Hormone therapy helped to eliminate all the muscle mass and, as already an expert in fitness and nutrition, Tuft was able to play around with food and exercise to find what her new body best needed. It took two years but she found “a pathway to the fit, feminine aesthetic I was after,” she wrote in Insider. Tuft described every transition journey as “unique” but said hers was about focusing on “evolving strength – inside and out.” “I’ve lost 190 pounds of weight and muscle mass, but my transition didn’t happen overnight,” she wrote of what she called her “ugly-duckling phase.”