I was going to say this myself. It is very suspicious to just completely ignore the many commonly used substances that increase heart disease risks.
It presents the notion that HRT is too dangerous to use when this context is not provided.
Especially because there's precedent when it comes to trans health. For example, using premarin (which is completely outdated now that we have bio-identical estradiole, but still gets cited by terfs to this day) for HRT in menopausdal cis women gives a 2 in 10,000 chance of developing breast cancer and this gets used as anti-trans ammunition all the time. But drinking on its own increases that risk to a 10 in 10,000, smoking is at 20 in 10,000, obesity is at 40 in 10,000. All of these are factors for heart disease as well, and it seems they have not been accounted for at all.
I was going to say this myself. It is very suspicious to just completely ignore the many commonly used substances that increase heart disease risks. It presents the notion that HRT is too dangerous to use when this context is not provided.
Especially because there's precedent when it comes to trans health. For example, using premarin (which is completely outdated now that we have bio-identical estradiole, but still gets cited by terfs to this day) for HRT in menopausdal cis women gives a 2 in 10,000 chance of developing breast cancer and this gets used as anti-trans ammunition all the time. But drinking on its own increases that risk to a 10 in 10,000, smoking is at 20 in 10,000, obesity is at 40 in 10,000. All of these are factors for heart disease as well, and it seems they have not been accounted for at all.