GIDS only referred young people for puberty blockers. They didn't offer extended ongoing talking therapy or physical interventions. Little is known about the long-term side effects of using puberty blockers to treat this condition, because they function very differently when used in gender distress young people. The NHS and its official guidance acknowledges that we don’t know what long-term impact blocking puberty might have on brain development,. cognitive development, on sexuality, on the development of other identities.

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