Leor Sapir Profile picture
Aug 21 5 tweets 2 min read Read on X
🚨NEW: I’ve received a FOIA’d file from the Washington State Department of Social and Health Services (@waDSHS) about a 17-year-old receiving puberty blockers.

I’ve seen some extreme cases of medicalization in the past, but this one stands out even for a deep blue state. 1/5
The kid is reported to have a “past [of] extensive abuse [including sexual] and neglect” and to have been through “93 different placements,” which include Qualified Residential Treatment Programs. 2/5Image
Image
The kid has “borderline intellectual functioning,” with “adaptive scoring in the 2nd percentile.”

A recent study found “a possible detrimental impact [from GnRHa] on IQ. These findings accord with the wider literature on GnRH expression and brain structure and function.”

Unclear whether or how the kid’s use of GnRHa affected IQ in his case. 3/5

onlinelibrary.wiley.com/doi/10.1111/ap…
The kid also has numerous psych diagnoses: “PTSD; Disruptive Mood Dysregulation Disorder; Disinhibited Social Engagement Disorder; ADHD, combined type and learning disorder. [A]lso has an official diagnosis of Gender Dysphoria and is currently seen at the Providence gender clinic and is participating in gender hormone therapy.” 4/5Image
All of these obvious red flags can be, and often are, written off by gender clinicians as consequences of “minority stress.” Some clinicians may even interpret them as reasons to “affirm” and prescribe Rx. 5/5

city-journal.org/article/what-h…

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More from @LeorSapir

Aug 19
"McNamara et al. [the misleadingly titled 'Yale report' criticizing the @thecassreview @Hilary_Cass] is an exceptionally misleading, confused, and fundamentally unprofessional document."

A must-read by @jessesingal, but let me add a few additional details. 🧵 Image
2/ The white paper is a good example of "eminence-based medicine." Its authors seemed to want to use the reputation of @Yale @YaleMed @YaleLawSch to bolster the credibility of the report. But they did so seemingly without first getting the approval of Yale.
3/ On July 1, the report was published and submitted by McNamara, the lead author, into evidence in Boe v. Marshall (Alabama). A little over a week later, the report was republished with a disclosure that the views it contains do not reflect those of the authors' institutions. It's not clear if the revised report, with the disclosure, is the one currently submitted into evidence in the lawsuit.Image
Read 9 tweets
Aug 12
BREAKING: The American Society of Plastic Surgeons, an organization representing 92% of all board-certified plastic surgeons in the U.S., becomes the first major medical association to break from the consensus over “gender-affirming care” for minors.

This is big news. 🧵
2/ In the U.S., the use of puberty blockers, cross-sex hormones and surgeries to help kids who feel distressed about their developing bodies has depended on a perceived consensus of medical groups.
3/ Critics argue that the consensus is manufactured and enforced through suppression of alternative viewpoints and of evidence reviews. The @AmerAcadPeds, for instance, has suppressed member initiatives to get the group to conduct a systematic review of the evidence.
Read 15 tweets
Aug 7
🚨 This is an extremely important new report by @writingblock for @TheFP about Planned Parenthood (@PPFA), a leading supplier of on-demand hormones to troubled teens and young adults.

Highlights... 🧵 1/9

thefp.com/p/how-did-plan…
2/ # of PPs offering "gender-affirming" hormones:

2005: 1
2015: 24 (approx.)
2024: 450

Current annual revenue: $2 billion (approx.)
3/ "Insurance claim information provided to @TheFP by @ManhattanInst shows that at least 40,000 patients went to Planned Parenthood for this purpose last year alone, a number that has risen tenfold since 2017. The largest proportion, about 40 percent, were 18- to 22-year-olds."
Read 11 tweets
Jul 26
In a new article in @latimes, @MackenzieMays takes aim at @ChoooCole, a prominent detransitioner.

Mays' article is full of errors & misrepresentations.

Here is just one example of how Mays misrepresents the science she herself cites. ⬇️

latimes.com/california/sto…
Arguably, Mays' most important empirical claim is that regret is very rare, and that “some studies” show a regret rate of “as little as 2%.”

The study she cites for this claim is Dhejne et al., “An analysis of all applications for sex reassignment surgery in Sweden, 1960-2010: prevalence, incidence, and regrets,” Arch Sex Behav (2014). This is a Swedish study based on data from a national database.
In the Dhejne study, a person is defined as transsexual (and thus part of the denominator) only if s/he had undergone “sex reassignment surgery” (SRS) and had obtained a new legal document reflecting the “new” sex. This required prior approval by Sweden’s National Board of Health and Welfare.
Read 16 tweets
Jul 8
NEW: @ManhattanInst colleagues @ishapiro @JKetcham91 and I have submitted an amicus brief in support of parents suing the Eau Claire Area School District in Wisconsin over its secret gender transition policy.

This is a "Brandeis brief" on social transition.

⬇️⬇️⬇️
2/ The school district instructed staff that “parents are not entitled to know their kids’ identities [at school]. That knowledge must be earned.”

According to the complaint, a teacher posted a flyer with: “If your parents aren’t accepting of your identity, I’m your mom now.” Image
3/ The school district's policy requires developing a "Student Gender Support Plan" while using the student's given name and actual sex when communicating with parents, thus keeping them in the dark.
Read 8 tweets
Jul 3
1/ This is incredible. In the last 24 hrs, the Biden White House’s lack of message discipline accidentally revealed that its official statements on youth gender medicine are dictated to it by outside transgender activists and pressure groups.
Read 4 tweets

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