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Some individuals describe smoking as a way to feel more feminine or to embrace a particular aesthetic, such as holding a cigarette while wearing heels.

Cannabis is sometimes used as a "catalyst" for exploring feelings related to gender and sexuality. Health Considerations for Trans Women Smokers smoken how shemales

Nicotine is known to interfere with the function of hormones, potentially reducing the effects of female puberty and feminization. Some individuals describe smoking as a way to

Transgender individuals, including trans women, are reported to have higher rates of smoking compared to cisgender adults. including trans women