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- [47] No observed bidirectional effect between tenofovir diphosphate concentrations and gender-affirming hormone concentrations among transgender persons switching from tenofovir disoproxil fumarate/emtricitabine to tenofovir alafenamide/emtricitabine for HIV pre-exposure prophylaxis BRITISH JOURNAL OF CLINICAL PHARMACOLOGY, 2024, 90 (10) : 2360 - 2365