I’m afraid you underestimate how stubborn youngsters are, and how convinced of their own invincibility. Add to that the social media echo chamber, and it’s a fairly lost cause. I tried to have this conversation with a young trans person, but I think it all fell on deaf ears. He told me he was aware of the side effects, and went ahead with the hormones.

What is needed to move the needle is trans youth to come out in droves on TikTok talking about the negative health outcomes they’ve experienced from hormones and surgery.