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Cross\u2010sex hormones can alleviate body dissatisfaction so might also alleviate eating disorder symptoms. This study aimed to explore risk factors for eating disorder symptoms in transgender people and the role of cross\u2010sex hormones. Individuals assessed at a national transgender health service were invited to participate (<jats:italic>N<\/jats:italic>\u2009=\u2009563). Transgender people not on cross\u2010sex hormones reported higher levels of eating disorder psychopathology than people who were. High body dissatisfaction, perfectionism, anxiety symptoms, and low self\u2010esteem were risk factors for eating psychopathology, but, after controlling for these, significant differences in eating psychopathology between people who were and were not on cross\u2010sex hormones disappeared. Cross\u2010sex hormones may alleviate eating disorder psychopathology. Given the high prevalence of transgender identities, clinicians at eating disorder services should assess for gender identity issues. 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