The uncontrolled use of hormones poses significant health hazards, which have not been previously reported in the literature. Among these cases, two were taking androgens, and the rest were taking oestrogens. Overall, there is an urgent need for the implementation of different and innovative health care services for TGNC individuals as well as more targeted prevention strategies on such underreported and highly risky behaviours. A recent demographic study estimates that in the USA 0. TGNC people are individuals that do not identify or exclusively identify with the sex assigned to them at birth. Intersex individuals are people with a less common combination of hormones, chromosomes, and anatomy that are used to assign sex at birth.
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