1. Carl G. Streed Jr is with the Department of Medicine, Center for Transgender Medicine and Surgery and the Section of General Internal Medicine, Boston University School of Medicine, Boston, MA. Chris Grasso, Sari L. Reisner, and Kenneth H. Mayer are with the Fenway Institute, Boston, MA. Sari L. Reisner is also with the Department of Medicine, Brigham and Women’s Hospital, Boston, MA. Kenneth H. Mayer is also with the Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA.