Pity it also says more research is needed. The children of the plebeians are the lab rats/guinea pigs of this "more ... research" of the trans-cult. Maybe scientists aren't doctors therefore the "do no harm" clause doesn't apply to them.
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There is no doubt that being "affirmed" from toddlerhood that you're "really" the opposite sex, then ushered through all the medical interventions as if they're just normal is going to impact persistence. How could it not?
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