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Trans kids on puberty blockers maintain pretty stable bone density during a period when cis kids rapidly gain bone density. Researchers conclude "there was no significant change in [bone density]," further scans are not needed, and trans kids should have their own reference group https://twitter.com/will_malone/status/1148000551608750080 …
Both AFAB & AMAB participants saw a dramatic reduction in their bone density scores relative to the reference for age & sex. The z-score indicates how many standard deviations from the mean for that reference:pic.twitter.com/yAX2p3acaH
I guess it's an open question whether those who go on to transition (or cease treatment and resume puberty later than usual) make up some or all of the expected gains. Seems like a critical research question, which is why the "nothing to see here, folks" conclusion is baffling
My understanding is that interruptions in periods for girls via anorexia/sport (low fat ratio) gives them increased lifelong risk of osteoporosis. I don't see why this would be different.
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