overview of feminizing hormone therapy - UCSF Transgender Care : Transgender women on GAHT already face a

Research indicates that transgender and gender-expansive (TGE) adults are significantly more likely to smoke than cisgender individuals. : Some individuals use smoking as a way

: Some individuals use smoking as a way to affirm gender identity—for instance, viewing it as a "masculine" or "rebellious" trait. Conversely, stressors like internalized transphobia and targeted advertising by the tobacco industry contribute to higher rates.

: Eroticized portrayals of smoking, often referred to as a smoking fetish , are prevalent in online media, frequently featuring "sexy" and young subjects. Medical Risks for Transgender Women