This study will enroll female-to-male transgender youth who are and are not on a puberty blocker (gonadotropin-releasing hormone analogue) at baseline and 1 and 12 months after starting testosterone. The study will evaluate markers of cardiometabolic health including: insulin sensitivity, laboratory markers, vascular health, body composition, activity/fitness, mitochondrial function and the microbiome.
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Change in Insulin sensitivity
Timeframe: Baseline and 12 months after initiation of testosterone.
Change in Vascular Health
Timeframe: Baseline and 12 months after initiation of testosterone.