05 May Healthcare Resources and HRT for the Transgender Community in New Mexico, NYC and New York
Hi Everyone,
You know that we want you to be healthy and safe. To help you with your health care journey we are creating a list, by state of health care organizations that serve the transgender, nonbinary, gender queer and non-conforming community. While we are creating this site for you, we are also doing this weekly post on health care. While it’s nice to have a list, in these posts we can also give you a few details on what each of the organizations we post actually do. We’ll just go through the states alphabetically, unless you send us a note and request a particular state and we’ll move requests to the top of the list.
Today we are covering New Mexico and New York (divided into resources in NYC and New York State).
Many resources are, to their credit, creating comfortable places for routine and proactive health maintenance as well as interventionary health care. We will try to highlight what is offered in each case.
If you still can’t find the health care you need, drop us a note on FB (B.UR.SLF LLC), instagram/ twitter @burslfllc or email burslfllc@gmail.com and we will see what we can do to help.
This week we are listing resources for New Mexico and New York.
New Mexico
University of New Mexico (UNM) Truman Health Services and Community Health Services (Wesbsite – Hormone Concerns for Transgender Patients FB – UMN Health Services, IG – @umnhsc)
UNM Health is a recognized LGBTQ Health Care leader that offers Core gender-affirming HRT, primay care, sexual and reproductive care, including routine screenings for cancers, contraception, family planning, STI/HIV and infectious disease testing, treatment and prevention including PrEP, sexual health and cancer screenings and many other services available to the LGBTQ community.
Payment Options: UMN Health accepts insurance plans and has financial assistance for those in need.
Truman Health Services is located in Albequerque and UMN Health has clinic locations across New Mexico and telehealth.
Call the provider for age limitations on services.
University of New Mexico (UMN) Student Health & Counseling (SHAC) (Website – SHAC, FB – UNM Student Health & Counseling IG – uofnm)
SHAC @ UNM provides gender-confirmining HRT, sexual health incluing STI testing and treatment, HIV prevention including PrEP and PEP. cancer screenings, contraception and emergency contraception.
Payment Options: UMN accepts many insurance plans (not medicare) and also has offers Student Health Insurance Plan. There is no obvious financial aid for medical services.
UMN SHAC is on the the UMN campus in Albequerque.
SHAC serves students at the University of New Mexico.
VA Health Care for LGBTQ Veterans in New Mexixo has (1) organization (Websites – New Mexico VA Health Care System FB – U.S. Dept. of Veteran Affairs, IG – @VeteranAffairs)
According to the U.S. Dept. of Veteran Affairs, Patient Care Services for LGBT veterans includes the following (and other) services – hormone treatment, treatment and prevention of STIs/PrEP, cancer screening, prevention and treatment. If there are questions reach out to the LGBT Veteran Care Coordinator (VCC) at the site.
Payment Options: VA Health Care is offered free of charge to veterans. Veterans may have some copays.
New Mexico VA Health Care System has (1) medical center, Raymond G. Murphy Department of Veterans Affairs Medical Center, in Albequerque and (13) associated clinics with (12) in New Mexico at Almogordo, Artesia, Espanola, Farmington, Gallup, Las Vegas,Rio Rancho, Raton, Santa Fe, Silver City, Taos and Truth or Consequences and (1) in Colorado at Durango.
LGBT Veteran Care is for U.S. veterans.
New York
Resources in or Near New York City
Mount Sinai has several resources for transgender individuals and these are listed below. Thefirst resource is for children and adolescents and the second set of resources is for adults. All of the Mount Sinai resources have the same FB – The Mount Sinai Hospital and IG – @mountsinainyc.
Mount Sinai Resource 1: Adolescent Health Services (Website – LGBTQ Support/ Transgender Health Services)
Mount Sinai Adolescent Health Center offers all young people, regardless of sexual expression or gender identity, access to high quality, comprehensive medical and mental health care with sensitivity and compassion and in a confidential setting. Services include evaluation and prescriptions for hormone therapy, primary care, sexual health care including comprehensive STI evaluation and treatment, routine HIV testing and counseling and many other services.
Mount Sinai Resourc 2: (Websites – Gender Affirmation Services , Union Square Transgender Medicine and The Center for Transgender and Medicine and Surgery – CTMS).
