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Notes -
I respect Dr. Powers, but one clinician noticing that he has a lot of patients with certain comorbidities and doing informal surveys on the internet with his fanbase is not high quality evidence.
One possibility is he's too good at his job, he's one of the few endocrinologists who actually run hormonal assays on his patients before prescribing them new hormones. He always does a mental health referral before doing anything else. In other words, he's ethical. It is entirely possible that he and his band of clinicians using the "Dr. Powers'" method have already weeded out the tucutes from their patient list and are only looking at a smaller subset of the transgender phenomena - those with actual hormonal issues and would have a problem regardless of the culture. Not every underweight person has anorexia!
I am 100% supportive of trans-identifying teens having a hormonal assessment and then prescribed methods of making their hormonal profile more closely fit with their sex assigned at birth. Medicine should be focused on restoring health and biological functioning when possible. I would love if the battle over trans-identified individuals took place over polluting corporations, identifying all the endocrine disruptors and removing them from our environment.
I do want to note that opponents of transitioning have also noticed the correlation with ADHD and Autism, and have taken it as evidence that it is a social contagion (we would expect these groups to be more susceptible to feelings of not fitting in with peers, body dysphoria, etc.)
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