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Consistent prevention-centered practices are further complicated by wide regional variability in state-mandated insurance coverage of medical and surgical treatments for gender dysphoria in the United States, which may disincentivize providers from offering such services. Conversations between providers and transgender patients about the long-term risk of breast cancer are often incomplete due to the lack of robust scientific data to address this question. Although very few studies to date have polled practicing clinicians, surveys of medical students and residents suggest that there is a subjective deficiency in how doctors are educated in appropriate HRT-GD prescribing practices (83,84). More recent studies addressing barriers to healthcare access suggest that there is a shortage of providers who are knowledgeable on transgender health needs such as HRT-GD (81,82). 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