All the sites listed in resource two are affiliated with The Mount Sinai Center for Transgender Medicine and Surgery (CTMS). CTMS resources take a team approach to caring for trans and gender non-conforming people. Sevices include hormone therapy, primary care, gender confirmation surgery, gynecology, and urology.
Paryment Options: In addition to accepting many insurance plans, Mount Sinai also has financial assistance programs.
Mount Sinai has several locations around New York city, call one of the resources above to find the resource closest to you.
Mount Sinai has services for children, adolescents (resource 1) and adults (resource set 2).
Columbia Doctors (Website – Columbia Gender Identity Program, FB – Columbia Doctors, IG – #columbiadoctors)
The Columbia Gender Identity program provides gender-confirming HRT, medication management and gender-confirming surgery. Columbia Doctors provides primarily behavioral and mental health, but partner with Columbia University Irving Medical Center to provide HRT and surgery and other medical services
Payment Options: not obvious, call the provider for options.
There are (5) locations in NYC along with telehealth.
The Columbia Gender Identity Program serves children, adolescents and adults. Call the provider for age limitations on services.
Callen-Lorde Community Health Center (Website – Transgender Health, Health Outreach to Teens (HOTT), and Callen-Lorde HOTT medical mobile unit FB – Callen-Lorde Community Health Center, IG – @callenlorde)
Callen-Lorde has many services available in its Transgender Health program including hormone therapy, primary care, chest/breast health, pelvic wellness/PAP, STI/HIV/AIDS ccreenings, testing, prevention and treatment including PrEP and PEP. In addition to services for adults at Callen-Lorde Community Health Center, Callen-Lorde has two resources for youth only ages 13-24. The youth-only medical suite at Callen-Lordeis, the Health Outreach to Teens (HOTT), and the youth-only mobile unit, the Callen-Lorde HOTT medical mobile unit. Callen-Lorde has lots of other great stuff on their site, including a comic from illustrator Ketch Wehr to show how cis people can be allies to non-binary and trans people, pamphlets on safer binding and tucking, a guide to changing your voice, a list of surgeons who do gender confirmation surgery, a list of NYC-metro area list of community resources for transgender and non-binary people, and a pronouns matter video
Payment Options: Callen-Lorde provides all healthcare services regardless of ability to pay. For uninsured/underinsured patients, Callen-Lorde provides a sliding fee based on your income. Visit co-pays can range from $0 to $100
Callen-Lorde Community Health Care Centers are in mid-town Mahattan and the Bronx; use this link to find locations.
Callen-Lorde Community Health Center has a services for youth 13-24 at a youth only suite Health Outreadt to Teens HOTT at Callen-Lorde and also a for youth only HOTT mobile unit. Adult services are available at the Callen-Lorde Community Centers at locations above.
NYC Health and Hospitals (Websites – LGBTQ Health Care Services and Five Pride Centers Dedicated to LGBTQ Health Care The Pride Health Center at Bellevue The Pride Health Center, Gotham Health at Gouverneur, The Pride Health Center at Gotham Health at Judson, The Pride Health Center at Metropolitan, The Pride Health Center at Woodhull, as well as the LGBTQ Health Services Brochure, FB – NYC Health and Hospitals, IG – @NYCHealthCenter)
NYC Health and Hospitals has many resources for the transgender and non-binary person including the five Pride Health Care Centers dedicated to the health of LGBTQ people listed above. Services include hormone therapy (at select locations), primary care, gynecological care, HIV screenings and treatment,confidential sexual health care inlcuding for adolescents. NYC Health also offers this great Brochure on Health Tips for Trans Men and People of Trans Masculine Experience.
Payment Options: Insurance plans are accepted including a low/no cost insurance plan, Metro Plus for children, adults and families, offered by NYC. NYC Health and Hospitals offers financial counseling and assistance, click the following link for information on Metro Plus, isurance coverage accepted and finanacial help.
NYC Health has many locations and these are listed in the LGBTQ Health Servies Brochure.
Age limitations for services may vary, contact the site for further information on age limitations on services.
