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In this oral history interview with Myra Billund-Phibbs, Preston discusses his Catholic upbringing in New Jersey, time in the lesbian community, and his experiences of transition, his experience working with the Minnesota Transgender Health Coalition and the Trans Health Conferences in Minneapolis in the mid-to-late 2000s, his experiences in recovery and founding of the first trans-centered recovery group in Minneapolis with Arin McNeese, and his thoughts on holistic health, nutrition, and the state of trans health care generally. 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