Most calorie and macronutrient calculators ask for your sex. As a gender-diverse person, which do you pick if you’re on hormone therapy?

Updated March 9th, 2022.

When I realised I was transgender in 2018, I started bodybuilding because I wanted to sculpt a more gender-affirming physique. For nearly three years, I’ve been honoured to help dozens of clients achieve the same goal.
 
With this article, I want to help you do the same.
 
This piece is therefore going to cover:

• Which muscles to train to masculinise your appearance
• How to train them effectively
• How to eat to support your training

 
Before we start, I want to make a clarification: this guide can help you at any stage of your fitness journey, whether you’re on testosterone replacement therapy or not.
 
Anyone can build muscle with resistance training, including those who are pre-testosterone or will never take any.
 
Furthermore, the benefits of exercise go above and beyond your appearance and include improved mood, higher energy levels, and increased self-confidence, among others. What better way to grow into the person you were always meant to be?
 
For this reason, I encourage you to begin training as soon as you can. Even if you chose to never start hormones, you’d still be able to put on an euphoria-inducing amount of muscle that you wouldn’t have if you didn’t train.
 
I speak from experience, as I was determined to take my physique as far as I could before beginning my medical transition. I first started lifting in June 2018, but didn’t have access to TRT until March 2020.
 
In addition to the physical results – which I believe have been greater than if I had waited almost two years until I could start testosterone – training and nutrition have helped my mental health, relieved my dysphoria, and benefited my relationship with food.
 
But enough about me. If you want to learn more about my story, you can read this article.
 
If you’re here for the gains, let’s get started.

One month on testosterone therapy versus three months

Useful Links: April 2020 Update | July 2019 Update | One Month Update | Three Months Update
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​In this month’s update on my journey as a transgender bodybuilding trainee, I’m going to talk about my experience with medical transition from female to male and the effects this has had so far on my training, nutrition, and body composition.
 
At the time of writing, I have been medically transitioning for four months, from March 13th 2020, but I will primarily reflect on the first three months.
 
The aim of the article is to cover:
 

• What is medical transition?
• What does my medical transition look like?
• How has this affected me in relation to bodybuilding so far?
• How has my approach to training and nutrition changed, if at all?

 
The purpose of this piece is to share my experience in order to educate transgender and non-transgender individuals alike, and to provide anecdotes and observations on how medical transition can change training, nutrition, and body composition in a transgender person who trains to improve their physique.
 
As a final disclaimer, I want to point out that this is only my experience.
 
I am not a medical professional, so I am not going to offer any form of advice.
 
Anything I share in this article is personal, individualised to me, and meant to inform, not make recommendations.
 
Without further ado, let’s delve into the update.

​Growing up, I couldn’t connect with either fitness or my gender identity.
 
I was an overweight teenager, who thought exercise was a means to lose weight and “eating healthy” meant “eating less”.
 
I would look in the mirror and all I could see was rolls of flesh in the wrong places. I would go to PE class and all I could hear were my peers’ jeers and jabs at my chubby shape.
 
I hated to look at myself and I hated physical activity. So I never actually got to know my own body. And, when I did, it was in the most self-destructive, hateful way possible.
 
I have always been an ambitious person. When I set myself a goal, I pursue it to the end of the earth. At 15, I made myself a promise: I would lose my excess weight.

​For a transgender man, the first day on testosterone is the first day of a new life.
 
Hormone replacement therapy (HRT) can make a huge difference in a trans person’s quality of life, but it also comes with some health risks.

I want to point out first that testosterone alone would likely not cause conditions or diseases, but it can be a contributing factor, as it can be for an average person born in a male body.
 
If you were born in a female body, it may be that no one ever advised you about these potential issues, thinking you would never have them. So I hope my article sheds light on these topics, not put you off taking testosterone.
 
I’m not on HRT at the moment, but I plan to. In the UK, you have access to it for free through the National Health Service (NHS), but you have to be referred by a general practitioner (GP). Moreover, there are only a handful of gender clinics in the country and the wait lists are very long.
 
As an alternative, you can get private treatment, but the cost can be crippling.
 
I was referred to an NHS gender identity clinic in September 2018. The current wait for an appointment ranges from one to two years, so I have a long way to go, unless I can save up enough to fund private therapy.
 
The benefit of waiting this long is that I’ve had time to conduct research on the topic of transgender health.
 
I believe I owe it to my body to be as informed as I can about all the risks and, most importantly, all the ways to minimise them.
 
What I found enforced my belief that a healthy lifestyle may be even more crucial if you decide to take hormones than if you don’t.
 
In this article, I’m going to touch upon three of the most important aspects of healthy living for a transmasculine person.