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No definitive cause is going to be pinpointed but the blood clot isn't from being sedentary. I do, however, believe that my veins were damaged when the VA overdosed me on estrogen and had my level at 2,585 instead of the recommended maximum of 200.
My stance on transgender military service. If you can't serve as your birth sex and your gender dysphoria is disrupting your ability to serve because of comorbid mental health issues associated with the disorder, then you should be barred from serving.