Tim Pool frames it perfectly
(media.scored.co)
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You bring up a good point. Personally, I would put the line at taking all that hormone shit. This is because stuff like gender dysphoria is a real treatable condition. It's kinda nutty, sure, but all that's needed is for that therapist to be trying to help them not have gender dysphoria anymore. Telling them it's okay to transition is just awful and I would like to see all such therapists fired if they are harming their patients like that.
A lot of these troons become crazy and terrible, but I think most of them were just confused and could have been saved. So I do pity who they once were.