If only there was some way to know what treatment trans patients should get

It uses gender throughout when it means sex. All of these protocols etc are based on sex and for very good reasons. Like following the wrong protocol might kill the patient.

So we have a group of people who come along and choose to muddy the waters, appear to be reluctant (from what I've previously read) to get involved in any trans-specific medical research - often decrying it as intrinsically 'transphobic' - and then complain when their needs aren't met.

By all means, conduct trans-specific medical research. But I suspect some of the results won't be welcomed by the trans 'community' when they fail to affirm. Or when they highlight negative consequences of pumping the human body full of exogenous opposite sex hormones.

It's just too hard!

Actually it probably is a bit. If you take hormones at high levels that are meant for the opposite sex, you do increase your risk of all kinds of nasty diseases. That could probably just be an add in. Are you a woman on huge doses of testosterone? Cardiac risk through the roof - tick.

What a load of cobblers. Gender assigned at birth - what does that even mean - you are a girl so must wear pink! It’s sex that matters in medical care. As medical records are confidential who apart from the doctor and patient will know what is written on them? I am sure there are ways of respecting a person’s life choices when interacting with them which doesn’t put their health at risk.

I read it earlier and thought exactly the same as you OP. Never read such fucking nonsense in my life. Absolute shame on any healthcare professional who comes out with incoherent drivel like this. Two words will solve all your problems, you idiots - BIOLOGICAL SEX!

I couldn't make it past the first line without needing to comment
"A host of algorithms used by medics to assess disease risk" I believe the first one is "are you a girl or boy? Algorithms are transphobic.