I have served the transgender and gender-diverse community as a primary care and hormone therapy provider for 10 years. Many of my patients depend on compounded injectable and topical hormones to provide an appropriate, bio-identical balance in their replacement without having to inject multiple products. Many others depend on compounding to provide hormones in a base that will not cause allergy. Without compounded medications, many people would not have access to progesterone due to peanut allergies, and cottonseed oil, the base in many injection hormones, is a common allergen as well. Compounded hormones also reduce costs overall for a community overburdened by poverty due to marginalization. This restriction on compounded hormones would be harmful to the trans and gender-diverse community, and significantly reduce access to care.