This is consistent with my understanding, which is that there really isn't much data. Small studies that look at children using medication to delay puberty to *the typical age range* should be considered v weak evidence that there are no long-term effects to delaying to e.g. 18
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Seems way more likely to cause trouble w/ eggs vs. sperm. You don't get to make fresh gametes if ovaries are all you've got to work with; insofar as what you're doing might be damaging the eggs you have, it's damaging all the eggs you'll ever have
That said, I wouldn't be surprised if resuming puberty after blockers without HT usually causes no problems... but the clinicians Singal interviews seem to think it's a very good protocol, too. I think "is this piece terrible?" sort of hinges on how common HT/surgery is for teens