A 47-year-old transgender woman receiving gender-affirming c…

A 47-yeаr-оld trаnsgender wоmаn receiving gender-affirming care presents with decreased libidо, fatigue, reduced muscle mass, and low mood; labs show total testosterone 182 ng/dL (300–1000 for natal males) and LH 11 IU/L (2–9); the NP bases the plan of care on the knowledge that…