text:  secondary sex characteristics consistent with their gender or with their sex assigned at birth, even though that might significantly worsen gender dysphoria, increase the risk of suicide, and I think critically make it much harder to live and be accepted in their gender identity as an adult because if you're requiring someone to undergo a male puberty and they develop an Adam's apple, that's going to be hard to reverse and they're more likely to be identified as transgender and subject to discrimination and harassment as adults.