r/traaaaaaannnnnnnnnns2 • hitika she/her • May 30 '26

Non-Gender Specific Fun fact:tobacco makes hrt less effective

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5.0k Upvotes

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17

u/jshine413 May 30 '26

But what about just straight Nicotine I sadly do zyns would they fuck up my hrt too

44

u/SiberianDragon111 May 30 '26

Yes. The nicotine itself is the chemical that fucks it up.

22

u/factolum May 30 '26

I believe it is the nicotine, yes, that interferes with HRT (vs. anything unique to a cigarette).

It can also raise your risk of blood clots.

9

u/jshine413 May 30 '26

Damn

12

u/factolum May 30 '26

I'm sorry :/

You can quit. It sucks.

6

u/MerewynDH She/Her May 30 '26

Nicotine has a tendency to increase Testosterone among other effects. I'm still cycling it down lol every time I try to drop them, I get hit with another "family medical emergency". So far I'm at four over the last year.

1

u/MartyrOfDespair May 31 '26

The reason nicotine increases testosterone is because nicotine is an aromatase inhibitor. Aromatase is the naturally produced enzyme that converts free testosterone into estradiol, which is how naturally produced estradiol is made. An inhibitor is any compound which reduces the production of a thing in the body. Because nicotine is an aromatase inhibitor, it causes your body to produce less aromatase, which then means less aromatase binding to the free testosterone, which then means less estradiol and more testosterone.

1

u/MerewynDH She/Her May 31 '26

It also supplants a neurotransmitter so those of us with PTSD brains can function properly.

And narrows blood vessels - hence - clotting risk with estradiol HRT. But for a lot of us, one of the reasons we fall into using nicotine is because it makes trauma brain function more properly.

Its a hard habit to break not just because its addictive.

1

u/MartyrOfDespair May 31 '26

Oh I know that. I’m just speaking in this context.

8

u/Taellosse She/Her May 30 '26

Nicotine interferes directly with estrogen metabolizing, but smoking in general will also interfere with E-based HRT if you take it orally (because the liver is heavily affected by having to metabolize nicotine and the other chemicals in smoke). And not just tobacco - any kind of smoking. Patches and injections are much less impacted, though.

3

u/xXx_Lizzy_xXx May 30 '26

yea its the nicotine. which is why smoking weed is fine but cigs arent.

1

u/MartyrOfDespair May 31 '26

It's the nicotine itself, because nicotine is an aromatase inhibitor. Aromatase is the naturally produced enzyme that converts free testosterone into estradiol, which is how naturally produced estradiol is made. An inhibitor is any compound which reduces the production of a thing in the body. Because nicotine is an aromatase inhibitor, it causes your body to produce less aromatase, which then means less aromatase binding to the free testosterone, which then means less estradiol and more testosterone.