Ep 09: Long-Term Health Outcomes

Does gender-affirming hormone therapy affect the heart? How does a binder change breathing patterns? How do we risk-stratify trans patients? Join us as we take a closer look at how multiple organ systems are influenced by gender-affirming care and the broader health considerations for gender-diverse communities. Just a heads up, we get pretty deep into the medical weeds in this one.

Featuring: 

• Dr. Heather Cockwell (she/her)
• Meaghan Ray Peters (they/them) - @Chest_binding_support
• Dr. Arati Mokashi (she/her)
• Ken Mullock (he/him) - @ken.dietitian
• Jocelyn Adams (she/her) -  @gacpei

Time stamps:

• 01:25 - MI risk
• 03:21 - Estrogen & VTE
• 04:58 - Testosterone & inflammation
• 05:38 - Risk calculation
• 07:19 - EKG changes
• 08:17 - Smoking
• 09:08 - Binding & lung function
• 13:52 - Osteoporosis & fracture risk
• 16:55 - Bone mineral accrual
• 18:55 - Vitamin D
• 19:30 - Diabetes risk & management
• 21:00 - CBC interpretation
• 21:40 - Prolactin levels
• 22:02 - Chronic health & looking forward

Resources: 

• Acronyms used in this episode
• Meaghan Ray’s LinkTree: linktr.ee/chest_binding_support 
• Ken’s nutrition guide for gender-affirming surgery - https://tr.ee/lsreGuebBV 
• Gender-Affirming Care PEI - gacpei.ca
• The Queer & Trans Health Collective - Health & Nutrition 

Transcripts at linktr.ee/genderqueriespod 

Instagram: @genderqueriespod

Recording dates: Aug 2024 (Dr. Mokashi), Oct 2024 (Dr. Cockwell), Aug 2025 (Meaghan Ray), July 2025 (Ken), Aug 2025 (Jocelyn)