NYU has several resources for Adults, Children & Adolescents, and Students including (1) NYU Langone Health, (2) Hassenfeld Children’s Hospital at NYU Langone and and (3) NYU Student Health Care Services (Websites – (1) Transgender Surgery Services at NYU Langone, (2) Gender and Sexuality Services,and (3) Trans/ Non-Binary/ Gender Non-Conforming Health and Wellness FB – NYU Langone Health, Hassenfeld Children’s Hospital at NYU Langone, and NYU Student Health Center, IG – @nyulangonehealth, @hassenfeldchildrenshospital, and @nyuniversity)
The Transgender Surgery Services site points to the all of the resources for gender confrimation surgery services, but also identifies resources at NYU Langone for hormone therapy, adolescent medicine, voice surgery and therapy, sexual health and other services. Surgery services include masculinization procedures – top surgery, metoidioplasty, phalloplasy, and body contouring and feminization procedures inlcuding – breast augmentation, facial feminization, orchiectomy, tracheal shave, and vaginoplasty.
The Gender and Sexuality Services at Hassenfeld Children’s Hospital will evaluate children and adolescents for mental health concerns and develop a treatment plan, if required, for gender-affirming medical interventions, including puberty suppression, hormone therapy, and gender-affirming surgery.
NYU Student Health has the Trans/ Non-Binary/ Gender Non-Conforming Health and Wellness program. This program inlcudes hormone therapy, gender affirming surgery primary care, testicular health, pelvice health, and voice modification
Payment Options: Insurance plans are accepted. NYU Student Health insurance covers gender confirmaiton surgery, hormone therapy and other services. Transgender Surgery Services works with the The Out Foundation which funds gender confirmation surgeries and other gender confrimation medical services.
NYU Lagone Health has a main campus inthe Murray Hill neighborhood of Manhattan.
Hassenfeld Children’s Hospital has several locations where patients are seen. Call ahead to find out if the location you chose provides the services you need.
Trans Health and Wellness is available at NYU Student Health Center, main campus, check with the university for satellite locations and international locations.
Services at Hasssenfeld Children’s Hospital are for children and adolsecents and The Trans/Non-Binary/ Gender Non-Conforming Health and Wellness Program at NYU Student Health is for NYU students, for age limits on all other services from NYU Langone check with the provider.
Northwell Health (Websites- Gerald . Friedman Transgender Health & Welnness Program at Lenox Hospital and LGBTQIA+ Clinical Services and Transgender Care Center, FB – Northwell Health, IG – @northwellhealth)
The Transgender Health and Care Programs at NorthWell Health offer hormone therapy, puberty blocking, primary care, HIV prevention and treatment inlcuding PrEP and STI screening. Fertility specialists are also available
Payment Options: Northwell Health accepts insurance plans, but check with your plan to make sure Northwell Health is in network for the services you receive, Financial Assistance is also available for those who qualify.
The Gerald Friedman Transgender Health & Wellness Program is in Manhattan and the Transgender Care Center is in Long Island.
Services are open to children, adolescents and adults.
Weill Cornell Medicine (Website – LGBTQ+ Community Healthcare Services, FB – Weill Cornell Medicine, IG– @@weillcornel)
The LGBTQ+ Community Healthcare Services offers hormone therapy, primary care, voice therapy, HIV/STI testing, treatment and prevention, sexual health, incuding gynecology and prostate health.
Payment Options: none found, contact the provider for further information.
Weill Cornell and it’s partner NY Presbyterian appear to be primarily located in NYC, check with the provider for the exact location of services. site for location of services, payment options and age limitations for services.
Weill Cornell Medicine services pediatric, adolescent and adult patients, contact the provider for age limitations on services.
Amida Care (Website – Transgender Health, FB – Amida Care, IG – @amidacare)
Amida Care is a private, nonprofit community health plan that specializes in providing comprehensive health coverage and coordinated care to Medicaid members with chronic conditions, including HIV/AIDS and behavioral health disorders. Amida Care has a Transgender Health program that provide gender-affirming HRT and surgeries as well as primary care, STI/HIV testing, treatment and prevention including PrEP.
Payment Options: Amida Care accepts Medicaid.
Amida utilzies many providers, check with the provider for location.
Amida serves childern, adolescents and adults, check with providers for age limitations on services.
Community Healthcare Network (CHN) (Website –LGBT Health, FB –Community Healthcare Network , IG – @chnnyc)
LGBT Health offers hormone therapy, primary care, HIV/STI testing and treatment including PEP and PrEP, voice therapy referrals for gender-affirming surgeries.
