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Notes 4 Supplemental results yield similar patterns when the 1, genderqueer and other respondents who do not identify as transgender are included in the analyses available upon request. MTF hormone therapy may include estrogen and androgen-reducing medications anti-androgens. After May , Medicare Advantage plans revised their coverage policies, stating that they will cover reasonable and medically necessary services for gender reassignment surgery and that coverage determinations need to be made on a case-by-case basis. National Center for Biotechnology Information , U. The coding form also had space for new themes that emerged from the data. A number of other limitations should also be noted.
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