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Mosier's participation in the World Duathlon Championships, for which he has qualified, has been in doubt.

Joanna Harper, chief medical physicist, radiation oncology, Providence Portland Medical Center, was one of the people at that meeting.

However, unlike the term transgender, transsexual is not an umbrella term, and many transgender people do not identify as such.

Transsexual is a term for AFAB (assigned female at birth) and AMAB (assigned male at birth) people alike who feel their sex organs do not reflect their gender and have chosen to change some aspect of their body; it is an older term, with GLAAD stating that it is "still preferred by some people who have permanently changed - or seek to change - their bodies through medical interventions (including but not limited to hormones and/or surgeries)." Originally, the term trans men referred specifically to female-to-male transsexual people who underwent hormone replacement therapy (HRT) or sex reassignment surgery (SRS), or both.

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The guidelines stem from an unpublicized "Consensus Meeting on Sex Reassignment and Hyperandrogenism" the IOC held last November.

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Transgender is an umbrella term that includes different types of gender variant people (including transsexual people).

Many trans men choose to undergo surgical or hormonal transition, or both (see sex reassignment therapy), to alter their appearance in a way that aligns with their gender identity more appropriately or alleviates gender dysphoria.

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