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(1) In 2014, China's manufacturing end emissions were 1824.38 kilotons greater thFrance (103.21 kilotons).Improving transgender individuals's quality of life (QoL) is the most important goal of gender-affirming care. Potential changes in affect can affect QoL. We try to measure the impact of starting gender-affirming hormone treatment (HT) on affect. Within the European Network when it comes to Investigation of Gender Incongruence (ENIGI) research, we prospectively built-up i