Frontier Centre for Public Policy
Transition Troubles: Medical Risks and Regret Among Trans Teens
From the Frontier Centre for Public Policy
By Lee Harding
Do teens going through cross-gender hormones and surgeries know what they’re doing? A leak of internal conversations by the World Professional Association for Transgender Health shows even some doctors administering the procedures have serious doubts.
The U.S. advocacy organization Environmental Progress, led by president and founder Michael Shellenberger, made the leaks public.
“The WPATH Files show that what is called ‘gender medicine’ is neither science nor medicine,” Shellenberger said in a press release.
A short list of excerpts highlighted many telling comments.
Child psychologist Dianne Berg, who co-authored the child chapter of the 8th edition of WPATH Standards of Care, said young girls don’t understand what it means to get male hormones.
“[It is] out of their developmental range to understand the extent to which some of these medical interventions are impacting them. They’ll say they understand, but then they’ll say something else that makes you think, oh, they didn’t really understand that they are going to have facial hair.”
Canadian endocrinologist Dr. Daniel Metzger acknowledged, “We’re often explaining these sorts of things to people who haven’t even had biology in high school yet.”
Metzger said neither he nor his colleagues were surprised at a Dutch study that found some young post-transition adults regretted losing their fertility.
“It’s always a good theory that you talk about fertility preservation with a 14-year old, but I know I’m talking to a blank wall. They’d be like, ew, kids, babies, gross,” Metzger said.
“I think now that I follow a lot of kids into their mid-twenties, I’m like, ‘Oh, the dog isn’t doing it for you, is it?’ They’re like, ‘No, I just found this wonderful partner, and now want kids.’ … It doesn’t surprise me.
“Most of the kids are nowhere in any kind of a brain space to really talk about [fertility preservation] in a serious way.”
While youth keeps some from grasping the lifelong consequences of their actions, mental illness does the same for others. But that doesn’t always mean the doctors refuse to transition them.
One gender therapist administered cross-sex hormones to a patient with dissociative identity disorder. The therapist said asking the split personalities if they approved the treatment was ethical. Otherwise, a lawsuit could follow.
In one case, a nurse practitioner struggled with how to handle a patient with PTSD, major depressive disorder, observed dissociations, and schizoid typical traits who wanted to go on hormone therapy. Somehow the clear moral dilemma was lost on Dr. Dan Karasic, lead author of the mental health chapter of WPATH Standards of Care 8.
Karasic replied, “I’m missing why you are perplexed… The mere presence of psychiatric illness should not block a person’s ability to start hormones if they have persistent gender dysphoria, capacity to consent, and the benefits of starting hormones outweigh the risks…So why the internal struggle as to ‘the right thing to do?’”
Testosterone injections carry cancer risks for those born female. In one case, a doctor acknowledged a 16-year-old had two liver masses, one 11 cm by 11 cm, and another 7 cm by 7 cm, and “the oncologist and surgeon both have indicated that the likely offending agent(s) are the hormones.”
The friend and colleague of one doctor received close to ten years of male hormones, leading to hepatocarcinoma. “To the best of my knowledge, it was linked to his hormone treatment… it was so advanced that he opted for palliative care and died a couple of months later,” the doctor said.
Some female-born transitioning patients had terrible pain during orgasms, while males on estrogen complained of erections “feeling like broken glass.”
The future may be even stranger, according to one doctor.
“I think we are going to see a wave of non-binary affirming requests for surgery that will include non-standard procedures. I have worked with clients who identify as non-binary, agender, and Eunuchs who have wanted atypical surgical procedures, many of which either don’t exist in nature or represent the first of their kind and therefore probably have few examples of best practices,” the doctor said.
Unsurprisingly, some people regret their medical transitions and want to change back. Some WPATH members want to discount this altogether. WPATH President Marci Bowers admitted, “[A]cknowledgment that de-transition exists even to a minor extent is considered off limits for many in our community.”
An unnamed researcher thought it was just a matter of perspective, saying, “What is problematic is the idea of detransitioning, as it frames being cisgender as the default and reinforces transness as a pathology. It makes more sense to frame gender as something that can shift over time, and to figure out ways to support people making the choices they want to make in the moment, with the understanding that feelings around decisions [may] change over time.”
Should our physical being be substantially altered and re-altered according to our feelings? Is transitioning a matter of mental health or self-expression? At least Alberta is putting the brakes on these dubious practices for minors. Other provinces should follow.
Lee Harding is a research fellow for the Frontier Centre for Public Policy.
Censorship Industrial Complex
A Democracy That Can’t Take A Joke Won’t Tolerate Dissent
From the Frontier Centre for Public Policy
By Collin May
Targeting comedians is a sign of political insecurity
A democracy that fears its comedians is a democracy in trouble. That truth landed hard when Graham Linehan, the Irish writer behind Father Ted and The IT Crowd, stepped off a plane at Heathrow on Sept. 1, 2025, and was met by five London Metropolitan Police officers ready to arrest him for three posts on X.
Returning to the UK from Arizona, he was taken into custody on the charge of “suspicion of inciting violence”, an allegation levelled with increasing ease in an age wary of offence. His actual “crime” amounted to three posts, the most contentious being a joke about trans-identified men in exclusively female spaces and a suggestion that violated women respond with a swift blow to a very sensitive part of the male’s not-yet-physically-transitioned anatomy.
