Silent For Too Long said:
Puberty blockers were approved by the FDA in 1990. Oxycotton was approved in 1995. Our sample size on Oxycotton is several orders of magnitude higher.
Also, we've been experimenting with different ways to use opioids for almost 200 years. Morphine in 1850 and Heroine in 1874. The book on both of those is significantly larger then puberty blockers, we've "understood how they work and their side effects," and we still make massive mistakes with them. I'm willing to bet good money you are just a huge fan of the Sacklers.
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There's a significant counseling and physiological evaluation component
A 30 minute eval? You are just exposing your ignorance on the subject. Maybe sit this one out.
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Okay, what's the uncomplicated solution that has evidence to support it
The way we were treating before drugs. Therapy. Puberty. Nature. The one with the 60 to 90% success rate.
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And what are you doing for the thousands of kids who don't "grow out of it"?
They become adults with the autonomy and agency to make permanent alterations to their bodies.
Your attempt to shoehorn opioids into this is ridiculous. Puberty blockers aren't remotely the same class of medications, don't work remotely the same way on the same things, and aren't addictive. Maybe try a better analogy than "well, they're both drugs."
No, it's not a "30 minute eval," referral to a specialty clinic happens after significant work by primary care and mental health providers and referral for medical treatment is made after significant evaluation and in concurrence with continued mental health treatment.
And what happened before gender affirming care wasn't working. At all. It might help you to read the literature by actual experts in the topic rather than just people who reinforce your existing beliefs.
Oh, and given how the right and people like you treat transgendered people I don't believe for a moment you'd allow them to make those decisions as adults.