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gender dysphoria is a condition where a persons physical biological sex is one say a boy but in the persons mind they think theyre really a girl or vice versa its not something that you can identify on any objective test you cant do a blood test for example you cant do mri imaging you cant do genetic testing to actually find this gender identity my name is dr michael layla im an endocrinologist in rockland california this gender identity which is really a child saying i believe im this i believe im a boy i believe im a girl something opposite of their body once they say that they go down this road of gender affirmative therapy thats consists of social transition wearing say stereotypical clothes of the opposite sex to pretend that theyre the opposite sex then these puberty blockers then these cross-sex hormones and then finally surgical modifications to the body to try to make the person appear that theyre the opposite sex puberty blockers are are powerful hormones um the