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For trans or non-binary individuals, hormone therapy may alter body composition , body water percentage, and enzyme activity over time in ways that affect alcohol metabolism

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The nuclear respiratory factors (Nrf1 and Nrf2) that initiate the transcription of genes linked to mitochondrial biogenesis are co-activated by SIRT1 through the activation and deacetylation of peroxisome proliferator-activated receptor gamma coactivator 1 alpha (PGC-1) (Scarpulla, 2011), a master regulator of mitochondrial biogenesis