Considering the fact that virtually ALL of the papers on GD since around 2000 have been of people who experienced dysphoria & chosen to transition with NO controls on those who did not, they contain the same bias that you're condemning in Littman.
I don't know what generalizations you think I'm making about which kids. I've been saying, consistently, that I'm all for research into which patients with GD will be helped by transition.
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I'd like to discuss it without irrelevant pro- or anti- trans philosophy, personal insults, or gross-out sexual coarseness, all of which have been directed at me today as soon as I attempted to engage.
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Explain why? If I had a bacterial infection would it make sense to identify all possible options other than antibiotics first? If not, why wouldn't transition, the only treatment that has been shown to work, be the first treatment option explored for persistent, consistent GD?
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