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The fuss over LGBTQ is unwarranted. First, LGB are sexual orientations; I'm a B, Kinsey scale one or two, never acted on it. T has nothing to do with sexual orientation; it's gender dysphoria. The only T I ever consciously knew went from a man having sex with women to a woman having sex with women.

EU data show us that about 0.3% of people over 20 are transgender; US data show 0.5%. So, since populations are similar, it's about 0.4% globally, or less than a quarter of the number of flat-earth enthusiasts. There is no sound scientific data to support clusters. After med school I practiced psychiatry for a short time. Only encountered a few transgendered people. I told them that I couldn't do anything more for them than counsel them about coping mechanisms. We knew too little about puberty blockers; we know more today, and that reinforces my refusal.

It's been more than thirty years since I last practiced psychiatry or any other form of medicine. I try to keep up with psychiatry through my NEJM subscription and reading NIH articles. Nothing has changed in the science. We should join hands and walk with these people through the pathways of life without taking advantage of them for political purposes. Their lives are tough enough already.

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