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This observational study will evaluate the effect of puberty suppression on insulin sensitivity, metabolic rate and vascular health among transgender female youth at baseline and 6 months after initiation of a gondoatropin releasing hormone agonist compared to matched cisgender male controls.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Transgender females | Transgender females who plan to start a gonadotropin releasing hormone agonist clinically in the next 2 months | ||
| Cisgender males | Cisgender male controls |
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| Measure | Description | Time Frame |
|---|---|---|
| Change in insulin sensitivity | Insulin sensitivity assessed by the oral minimal model | Baseline, 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Change in body composition (fat mass, fat-free mass) | Body composition measured by DXA | Baseline, 6 months |
| Change in resting metabolic rate | Resting metabolic rate assessed by indirect calorimetry |
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Inclusion Criteria:
Exclusion Criteria:
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Transgender females, cisgender males
15 transgender females (male sex assigned at birth, female gender identity) and 15 cisgender males
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Natalie J Nokoff, MD, MSCS | Contact | 720-777-6128 | natalie.nokoff@childrenscolorado.org |
| Name | Affiliation | Role |
|---|---|---|
| Natalie J Nokoff, MD, MSCS | University of Colorado, Denver | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Colorado Anschutz Medical Campus | Recruiting | Aurora | Colorado | 80045 | United States |
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| ID | Term |
|---|---|
| D014189 | Transsexualism |
| D007333 | Insulin Resistance |
| ID | Term |
|---|---|
| D019529 | Sexuality |
| D012725 | Sexual Behavior |
| D001519 | Behavior |
| D006946 | Hyperinsulinism |
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Blood
| Baseline, 6 months |
| Change in endothelial function | Endothelial function assessed by brachial artery flow mediated dilation | Baseline, 6 months |
| Change in large elastic artery stiffness | Large elastic assessed by carotid ultrasound | Baseline, 6 months |
| Change in cerebrovascular function | Middle cerebral artery blood flow assessed using bilateral transcranial Doppler | Baseline, 6 months |
| D044882 |
| Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |