The article is written from experience in one paediatric centre, when the pratice between different centres - and laws in different states - differ vastly.

Information about people seeking gender affirming care in different places and stages of transition is not refutable based on this article.

And it is anecdata - how many patients had positive outcomes? Article doesn’t tell you. What did the (brand new) centre learn from these cases with negative outcomes? What protocols was it using? Are they the same now? Are they common elsewhere?