I agree that your work has effectively challenges false narratives, particularly the claim that hysterectomies are being performed on young patients, and emphasizes the importance of supportive care like name changes and affirming environments. While Carballo is right to highlight the dangers of fear-mongering and the use of harmful language, such as "mutilation," it’s important to also acknowledge that misinformation about gender-affirming care spreads through various sources, not just individual books. Im curious as I see that while detransitioning rates are low, I would love to hear this view analyzed more from your articles of the affects of how research and education are necessary to ensure all medical practices are informed, accessible, and ethically communicated?