Existing nutritional guidelines offer clear recommendations for males and females; however, no guidelines exist for transgender or non-binary people. So where does this leave transgender or non-binary people? Should they follow micronutrient recommendations for their gender identity, or their sex assigned at birth? The short answer is we don’t know because there isn’t any research to inform recommendations for transgender or non-binary people. Research has shown that hormone therapy and/or gender-affirming surgeries are closely linked to nutrition due to their effects on weight status, body composition, lipid levels, blood pressure, and blood glucose levels. For example, testosterone therapy in transgender men results in increased body mass index, decreased HDL cholesterol, and increases in LDL cholesterol.^[1] Such research suggests that transgender people, who had gender-affirming surgery or hormone therapy may have different nutritional needs than those who have not. Therefore, the lack of inclusivity in the existing micronutrient guidelines can create confusion and potentially negative health outcomes for non-binary and transgender people.