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Oxford University Press; The risk is higher with oral estrogens particularly ethinylestradiol and conjugated estrogens than with injectable, transdermal, implantable, and nasal formulations. Medroxyprogesterone acetate , in particular, has been shown to cause depression in certain individuals, [60] [61] [62] [63] [64] perhaps by affecting dopamine levels. Galafold Galafold migalastat is an alpha-galactosidase A alpha-Gal A pharmacological chaperone Eight states and the District of Columbia now offer transgender health care under Medicaid, and 15 states and the District of Columbia require private insurance companies to cover transgender health care, according to the Transgender Legal Defense and Education Fund. Williams Textbook of Endocrinology. In adolescents of either sex with relevant indicators, GnRH analogues such as goserelin acetate can be used to stop undesired pubertal changes for a period without inducing any changes toward the sex with which the patient currently identifies. In addition, certain other progestogens, such as cyproterone acetate, megestrol acetate, drospirenone , and nomegestrol acetate , bind to and block the activation of the androgen receptor.
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