We've made an exception for transgender people because withholding care leads directly to worse, catastrophically worse, life outcomes. We don't start with conservative options when treating severe PCOS or similar disfiguring conditions. That's a bad faith argument. The younger you transition, the better your chance of living a normal life. The more gatekeeping there is, the more lives you ruin, forever. Gatekeeping gender affirming care leads directly to a lifetime of ostracization and eventual suicide.