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While LGBTQ culture as a whole has normalized PrEP (HIV prevention) and mental health support, the trans community requires gender-affirming care (hormone therapy, puberty blockers, and surgeries). Across the United States and parts of Europe, legislation is being passed to restrict this care for minors—and increasingly, for adults. Access to affirming healthcare is the single greatest predictor of mental well-being for trans youth. sites tube shemale work