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The study is a review of secondary sources, i.e. databases from different countries, but it does not specify in detail the collection it makes and the inclusion and exclusion criteria. 

The analyses are set according to categories that are also not very well defined, but I understand that the analyses it does show how treatment can be accessed earlier. 

The most interesting part of the study is part of its conclusions: they say that "the phenomenon could be related to increased accessibility to care". I do not agree with what they say about a "favourable social context", seeing the increase in hate speech, and more so in the populations they have indicated. This nuance is important to avoid any confusion or hypothesis that talks about the notion of social contagion as a hypothesis about the genesis of transgender people.

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