Payment Options: CHN accepts many commercial insurance plans, Medicaid, FHP, and CHP. They also have a sliding payment scale for the uninsured. Some services are offered free of charge, but check with the provider for payment options. For more information on all options, click the cost of care link.
CHN locations
Age limitations are not obvious, check with the provider for age limits on services.
Apicha Community Health Center (Website –Transgender Health, FB –Apicha Community Health Center , IG – @apichachc)
Transgender Health includes – hormone therapy, primary care, HIV/STI testing and treatment including PEP and PrEP and vaginoplasty, the following masculizing surgeries mastectomy, chest reconstruction, phalloplasty, and metoidoplasty.
Payment Options: Apicha CHC accepts medicate, medicaid and most commercial insurance plans. Apicha CHD provides services to anyone regardless of their ability to pay or insurance status. If you are uninsured or underinsured, we offer a low cost/sliding-fee scale option based on your income
Apicha CHC is located in Manhattan.
Age limits for services are not obvious, these appear to be oriented adults, call with any quesitons on age limitations.
Matt Pabis, M.D., Family Medicine Physician (Website – Transgender Medicine Specialist, FB – none found, IG – none found)
Dr. Pabis and his dedicated medical team offer comprehensive care for transgender patients, including HRT, post-surgical care, primary care, health risk assessments, and routine screenings, sexual health, infectious disease testing, treatment and prevention, including hepatitis C and HIV prevention with PrEP, birth control and family medicine. You can expect a caring, welcoming environment for your specific health needs.
Payment Options: no information found for payment options besides self-pay, call Dr. Pabis for information on payment options.
Dr. Pabis is located in Manhattan.
There are no stated age limits, but Dr. Pabis also provides family medicine so Call Dr. Pabis’ practice for age limits on particular services.
Plume (Website – Gender Affirming Hormone Therapy, FB – Plume, IG – @getplume)
Plume is a membership/ subscription telemedicine service focused on providing gender-affirming HRT , puberty blockers and providing letters to support transgender/ nonbinary people in acquiring other services like gender affirming surgery.
Payment Options: Plume operates on a membership subscription model. For 99$/ month they provide the following HRT services, initial evaluation, labs, monitoring, write prescriptions and provide supplies (cost of hormones/ medication is not included*). Membership is not covered by insurance. Out-of-pocket cost of medication varies from $5 – 50. Hormones/ medication may be covered by insurance. There are no obvious financial aid programs.
Plume is completely virtual and available across the state of New York, sign up at getting started with Plume to download the Spruce app and complete paperwork to become a patient. Plume will likely be able to arrange to have medication delivered to you.
Age limitations on services are not available. Plume offers puberty blockers, so it is assumed they serve adolescents and adults. Call Plume to confirm age limitations on services.
Planned Parenthood of New York City is part of (1) organization, Planned Parenthood of Greater New York (PPGNY) with 5 Health Centers in NYC and 23 around the state of New York (Website – PPGNY , FB – Planned Parenthood of Greater New York IG – #plannedparenthoodofgreaternewyork)
Planned Parenthood of Greater New York offers Transgender Services which includes gender-confirming HRT. Planned parenthood also has a wide range of many services available to all people including primary care, HIV, SIT testing, counseling, and treatment PEP and PrEP, contraception,and gynecological care including PAP smears. Click the link named services for information on all services offered.
The (5) Health Centers locations in NYC are in Bronx, Brooklyn, Queens, Manhattan and Staten Island. It is not clear whether the Staten Island Health Center offers HRT, but all the other NYC Health Centers state this service on their website. PPGNY also offers telehealth which can be booked with any Health Center in PPGNY, click the locations link for more information on telehealth.
Payment Options: Many PP Health Centers accept insurance and offer financial help, check on the websites and with the center for details.
The service is intended for adults 18+, but the many PP Health Centers offer service to patients 16 to 17 andyou may be able to get HRT with parental consent and additional paperwork, check with the Health Center.
VA Health Care for LGBTQ Veterans in New York City has (2) organization (Websites – James J. Peters VA Medical Center and VA NY Harbor Healthcare System, FB – U.S. Dept. of Veteran Affairs, IG – @VeteranAffairs)
According to the U.S. Dept. of Veteran Affairs, Patient Care Services for LGBT veterans includes the following (and other) services – hormone treatment, treatment and prevention of STIs/PrEP, cancer screening, prevention and treatment. If there are questions reach out to the LGBT Veteran Care Coordinator (VCC) at the site.
