Karasic is a mover and shaker in WPATH. Head of USPATH. They want to change next SOC.
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Journal articles like this are part of the process of convincing the world this is the right thing to do.
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HARM REDUCTION?!!!!

It's castration! 
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Nothing written in the popular press will ever cover the more "contentious" facts. This is a feel good "progressive" topic for them.
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Future gay men with no dicks. Must be a living hell.
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Well, yes. But as a narrative poverty has to be blamed on the poor. A staple of right-wing media, but a harder sell 4 the "liberal media".
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Limitg minor access to tx that carry long-term harmful effects is concern? Loss of full sexual & repro function aren't harmful?
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