Health
‘Gender-affirming’ treatments don’t benefit youth, says pediatricians group: ‘Irreversible consequences’
A national organization of pediatricians and other health care professionals claims that “gender-affirming” therapies have not been shown to benefit adolescents with gender dysphoria.
The American College of Pediatricians (ACPeds), based in Florida, released a position statement on Feb. 7 stating that “social transition, puberty blockers and cross-sex hormones have no demonstrable, long-term benefit on the psychosocial well-being of adolescents with gender dysphoria.”
“A review of at least 60 research papers demonstrates no benefit to social affirmation, puberty blockers, cross-sex hormones or surgical interventions for these youth,” lead author and vice president of ACPeds, Dr. Jane Anderson, wrote in an email to Fox News Digital.
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All 60 of the reviewed studies focused on the mental health of adolescents struggling with gender dysphoria.
The position statement was voted on and passed by the ACPeds board and members, a spokesperson told Fox News Digital.
A national organization of pediatricians and other health care professionals claims that “gender-affirming” therapies have not been shown to benefit adolescents with gender dysphoria. (iStock)
In a fact sheet summarizing the findings, ACPeds noted that “youth whose perceived gender identity does not align with their biological sex have high rates of mental health problems regardless of any affirmation of their gender identities.”
Adolescents who identify as “gender-incongruent” often have existing mental health illnesses, including depression and anxiety, according to Anderson.
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ACPeds also stated that over half of LGBTQ+ sexual minority individuals experience “adverse childhood experiences,” including child abuse.
Transgender youth reported the highest levels of abuse and neglect, the data showed.
The researchers said their review “casts doubt on claims that social affirmation (like using desired pronouns) of transgender-identified youth helps their long-term psychosocial well-being.”
The researchers found that the use of puberty-blocking drugs — medications that delay puberty in children — did not have significant benefits for young people experiencing gender dysphoria. (iStock)
“Adolescents have immature brains and should not be allowed to make decisions with lifelong implications, such as decreased fertility, when they are so young,” Anderson told Fox News Digital.
In terms of specific therapies, the researchers found that the use of puberty-blocking drugs — medications that delay puberty in children — did not have significant benefits for youths experiencing gender dysphoria.
“Adolescents have immature brains and should not be allowed to make decisions with lifelong implications, such as decreased fertility, when they are so young.”
“A study [that] purported to show a ‘lifetime suicidal ideation’ reduction in those who received puberty blockers actually found twice as many serious suicidal attempts in participants who received the blockers than in those who just wished they had received them,” the study’s fact sheet noted.
Cross-sex hormonal interventions — treatments that trigger a transition to a desired gender — were also shown to have “little mental health benefit” and were even linked to a higher need for psychiatric care, ACPeds stated.
The data shows that a large percentage of gender-dysphoric adolescents will ultimately identify with their birth sex — which means in those cases the treatments are proven unnecessary, a doctor said. (iStock)
The review also discovered that many teens who pursue gender-affirming therapy — whether surgical or hormonal — ultimately revert to their biological gender.
“There are individuals who now express regret regarding their transition,” Anderson told Fox News Digital.
Doctors react to the report
Dr. Brett Osborn, a Florida neurologist and longevity expert, was not involved in the analysis but shared his input on the topic, which he said is “often fueled by political bias and religious undertones.”
“I agree with the position statement of the ACPeds,” he told Fox News Digital. “Namely, a holistic approach with intense psychiatric interventions should be adopted prior to any gender-altering therapeutic.”
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The data shows that a large percentage of gender-dysphoric adolescents will ultimately identify with their birth sex, which means in those cases the treatments are proven unnecessary, the doctor noted.
“Medical professionals should strive to address gender dysphoria primarily through a holistic psychological approach — involving both the patient and family — before more invasive pharmaceutical or surgical measures,” Osborn told Fox News Digital.
