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Letters Gender dysphoria

Author’s reply to Hawkins

BMJ 2017; 358 doi: (Published 12 September 2017) Cite this as: BMJ 2017;358:j4168
  1. James Barrett, lead clinician
  1. Charing Cross Gender Identity Clinic, London, UK
  1. JBarrett2{at}

In answer to Hawkins,12 long term treatment of people assigned male at birth with oestrogens at a dose sufficient to give typically premenopausal oestrogen concentrations slightly raises their risk of thromboembolic disease. It changes from the risk …

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