Nutrition and Training Recommendations for Transgender and Gender-Diverse Athletes Involved in Strength Sports and Resistance Training: A Case Series of Nine Athletes Assigned Female at Birth.

This article focuses on nutrition and training assessment approaches and recommendations for transgender and gender diverse (TGGD) athletes assigned female at birth (AFAB) who participate in strength sports or resistance training. Using a case series of nine TGGD athletes, the study collected demographic, anthropometric, health history, survey, dietary, physical activity, and interview data to inform individualized nutrition and training guidance. Findings revealed that most athletes consumed inadequate energy and fiber, had low eating competence scores, but maintained high physical activity levels despite perceived barriers. The study highlights the importance of individualized care by nutrition and sport professionals, particularly in managing sex-specific data according to the athlete's stage of gender-affirming hormone therapy, and calls for further research on diverse TGGD athlete populations and the effectiveness of tailored nutrition and training plans.