The study involves a large number of people over approximately a quarter century, and its methodology is very robust. I don’t believe it’s an argument against recognition and kindness towards gender minorities, either intended or de facto.

It also focuses specifically on young cohorts so there are no people who loved in the closet for half of their lives. The range of medical transitioning described is by no means limited to surgery, and I don’t believe that therapy and hormones work differently in Finland compared to the rest of the world.

The primary takeaway here is that our understanding of gender and how to alter it is very poor and so treatment outcomes are often poor. That’s a call to more research and more efficacy, not calling trans people names and shunning them.

I understand why you’re defensive, it isn’t an unreasonable stance, but please do read the study at least.

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It’s in the study under the controls section.

“The Population Information System provided four male and four female controls, matched for birth year and municipality of birth for each gender-referred individual. The index date of the gender-referred person was assigned to all controls.”

Obviously the control population can’t also be GR so they’re going to have different experiences, but that’s presumably offset by matching eight to one. After all at the population level you’ll have people with plenty of trauma and illness over 25 years, even if the causes will differ from GR individuals.

I find that this is often caused by extensions that block canvas fingerprinting or tweak your user string or block HTML5 autoplaying videos.