1/ It's important to shed light on the problems with puberty blockers. And (not but) certain "affirmative" MDs, particularly in the US, not only know about those dangers, they view them as a reason to start cross-sex hormones as soon as possible--or even skip blockers altogether.
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4/ "... I hesitate to have people on just blockers in that age range for more than 2 years. Although I think you still can do that and certainly we use blockers in adult populations for longer than 2 years. But I do worry about their bone density..."
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5/ Olson-Kennedy's young "nonbinary" patients & how they want to "wear their gender" seem to drive clinical decisions re: when to start T & use of blockers--all determined by the young ppl themselves, natch. Audio of Olson-Kennedy at Gender Odyssey here: https://archive.org/details/genderoddessyconferenceaugust2017qaforparentsofkidsover12wjoannaandaydinolsonkennedy …pic.twitter.com/mwzczQzdPK
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6/ The fact that puberty-blocked teens hate being developmentally behind their peers is also a key. The pressure to move on ASAP to cross-sex hormones--or even surgeries--is felt by all, including parents and clinicians, as elucidated in this thread.https://twitter.com/4th_WaveNow/status/1118896010103750656 …
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