Dr. Brett Osborn, a Florida neurologist and longevity expert, said he agrees with the position statement issued by the ACPeds. (Dr. Brett Osborn)
While taking hormone-altering therapies or transitioning to the opposite sex has become “all the rage,” he said, the data suggests there is no long-term mental health benefit.
“In addition, those opting for hormone-altering therapies are potentially interfering with not only sexual development, but also brain development,” Osborn warned. “Testosterone and estrogen, the hormones primarily manipulated with such therapies, are integral to memory formation and mood.”
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The doctor also noted the dangers associated with “gender-affirming” surgeries.
“Adolescents, prior to undergoing intense psychiatric therapy, are opting for sex-change operations in an almost whimsical manner,” he said. “But this is short-sighted, and the decision is often tainted by ongoing psychological issues.”
He added, “Such surgeries permanently alter one’s physical appearance, carrying with them irreversible consequences, such as infertility and sexual dysfunction.”
“Adolescents, prior to undergoing intense psychiatric therapy, are opting for sex-change operations in an almost whimsical manner,” a doctor said. (Cyberguy.com)
Adolescents haven’t lived long enough to make such high-level decisions, according to Osborn.
“They’re confused,” he said. “An alternative must be sought.”
Dr. Marc Siegel, clinical professor of medicine at NYU Langone Medical Center and a Fox News medical contributor, was also not involved in the ACPeds study, but commented on the findings of what he described as a “conservative advocacy group.”
“Hormone-altering therapies are potentially interfering with not only sexual development, but also brain development.”
“I am in favor of a more conservative approach as well in minors,” he told Fox News Digital.
“Long-term effects of puberty blockers may include bone loss, trouble concentrating, interference with learning and interference with fertility.”
Siegel added, “I think it makes sense in most cases to treat underlying mental health concerns before jumping into treatments, including surgery, that may be difficult to reverse.”
Dr. Marc Siegel, clinical professor of medicine at NYU Langone Medical Center and a Fox News medical contributor, warned of the long-term effects of puberty blockers. (Fox News)
The doctor also emphasized that gender issues should not be overly politicized.
“This means not superimposing an ideology or pushing physicians to act in a certain way or under pressure,” Siegel said.
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“The welfare of the child must come first. In this case, it means going very slowly and providing support to a child or teen with gender dysphoria.”
Siegel also pointed out that many U.K. and European countries, from Sweden to France, have restricted gender-affirming care for adolescents in favor of mental health support.
Organizations in favor of gender-affirming procedures
The American Medical Association (AMA) states on its website that “improving access to gender-affirming care is an important means of improving health outcomes for the transgender population.”
“Receipt of gender-affirming care has been linked to dramatically reduced rates of suicide attempts, decreased rates of depression and anxiety, decreased substance use, improved HIV medication adherence and reduced rates of harmful self-prescribed hormone use,” the organization claimed.
Many U.K. and European countries, from Sweden to France, have restricted gender-affirming care for adolescents in favor of mental health support. (iStock)
The AMA also said it supports public and private health insurance coverage for the treatment of gender dysphoria.
The Office of Population Affairs (OASH), part of the Department of Health and Human Services, released a similar statement in support of gender-affirming care, calling it a “supportive form of health care that may include medical, surgical, mental health and non-medical services for transgender and nonbinary people.”
“The welfare of the child must come first.”
“Research demonstrates that gender-affirming care improves the mental health and overall well-being of gender-diverse children and adolescents,” the statement continued.
OASH claimed that gender-affirming care allows “transgender and nonbinary children and adolescents” to focus on social transitions and can increase their confidence in navigating the health care system.
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The American Academy of Pediatrics (AAP) also has expressed support of gender-affirming care, stating on its website that it recommends “providing youth with access to comprehensive gender-affirming and developmentally appropriate health care.”
The AAP also calls for electronic health records, notifications and research files to be updated to reflect the patient’s desired gender identity.
Fox News Digital reached out to the AMA, OASH and the American Academy of Pediatrics requesting comment on the ACPeds study.
