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Dr. Almut Helmes work at Universität Freiburg and works with various kinds of clients. She is not a "specialist" in transgender issues, but is also not generally terribly problematic or unfair. She will write a letter recommending you as a candidate for hormone replacement therapy to a doctor after approximately five sessions. She will ask you questions about whether you've thought of the outcomes and consequences of hormones, and will try to make sure you feel confident in your decision to go on hormones.
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