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A lack of trained providers and poor education of parents can also lead to significant delays in diagnosis and transition. Inherently, transgender adolescents are minors. Even with the intention to do the best things possible, their status as minors inhibits the amount of agency they have in approaching these decisions. Hormone therapy isn’t one size fits all. Developmental milestones don’t always line up with things like school years. The determining factor for puberty delaying therapy isn’t an age, for example, it’s a hormone level that marks a physiological developmental stage and it’s verified with a blood test, not a birth date. We should never lose sight of the fact that high school students are minors, that treatment of gender dysphoria is a medical decision, and that we don’t live in a perfect world.