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Gender dysphoria is a condition where a person's biological sex doesn't align with their gender identity; for instance, a boy may feel they are really a girl. This condition cannot be diagnosed through objective tests like blood tests or MRIs. Dr. Michael Layla, an endocrinologist in Rockland, California, explains that gender identity is expressed by a child believing they are a different gender than their physical body. Once this claim is made, the individual may undergo gender affirmative therapy, which includes social transition (e.g., adopting clothing of the opposite sex), puberty blockers, cross-sex hormones, and potentially surgical modifications to align their appearance with their gender identity. Puberty blockers are powerful hormones that play a key role in this process.