I've looked into this pretty extensively. The mainstream of the transgender community today is aligned behind their parents who are aligned behind the doctors. There is no evidence from long term clinical studies to support this concern, though there is plenty of evidence of it happening on toxic web sites like this one , twitter and reddit. You're talking about a fringe element of people self-medicating against the advice of global advocates and local organizers.
Yes, there are highly unethical doctors fast tracking women into hormones and surgery, but again, that is on the fringe. When proper standards of care are followed, the person is screened for at least a few months before hormones are prescribed and they are living in the mode of their preferred gender for over a year before they can access surgery.
In recent long term clinical findings, transgender youth who are raised in a supportive environment test out on a par with or superior to their cisgender classmates across the board on behavioral health parameters and academic achievement. Most notably, the suicide rate was 4% which is lower than the average for privileged cisgender children, who kill themselves at a rate of 7-8 % . The suicide rates in the inner cities and on reservations is usually over 10%
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The only thing I have to say to any of this foolish blather is that I have used heroin four times in my entire life and crystal meth once. To say that i am addicted to these drugs is a despicable lie being told by a very stupid fucking baby machine enslaved to a butcher. I do not use anything but weed and tobacco on a daily basis. I haven't had enough to drink to get drunk in over 30 years. Other than weed, i'll use psychedelics a few times a year.