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Would be a reasonable course, however going to be dawn challenging, at least in US due to the balkanization of health care delivery and medical records, which would make it difficult to put together a subject roster for a retrospective study. Much more feasible in a European country like UK with a national health service,or a country like Germany with at least a national insurance system that can track individual use of meduca

medical system. Apparently Cass was rebuffed when trying to gain access to records for adult services having to do with gender affirming care, which would have allowed some level of retrospective analysis of those that had entered as adolescents and then moved into adulthood. Maybe that will get done. There was a recent paper out of Germany which looked at essentially resistance. Found over 60%, just by looking at diagnostic codes in records. So assuming same record system would indicate codes for people that had received medical procedures for gender issues, and they could be contacted and agree to interview to examine long term outcomes, there is an opportunity.

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