A 25-year-old birth-gender male presents to their primary care provider stating they would like to transition to transfeminine. The patient has been dressing as a female for over a year, seeing a therapist, and has a strong support group of transgender friends. The patient is requesting estrogen therapy to feminize their features.

1. What medications can be prescribed to this patient?
2. What adverse effects could the patient receiving gender-affirming hormone therapy receive?

contain at least two citations with corresponding references no later than 2019

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