Smoking.

[Asfsd4214]

The reason why it's dangerous is that Estrogen is a stroke risk. As smoking is also a stroke risk if two drugs have the same side effects the effect is *Mutiplied* not added.

If your a transwoman on HRT who smokes regularly I would bet money that you will die of a circulatory disease linked with it. 50% odds within 20 years.
I'm not begin cold or morbid I'm only stating numbers. I know you won't hear me but I won't tell lies.

in medical literature 1-10 a day was the lowest amount tested and that did cause markedly increased risks of circulatory system disease so the lowest "safe" dose is somwhere lower than that.

*edit* another note I'd point out is that Smoking in significant quanity significantly weakens your voice thus if you want to train your voice it makes it harder.

You're not stating numbers, we all know it increases your risk, both HRT and smoking. Also I'd like to see some evidence to support your multiplication claim. I googled and found that it only slightly increased your risk above the inherent risks of both together. And it, like most all research on HRT risks, is done frequently on scenarios that aren't applicable to many of us (on older women, or with ethyl estradiol over a long period of time, etc).

We all know smoking is bad, there's no point in trying to scare a smoker straight, cause you're not telling us anything we don't already know.

To the original poster, I'm sure I'm not saying anything you don't know in your heart already, in saying that ANY amount of smoking is less healthy than none. In that sense, any is too much.

As a smoker though, I have made a decision that I am willing to take a long term risk for a short term reward. I have made a judgement that if I died before I'd be likely to get cancer, I would be angry at myself for depriving myself the things I wanted.

I'm not afraid of dying, I don't want to die either, but I'm not afraid of it. I am afraid of wasting my life depriving myself cause I was too afraid to take a risk.

Disclaimer: I'm an NA member so keep in mind there are limits to constructive use of this philosophy.

[spacial]

I have to say, the medical claims about smoking have lost their effect now. It seems, almost every time we even think about it, someone is coming along to make some new claim.

But you only need to look at the history books to recall a time when there was no disease and everyone lived forever, before smoking. And remember, we are all too stupid to figure it out for ourselves.

Sad really. Like so many issues in medicine, there are huge opportunities for second rate, but well connected medical workers, to make a name for themselves, by announcing some new claim.

[pebbles]

You're not stating numbers, we all know it increases your risk, both HRT and smoking. Also I'd like to see some evidence to support your multiplication claim. I googled and found that it only slightly increased your risk above the inherent risks of both together. And it, like most all research on HRT risks, is done frequently on scenarios that aren't applicable to many of us (on older women, or with ethyl estradiol over a long period of time, etc).

I will oblige your request, Skeptisim is always healthy... More than smoking is anyway.

http://www.med.yale.edu/library/heartbk/19.pdf
Smoking is a major risk factor for heart disease in
men, and it is probably the most significant risk factor
in women, because it reduces a woman's two best
protectors, estrogen and HDL. (See box, "Smoking
as a Risk Factor for CHD in Women"; see also Chapter
6.) For every cigarette smoked, the risk of heart
attack rises. Studies show that smoking one to four
cigarettes a day doubles a woman's risk, and smoking
more than 25 a day can raise it 5 to 15 times

http://www.medscape.com/viewarticle/577468_2

Tobacco smoking interacts in a multiplicative manner with the other major cardiovascular risk factors. When smoking is present with another risk factor, a higher risk generally results than would have resulted from simply adding together the independent risks.[11] For example, in a recent pooled analysis of 41 cohort studies involving over half a million participants (82% of whom were Asian), Nakamura and colleagues demonstrated that smoking significantly exacerbated the contribution of systolic blood pressure to the risk of hemorrhagic stroke. However, this was not found to be the case for ischemic stroke or coronary heart disease.[12]

@spacial Willful ignorence of the dangers and fate you choose to weave for yourself will not protect you... unfortunately

Trust me I know better than most I can't convince a smoker to do anything. The vast majority of my friends are smokers, ALL of my known family are smokers. nothing I say or do can or will change anything, if they want to quit they will do so... then they will start again to impress some boy. Pepole do as they wish regardless of the wisdom or intelligence behind the act. While I don't smoke I'm not a saint either.

I'm not trying to scare anyone straight... I merely share what I know. I don't tell lies and I won't sugar coat the world or the truth for you.

Those are the numbers as I know them those are the conciquences. And it is your decision.