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Meanwhile I feel like there's a much bigger issue going on. 11 years old? Did they even go through puberty yet?
Why would they need to go through puberty? Did you not know what gender you were before puberty?
Plus, if you figure out you're trans (or might be trans) that young, you'd usually take puberty blockers explicitly to delay puberty until you're a bit older and doctors can be more certain, at which point HRT can be started. Puberty blockers are very safe and reversible, unlike puberty (whether natural puberty or HRT puberty).
Because MASSIVE hormonal and neurological changes happen with puberty.
It's like the most drastic change of your body and mind that most people will ever experience in their lives.
So the idea is to take someone who knows they're trans and force permanent irreversible changes on them just for the joy of being cruel to children instead of just forestalling puberty with a reversible treatment.
Call me EXTREMELY skeptical that anyone knows fuck about anything before puberty, let alone their lifelong gender, sexuality, or anything else concerning the things that hormones change.
This is a total bullshit statement. We don't know the long-term effects of puberty blocking, for this particular purpose. There's plenty of studies that show the bone density is fucked up after, if they choose not to fully transition. Plenty of other side effects that may not be reversible, but we don't know because it hasn't been studied enough.
So no. I call bullshit on that.