Just six weeks after his Senate confirmation, Mountain Brook urologist turned Assistant Secretary for Health Brian Christine's office published ' Treatment for Pediatric Gender Dysphoria: Review of Evidence and Best Practices ,' a peer-reviewed study examining the well-documented and studied medical risks associated with attempts to change children's biological sex.

The report, a review of evidence and best practices, released through Christine's office, was commissioned pursuant to Executive Order 14187, which President Donald Trump signed on January 28, 2025.

It found that "the harms from sex-rejecting procedures — including puberty blockers, cross-sex hormones, and surgical operations — are significant, long-term, and too often ignored or inadequately tracked," according to

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