Hmmmm. Let’s see. Could there be a comorbidity or a contributing factor? Reckless administration of hormones just might confuse the biology.
I scanned the article for mention of hormone use or puberty blockers in the study, but all they mention were “transgender or gender non-conforming.” You’d think that they’d ask the CRITICAL question of the drugs used to “affirm their transgenderism,” but, nope.