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Responding to objections to gatekeeping for hormone replacement therapy

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  • Contributors Each coauthor has made equal contributions to this paper, both in planning and execution. TCS, DR and BPB each contributed sections of text to the draft and were involved in the editing process.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • We were informed by the editorial team that Ashley now wishes to be referred to by ‘they/them’ pronouns.

  • It is worth pointing out that there are other examples of where prior psychological assessment is recommended and considered routine prior to receiving treatment. One such example is bariatric surgery, which involves individuals who experience stigmatisation.7 The purpose of the psychological evaluation is to assess the patient’s ability to manage the preoperative and postoperative demands of the surgery on account of the high prevalence of psychiatric morbidity in this population.8 9

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