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Health
Alzheimer’s prevention breakthrough found in decades-old seizure drug
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A drug that has long been used to treat seizures has shown promise as a potential means of Alzheimer’s prevention, a new study suggests.
The anti-seizure medication, levetiracetam, was first approved by the FDA in November 1999 under the brand name Keppra as a therapy for partial-onset seizures in adults. The approval has since expanded to include children and other types of seizures.
Northwestern University researchers recently found that levetiracetam prevented the formation of toxic amyloid beta peptides, which are small protein fragments in the brain that are commonly seen in Alzheimer’s patients.
The medication was found to prevent the formation of amyloid-beta 42 in both animal models and cultured human neurons, according to the study findings, which were published in Science Translational Medicine.
The effect was also seen in post-mortem human brain tissue obtained from individuals with Down syndrome, who are at high risk for Alzheimer’s disease.
The medication was found to prevent the formation of amyloid-beta 42 in both animal models and cultured human neurons. (iStock)
“While many of the Alzheimer’s drugs currently on the market, such as lecanemab and donanemab, are approved to clear existing amyloid plaques, we’ve identified this mechanism that prevents the production of the amyloid‑beta 42 peptides and amyloid plaques,” said corresponding author Jeffrey Savas, associate professor of behavioral neurology at Northwestern University Feinberg School of Medicine, in a press release.
“Our new results uncovered new biology while also opening doors for new drug targets.”
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The brain is better able to avoid the pathway that produces toxic amyloid‑beta 42 proteins in younger years, but the aging process gradually weakens that ability, Savas noted.
“This is not a statement of disease; this is just a part of aging. But in brains developing Alzheimer’s, too many neurons go astray, and that’s when you get amyloid-beta 42 production,” he said.
The effect was also seen in post-mortem human brain tissue obtained from individuals with Down syndrome, who are at high risk for Alzheimer’s disease. (iStock)
That then leads to tau (“tangles”) — abnormal clumps of protein inside brain neurons — which can kill brain cells, trigger neuroinflammation and lead to dementia.
In order for levetiracetam to function as an Alzheimer’s blocker, high-risk patients would have to start taking it “very, very early,” Savas said — up to 20 years before elevated amyloid-beta 42 levels would be detected.
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“You couldn’t take this when you already have dementia, because the brain has already undergone a number of irreversible changes and a lot of cell death,” the researcher noted.
The researchers also did a deep dive into previous human clinical data to determine whether Alzheimer’s patients who were taking the anti-seizure drug had slower cognitive decline. They reported that the patients in that category had a “significant delay” in the span from cognitive decline to death compared to those not taking the drug.
“This analysis supports the positive effect of levetiracetam to slow the progression of Alzheimer’s pathology,” the researcher said. (iStock)
“Although the magnitude of change was small (on the scale of a few years), this analysis supports the positive effect of levetiracetam to slow the progression of Alzheimer’s pathology,” Savas said.
Looking ahead, the research team aims to find people who have genetic forms of Alzheimer’s to participate in testing, Savas said.
Limitations and caveats
The study had several limitations, including that it relied on animal models and cultured cells, with no human trials conducted.
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Because the study was observational in nature, it can’t prove that the medication caused the prevention of the toxic brain proteins, the researchers acknowledged.
Savas noted that levetiracetam “is not perfect,” cautioning that it breaks down in the body very quickly.
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The team is currently working to create a “better version” that would last longer in the body and “better target the mechanism that prevents the production of the plaques.”
“You couldn’t take this when you already have dementia, because the brain has already undergone a number of irreversible changes and a lot of cell death.”
The medication’s common documented side effects include drowsiness, weakness, dizziness, irritability, headache, loss of appetite and nasal congestion.
It has also been linked to potential mood and behavior changes, including anxiety, depression, agitation and aggression, according to the prescribing information. In rare cases, it could lead to severe allergic reactions, skin reactions, blood disorders and suicidal ideation.
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Funding for the study was provided by the National Institutes of Health and the Cure Alzheimer’s Fund.
