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Being both fat and transgender creates a unique intersection of marginalized identities.

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Gender-affirming hormone therapy (GAHT) significantly alters body composition. In transfeminine individuals, estrogen therapy typically leads to: Being both fat and transgender creates a unique

: Lean mass and muscle strength often decrease, though they may remain higher than those of cisgender women for several years. fat shemale

: Fat tends to redistribute to "feminine" areas like the hips, thighs, and buttocks.