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LRT The two most important things to know about desistance are: 1. In the past, doctors couldn't really tell the difference between a boy who was very feminine and a trans girl (and vice versa). Modern doctors have much better tools, so desistance has fallen dramatically.
2. No diagnosis or treatment has a 100% success rate. Treatments are always evaluated based on a cost/benefit model. Is this helping patients (and how much is it helping)? How bad are the side effects? Are those who aren't helped by the treatment suffering grievous harm?
To fairly evaluate medical treatments for transgender people, they must be judged by those standards. Loud anti-trans voices want to substitute a standard of 100% efficacy, zero side effects. No medical treatment can meet that, so neither can medical transition.
Held to the normal standards of evidence based medicine, hormone blockers are a safe and effective way to pause puberty for children whose bodies will otherwise be permanently changed by hormones.
Held to the normal standards of evidence based medicine, medical transition is the ONLY safe and effective long term treatment for gender dysphoria known to science.
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