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Some studies suggest that for some transgender, non-binary, and gender non-conforming (TGNC) youth, smoking—particularly cannabis—is used to access moments of gender euphoria and affirmation, helping them feel more perceptive to their gender identity.

Research indicates that a high percentage (85.7%) of trans women who are smokers or ex-smokers reported that the pitch of their voice was too low, suggesting a negative impact on vocal self-perception. smoken how shemales

Nicotine is known to interfere with the function of hormones, potentially reducing the effects of female puberty and feminization. Some studies suggest that for some transgender, non-binary,

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

Some trans women may feel pressured to act in specific ways, and smoking can sometimes be a part of those social, sometimes high-stress, environments.