For the AHHPS, it’s important to be aware of the risks associated with Transition/Cross Hormone Therapy and not a means to diagnose nor treat symptoms or ailments.
Recent research identified cis males had a significant amount of testosterone compared to trans females who have undergone hormonal therapy for 2 years. While testosterone levels were significantly different, strength levels (use grip strength test) were very similar. This may be due to long-lasting muscle myonuclei memory which means muscle fibers that have acquired a higher number of myonuclei (from previous physical activity such as exercise or sport) grow faster when re-exposed to the overload of exercise (weight lifting). Therefore Trans Females may be able to add strength quickly or potentially hypertrophy easily despite exogenous hormone therapy.