Payment Options: VA Health Care is offered free of charge to veterans. Veterans may have some copays.
James J. Peters VA Medical Center has (1) medical center, James J. Peters, in the Bronx and (3) associated clinics in Sunnyside, Whte Plains and Yonkers.
VA NY Harbor Healthcare System has (2) medical center campuses in Brooklyn and Manhattan, (2) associated clinics in Harlem and Staten Island and (1) community living center in Queens.
LGBT Veteran Care is for U.S. veterans.
New York State (Outside NYC)
The only physiical resources we found in New York state were Planned Parenthood and Veteran’s Administration LGBT Health Care. The good news is that there are a LOT of planned parenthood health centers around the state that offer HRT and other services for transgender and nonbinary individuals. Also, many of the health care resources in NYC offer telehealth which can be accessed across the state of New York.
Planned Parenthood of New York has of (5) organizations with (5) health Chenters in NYC (see above) and (51) more health centers across New York state. The (5) organizations are Planned Parenthood of Greater New York (PPGNY), Planned Parenthood, Hudson Peconic, Inc., (PPHP), Upper Hudson Planned Parenthood, Inc., (UHPP), Planned Parenthood of Central and Western New York, Inc. (PPCWNY) and Planned Parenthood of the North Country New York, Inc. (PPNCNY) with x health care centers (Websites – PPGNY, PPHP, UHPP, PPCWNY and PPNCNY, FB – Planned Parenthood of Greater New York, Upper Hudson Planned Parenthood, Planned Parenthood of Central and Western New York and Planned Parenthood of North Country New York, IG – #plannedparenthoodofgreaternewyork, @upperhudsonplannedparenthood and #plannedparenthoodnorthcountrynewyork)
Many of the Planned Parenthood Health Centers offer gender-confirmation HRT and all of the centers offer important services to the LGBTQ+ community such as like , primary care, HIV, SIT testing, counseling, and treatment PEP and PrEP, contraception,and sexual health such as gynecological care including PAP smears. Be sure to search for LGBTQ Services at the Planned Parenthood website for the Planned Parenthood location nearest to you.
PPGNY will help with health insurance enrollment and even if you don’t have insurance you can go to PPGY where financial counselors will help you get insurance and/or financial assistance
PPGNY operates 28 health center locations and 2 mobile health centers Project Street Beat – NYC and Plan Van – Nassau Couty.
Planned Parenthood Greater New York (PPGNY) has (5) health centers in NYC (see above) and (23) health centers plus (2) mobile health center vans around the rest of New York State offering Transgender/ Nonbinary HRT and Telehealth. It’s not clear if all of the PPGNY locations provide HRT or no, so the ones that have HRT as a service listed on their websites are highlighted. PPGNY location in New are in Amsterdam, Clifton, Cobleskill, Corning*, Elmira*, Glen Cove, Goshen, Hempstead, Hornell*, Ithaca*, Johnstown, Kingston, Massapequa, Monticello, Newburgh, Oneida, Poughkeepsie, Queensbury, Rome, Saratoga Springs, Schenectady, Utica, Watkins Glen (which is temporarilty closed) and (2) mobile health centers Project Street Beat – NYC and Plan Van – Nassau County.
*PPGNY has a program called Out for Health, A Project of Planned Parenthood Southern Fingers Lake that offers Trans and Non-Binary Care at Corning, Elmira, Hornell and Ithaca. Even though (3) of these PPGNY sites do not list HRT on their websites, this service is apparently offered – click the link for more info.
