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The hospital’s Transyouth center is among the oldest and largest programs in the country, and among the only facilities that provides puberty blockers, hormones and surgical procedures for trans youth on public insurance.

In “Super Agers,” Topol writes at length about the bidirectional communication between gut hormones and the brain, and calls it critical to healthy immune function.

Exactly why exercise has this beneficial effect is unknown, but ideas include the impact on growth hormones, inflammation levels in the body and how the immune system functions - which patrols the body for cancer.

He’s a pretty normal kid: weight bench, acne, enough stinky hormones that Piper gifts him a can of cheap body spray.

Existing NHS guidance allows the hormones to be prescribed people aged 16 and over.