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: Many transgender individuals avoid medical care due to fear of discrimination or having to "teach" their doctors about trans-inclusive care [6, 22].

: Many individuals live at the intersection of multiple identities. For instance, transgender people of color often face compounded hardships , including higher rates of homelessness and poverty [7, 30]. Ongoing Challenges and Disparities extrem shemale free

: This umbrella includes people who identify as male, female, nonbinary , or gender-fluid [8, 37]. : Many transgender individuals avoid medical care due

: Using an individual's chosen name and pronouns [4]. or gender-fluid [8