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By James Hale Feb. But when you're a nonbinary transgender persona lot of that lingerie can feel like it's not made for you. For those who need a primer, being nonbinary means I don't identify as either a man or a woman; instead, I identify as transmasculine, someone who was ased female at birth AFAB but who connects more with masculinity.


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OUT Health and Wellness Neither male nor female: Why some nonbinary people are 'microdosing' hormones The goal is to appear "somewhere in the middle" on the gender spectrum, one nonbinary Los Angeles resident said. Marisa Rivas, who identifies as nonbinary, is taking low-dose whast.

Last year, Rivas, 30, a college admissions coordinator in Los Angeles, had a mastectomy. The goal is an appearance that is not clearly male or female. Hormone microdosing is of growing interest to some nonbinary people like Rivas who want what masculinize or feminize their bodies in subtle ways.

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Related feature NBC Out presents Pride LGBTQ people who are making the community proud Nonbinary advocates are calling for a broader definition of medical transition whate more Americans identify outside the gender binary. And more than a third of almost 28, adult respondents to the U.

Transgender Survey, the largest survey devoted to the experiences of trans people, reported that they were nonbinary or genderqueer. But for those who want to move toward a more gender-neutral appearance, microdosing is an increasingly discussed option. Several YouTube videos describing the experience have received thousands of views.

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Do, who has been treating transgender patients sincesaid he starts all his patients on lower hormone dosages to give them time to adjust and to find a comfortable dose. Low doses have the same effects as higher ones, but it takes longer for those effects — bulky muscles and facial hair in the case of testosterone and increased body fat in the case of estrogen — to develop. The of a particular dose can vary greatly by person due to genetics, he said, and patients often ask to switch to higher or lower doses as they see changes to their bodies — or, in rare cases, may choose to stop taking hormones entirely.

For Rivas, the appeal is simple: a sense of control.

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Since then, attitudes about gender and sexuality have radically evolved. Over the aafab decade, some health professionals have shifted away from treating gender identity as a disorder and are focusing instead on dysphoria, which is the distress a person feels as a result of their gender not being recognized. This distress decreases or disappears for many people who take masculinizing or feminizing hormones, according to the American Psychiatric Association.

Microdosing hormones is just the latest evolution of this treatment.

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Leandro Mena, medical director of Open Arms Healthcare Center in Jackson, Mississippi, estimated that about of his transgender patients are nonbinary, a that has increased since he opened the clinic inthough the who take hormones, and dosages, vary. After having a mastectomy inRajunov watched a few YouTube videos made by people who were on low-dose testosterone, and decided to give aafb a try.

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Everything seemed to be happening too fast, Rajunov said. Afa switched to a new doctor in who helped Rajunov find a dose that worked — about a quarter of what would be considered standard.

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About a third of the people who write in have been interested in learning about microdosing and how to find knowledgeable health care providers, Rajunov said. When trans and afwb people who were ased male at birth begin to transition, they are usually prescribed hormone blockers to suppress natural testosterone levels.

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But not everyone is interested in taking blockers, and some may prefer to be on lower doses, to achieve a more nonbinary appearance. William CrookCourtesy of William Crook William Crook32, who is nonbinary and lives in Phoenix, takes a standard dose of estrogen pills daily but is not taking drugs to block natural testosterone production, which Crook feared would diminish sexual function.

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Crook, a bank employee, started estrogen in early March, and began noticing changes within a month. Crook is more confident now and has no whas for surgery.

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Alex Keuroghlian, director of the National LGBT Health Education Center, which educates health care organizations on how to care for lesbian, gay, bisexual, transgender and queer people. A nonbinary person who wants to go on hormones or have surgery may still be denied care because they do not present a desire to be clearly male or female, according to health professionals.

The U.

Transgender Survey found that 31 percent of nonbinary respondents had experienced an issue with their insurance coverage for hormone therapy in the year, compared to 24 percent of the general transgender population. Mere Abrams, 31, a d clinical social afan in Palm Desert, California, who identifies as transgender and nonbinary, underwent a mastectomy in and has been on low-dose testosterone since Abrams, who connects nonbinary people with health care providers through the website onlinegendercare.

Radix, a co-chair of the committee that is revising the guidelines, said the next version will contain a chapter on nonbinary dhats, but the specifics are still under review. For Rivas, the biggest obstacle in accessing care was the five weeks it took to get an appointment at the Los Angeles LGBT Center, because of a long wait list. Rivas was nervous before the appointment, but whqts doctor was familiar with microdosing and explained the possible risks and side effects, which put Rivas at ease.

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Rivas left the center with a small tube of testosterone ointment that can be rubbed directly into the skin. Rivas, who is currently a part-time student without insurance and between jobs, received the hormones at a discount through a program at the center. Candace Lopez and Marisa Rivas.

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