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 …
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I parsed that as their criteria excluded children for whom hormone therapy was not being considered. If hormone therapy is not considered until puberty has begun, and most kids at the stage where hormone therapy is considered have mature gametes, then that's the pop we care about
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FWIW, it's exceedingly dofficult to figure out what clinicians are actually doing, the guidelines that call for Tanner stage 2 development do *not* indicate mature gametes, and many of these kids are rendering themselves infertile for life. I'm really uncomfortable with this.
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