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Five studies investigated QoL at post-GAGS; four studies found that transgender people at this stage still report lower QoL than the general population [ 43 , 66 , 68 ] whilst two studies suggested transgender people to display similar QoL to the general population [ 20 , 73 ]. While most of the literature suggests that transgender people have lower QoL compared to the general population [ 17 ], which increases once on CHT or post-GAGS [ 28 , 40 , 41 ], other studies have not replicated such findings [ 42 , 43 ].

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