Fox News Digital reached out to the drug manufacturer and the researchers for comment.
Health
Seniors over 80 who eat specific diet may be less likely to reach 100 years old
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Older adults who avoid meat in their golden years may be less likely to reach age 100 than their meat-eating counterparts, new research suggests.
Researchers tracked more than 5,000 adults aged 80 or older who were enrolled in the Chinese Longitudinal Healthy Longevity Survey.
Between 1998 and 2018, data showed that those who did not eat meat were less likely to reach their 100th birthday than those who consumed animal products regularly.
The findings seem to contradict previous studies that have linked vegetarianism and plant-based diets to lower risks of heart disease, stroke, diabetes and obesity.
Most evidence supporting the benefits of plant-based diets comes from studies tracking younger populations, the researchers noted.
The findings contrast with previous research praising plant-based diets for their positive influence on heart health. (iStock)
The study, published in The American Journal of Clinical Nutrition, points to losses in muscle mass and bone density with age, shifts that can increase the risk of malnutrition and frailty in the “oldest old.”
As people enter their 80s and 90s, the nutritional priority often shifts from preventing long-term chronic diseases to maintaining day-to-day physical function, experts say.
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“The headline ‘vegetarians over 80 less likely to reach 100’ sounds surprising, because it contrasts with decades of data linking plant‑forward diets to lower chronic disease risk earlier in life,” Erin Palinski-Wade, a New Jersey-based registered dietitian, told Fox News Digital.
“However, once you see that this research is limited to adults over the age of 80 who are also underweight — and that this link disappears with the consumption of eggs, dairy and fish — the results are less surprising.”
While diets earlier in life tend to emphasize avoiding long-term disease, older age necessitates nutrients and weight maintenance, experts say. (iStock)
In those over 80, restricting animal proteins may be less likely to promote longevity, according to Palinski-Wade, who was not involved in the study.
Eliminating all animal protein — particularly in a population that may already experience diminished hunger cues — can make it more difficult to meet adequate protein needs, potentially increasing the risk of nutrient deficiencies, the nutritionist said.
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In addition to a higher tendency to be underweight, older populations also face a greater risk of bone fractures due to lower calcium and protein intake.
Potential limitations
The lower rate of vegetarians reaching 100 was only observed in participants identified as underweight, the researchers noted. No such association was found in people who maintained a healthy weight.
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Because being underweight is already linked to greater frailty and mortality risk, the researchers noted that body weight may partly explain the findings, making it difficult to determine whether diet itself played a direct role.
Those incorporating animal-sourced products other than meat were just as likely to live to 100. (iStock)
Additionally, the shortened lifespans were not found in people who continued to eat non-meat animal products, such as fish, dairy and eggs.
Older adults with these more flexible diets were just as likely to live to 100 as those eating meat, as these foods may provide the nutrients necessary for maintaining muscle and bone health, the researchers noted.
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“This is an observational study, so it can only show associations, and does not prove that avoiding meat directly reduces the odds of reaching 100,” Palinski-Wade added.
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The researchers suggested that including small amounts of animal-sourced foods could help older seniors maintain essential nutrients and avoid the muscle loss often seen in those who stick strictly to plants.
Eliminating all animal protein — particularly in a population that may already experience diminished hunger cues — can make it more difficult to meet adequate protein needs, potentially increasing the risk of nutrient deficiencies. (iStock)
Palinski-Wade offered some guidance for those looking to optimize nutrition later in life.
“For adults in their 80s and beyond, especially anyone losing weight or muscle, the priority should be maintaining a healthy weight and meeting protein and micronutrient needs — even if that means adding or increasing fish, eggs, dairy or well‑planned, fortified plant proteins and supplements.”
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Strict vegan or very low‑protein patterns at that age should be carefully monitored by a dietitian or clinician, with attention to B12, vitamin D, calcium and total protein, according to Palinski-Wade.
“Younger and healthier adults can still confidently use plant‑forward or vegetarian patterns to lower long‑term chronic disease risk,” she added.
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