: Tobacco use can interfere with estrogen therapy. It is known to potentially lower the effectiveness of oral estrogen and significantly increase the risk of dangerous blood clots.
: 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. hot shemale smoking
: Like all smokers, transgender individuals face increased risks of various cancers (lung, mouth, throat), respiratory diseases, and heart disease. Support and Resources : Tobacco use can interfere with estrogen therapy