I see more dismissal in this post about the unique needs of the teenaged female transitioners.
I see this study says:.
Effects of GnRHa on pubertal development are reversible.
yet goes on to mention:
Bone mineral density may be affected (Klink, Caris, Heijboer, van, & Rotteveel, 2015; Vlot et al., 2017), and since puberty is an important period for brain development (Sisk & Zehr, 2005), puberty suppression with GnRHa might also influence brain development. There is a lack of studies investigating effects of GnRHa on the brain. One study examined executive function and concluded that GnRHa treatment had no detrimental effects on performance (Staphorsius et al., 2015). However, a longitudinal study among 25 adopted girls treated with GnRHa for early puberty reported a decrease in IQ from 100.2 ± 12.7 to 93.1 ± 10.5 with a significant decline of performance score during treatment, but it was concluded that the decrease in IQ was not clinically relevant (Mul et al., 2001).
I consider it a sleight of hand move to say 'reversible' and then hand wave away the bone density issue and brain development issue.
And now of course, we also have had since then the brain swelling issue.
All issues that impact females mostly.
Not sure you can make your lack of concern for female teenagers any more clearer livvy. There have only been a few posters in the past who have done that thankfully. And they all had a commonality.
Either way, here is a bit on the bone density issue (did you post this before 'livvy'?)
www.ncbi.nlm.nih.gov/pmc/articles/PMC6709704/#S5title
Here is a study that shows female transitioners who took PBs did not ever recover their bone density as they discuss in the section on puberty blockers.
"However, Z-scores in the trans boys also showed an expected drop during GnRHa treatment. Similarly, they did not fully Bmake up their bone loss as Z-scores at age 22 were still lower than baseline (aBMD Z-score − 0.33 ± 1.12 and BMAD Z-score average − 0.033 ± 0.95), despitea small increase in absolute aBMD. One transman at age 22 had a Z-score of < −2.0."
www.degruyter.com/document/doi/10.1515/jpem-2021-0180/html
Revisiting the effect of GnRH analogue treatment on bone mineral density in young adolescents with gender dysphoria
Michael Biggs 2021
Anyone watching Leo would be rather horrified to here bone density hand waved so blithely:
www.svtplay.se/video/33358590/uppdrag-granskning/mission-investigate-trans-children-avsnitt-1
And finally. It is incontrovertible that the class action against Lupron covers many issues including ligament issues, teeth falling out as well as just the 'bone density' issues.
And... hey.... so female's lose a few IQ points. It is absolutely fine. Only girls and women .... nothing to worry about.