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: Understand that being transgender is about gender identity (one's internal sense of self), which is distinct from sex assigned at birth [33].

: Transgender individuals, particularly women of color, face higher rates of violence and trauma, which directly impacts their health outcomes [17, 20]. how is shemale

: Approximately 19% of transgender people report being refused care due to their identity [22], and many experience "gatekeeping" or misgendering in medical settings [15]. : Understand that being transgender is about gender