Planned Parenthood, Hudson Peconic, Inc – PPHP has (10) Health Centers and all offer Gender Affirming Hormone Therapy and Telehealth Services. Also PP Hudson Peconic offers HRT to 17 year olds with parental permission. The health centers are located in Huntington, Mt. Vernon, Patchogue, New Rochelle, Riverhead, Smithtown, Spring Valley, West Islip, White Plains and Yonkers. All sites offer sexual/reproductive health, women’s and men’s health and many offer referrals for LGBTQ patients
Upper Hudson Planned Parenthood, Inc. – UHPP has (3) Health Centers. As part of their Gender Affirming Healthcare program all UHPP sites offer gender-affirming hormone therapy and pubertal suppression for adolescents together with sexual/ reproductive health and men’s and women’s health. UHPP also offers Telehealth. UHPP health centers are located in Albany, Troy and Hudson
Planned Parenthood of Central and Western New York, Inc. – PPCWNY has (8) Health Centers and (1) Mobile Unit. PPCWNY has Gender Affirming Hormone Care at (2) sites which are highlighted below and Telehealth. PPCWNY locations are in Canandaigua, Syracuse, and all sites offer sexual/ reproductive health, women’s and men’s health and referrals for LGBTQ patients include locations in Batavia, Buffalo, Niagra Falls, North Tonawanda, Rochester and West Seneca.
Planned Parenthood of the North Country New York, Inc. – PPNCNY has (7) Health Centers and offers, Gender Affirming Hormone Therapy at the majority of PPNCNY health centers as well as Telehealth. The locations that offer HRT are in Canton Center, Canton, Lowville, Plattsburg, Saranac Lake and Watertown. Sexual/ reproductive health, men’s and women’s health and service referrals are available at these sites and at additional sites in Malone and Ogdensburg.
If you are in New York State, but not near centers that are highlighted as offering HRT, try calling one of the centers that does have HRT to see if they offer HRT by telehealth, as telehealth is becoming much more common since the Covid 19 outbreat.
Payment Options: Many PP Health Centers accept insurance and offer financial help, check on the websites and with the center for details.
The service is intended for adults 18+, but the many PP Health Centers offer service to patients 16 to 17 andyou may be able to get HRT with parental consent and additional paperwork, check with the Health Center.
VA Health Care for LGBTQ Veterans in New York State has (6) organization (Websites – Albany Stratton VA Medical Center, VA Finger Lakes Healthcare System, VA Western New York Health Care System, VA Hudson Valley Health Care System, Northport VAMC, and Syracuse VA Medical Center, FB – U.S. Dept. of Veteran Affairs, IG – @VeteranAffairs)
According to the U.S. Dept. of Veteran Affairs, Patient Care Services for LGBT veterans includes the following (and other) services – hormone treatment, treatment and prevention of STIs/PrEP, cancer screening, prevention and treatment. If there are questions reach out to the LGBT Veteran Care Coordinator (VCC) at the site.
Payment Options: VA Health Care is offered free of charge to veterans. Veterans may have some copays.
Albany Stratton VA Medical Center has (1) medical center, in Albany and (11) associated clinics in Bainbridge, Catskill, Clifton Park, Fonda, Glens Falls, Kingston, Plattsburgh, Saranac, Schenectady, Troy and West Port.
Finger Lakes Healthcare System has (2) medical centers Bath VAMC in Bath and Canadaigua VAMC in Canadaigua and (5) associated clinics with (3) in New York located in Elmira, Rochester, Wellsville and (2) in Pennsylvania located in Coudersport and Wellsboro.
VA Western New York Health Care System has (2) medical center campuses in Buffalo and Batavia and (7) associated clinics in Dunkirk, Jamestown, Lockport, Niagra Falls, Olean, Springville and West Senaca.
VA Hudson Valley Health Care System has (2) medical centers, Frankline Delano Roosevelt Hospital, in Montrose and Castle Point VAMC in Castle Point and (7) associated clinics in Carmel, Pine Plains, Goshen, Montichello, New City, Port Jervis and Poughkeepsie.
Northport VA Medical Center has (1) medical center in Northport and (5) associated clinics in Bay Shore, East Meadow, Patchogue, Riverhead and Valley Stream.
Syracuse VA Medical Center has (1) medical center in Syracuse and (8) associated clinics in Auburn, Birmingham, Rome, Massena, Oswego, Freeville and (2) in Watertown.
LGBT Veteran Care is for U.S. veterans.
About the author, Gayle M. Frankenbach, Ph.D. is the mother of a Daughter, Lise and a transgender son Elliott. Elliott and Gayle both passionately desire to care about and care for the trans community. Elliott and Gayle also both love the unbound creativity of the cosplay community. When we realized there is a big overlap between the two communities B.UR.SLF, LLC was born at the interface of these two great communities to serve them individually and together. Elliott and Gayle also enjoy running a trans son & parent business to be visible for parents on a journey to visibly support their own trans kids and be a great allies.