Another problem that I have with the #CassReview: its attempt to draw a line between puberty blocking and GAHT.
One would not expect that puberty blocking would reduce dysphoria and, in fact, it would be kind of weird if it turned out that it did: that doesn't fit with how any of this works.
Puberty blocking is about giving time to make a choice.
If all of the kids who are going on puberty blockers are then going on GAHT, a clear alternate hypothesis would be they should just start GAHT.