The reaction to Linehan’s arrest, from J.K. Rowling to a wide array of commentators, was unqualified condemnation. Many wondered whether free speech had become a museum piece in the UK. Asked about the incident, British Prime Minister Keir Starmer defended his country’s reputation for free expression but declined to address the arrest itself.
Canada has faced its own pressures on comedic expression. In 2022, comedian Mike Ward saw a 12-year legal saga end when the Supreme Court of Canada ruled five-to-four that the Quebec Human Rights Commission had no jurisdiction to hear a complaint about comments Ward made regarding a disabled Quebec boy. The ruling confirmed that human rights bodies cannot police artistic expression when no discrimination in services or employment has occurred. In that case, comic licence survived narrowly.
These cases reveal a broader trend. Governments and institutions increasingly frame comedy as a risk rather than a social pressure valve. In an environment fixated on avoiding perceived harm, humour becomes an easy and symbolic target. Linehan’s arrest underscores the fragility of free speech, especially in comedic form, in countries that claim to value democratic openness.
Comedy has long occupied an unusual place in public life. One of its earliest literary appearances is in Homer’s Iliad. A common soldier, Thersites, is ugly, sharp-tongued and irreverent. He speaks with a freedom others will not risk, mocking Agamemnon and voicing the frustrations of rank-and-file soldiers. He represents the instinct to puncture pretension. In this sense, comedy and philosophy share a willingness to speak uncomfortable truths that power prefers to avoid.
Aristotle, in his Poetics, noted that tragedy imitates noble actions and depicts people who are to be taken seriously. Comedy, by contrast, imitates those who appear inferior. Yet this lowly status is precisely what gives comedy its political usefulness. It allows performers to say what respectable voices cannot, revealing hypocrisies that formal discourse leaves untouched.
In the Iliad, Thersites does not escape punishment. Odysseus, striving to restore order, strikes him with Agamemnon’s staff, and the soldiers laugh as Thersites is silenced. The scene captures a familiar dynamic. Comedy can expose authority’s flaws, but authority often responds by asserting its dominance. The details shift across history, but the pattern endures.
Modern democracies are showing similar impatience. Comedy provides a way to question conventions without inviting formal conflict. When governments treat jokes as misconduct, they are not protecting the public from harm. They are signalling discomfort with scrutiny. Confident systems do not fear irreverence; insecure ones do.
The growing targeting of comedians matters because it reflects a shift toward institutions that view dissent, even in comedic form, as a liability. Such an approach narrows the space for open dialogue and misunderstands comedy’s role in democratic life. A society confident in itself tolerates mockery because it trusts its citizens to distinguish humour from harm.
In October, the British Crown Prosecution Service announced it would not pursue charges against Linehan. The London Metropolitan Police Service also said it would stop recording “non-crime hate incidents”, a controversial category used to document allegations of hateful behaviour even when no law has been broken. These reversals are welcome, but they do not erase the deeper unease that allowed the arrest to happen.
Comedy survives, but its environment is shifting. In an era where leaders are quick to adopt moral language while avoiding meaningful accountability, humour becomes more necessary, not less. It remains one of the few public tools capable of exposing the distance between political rhetoric and reality.
The danger is that in places where Agamemnon’s folly, leadership driven by pride and insecurity, takes root, those who speak uncomfortable truths may find themselves facing not symbolic correction but formal sanctions. A democracy that begins by targeting its jesters rarely stops there.
Collin May is a Senior Fellow with the Frontier Centre for Public Policy, a lawyer, and Adjunct Lecturer in Community Health Sciences at the University of Calgary, with degrees in law (Dalhousie University), a Masters in Theological Studies (Harvard) and a Diplome d’etudes approfondies (Ecole des hautes etudes, Paris).
Food
Canada Still Serves Up Food Dyes The FDA Has Banned
From the Frontier Centre for Public Policy
By Lee Harding
Canada is falling behind on food safety by continuing to allow seven synthetic food dyes that the United States and several other jurisdictions are banning due to clear health risks.
The United States is banning nine synthetic food dyes linked to health risks, but Canada is keeping them on store shelves. That’s a mistake.
On April 22, 2025, the U.S. Department of Health and Human Services and the Food and Drug Administration (FDA) announced they would ban nine petroleum-based dyes, artificial colourings that give candies, soft drinks and snack foods their bright colours, from U.S. foods before 2028.
The agencies’ directors said the additives presented health risks and offered no nutritional value. In August, the FDA targeted Orange B and Citrus Red No. 2 for even quicker removal.
The good news for Canada is that Orange B was banned here long ago, in 1980, while Citrus Red No. 2 is barely used at all. It is allowed at two parts per million in orange skins. Also, Canada reduced the maximum permitted level for other synthetic dyes following a review in 2016.
The bad news for Canadians is that regulators will keep allowing seven dyes that the U.S. plans to ban, with one possible exception. Health Canada will review Erythrosine (called Red 3 in the U.S.) next year. The FDA banned the substance from cosmetics and drugs applied to the skin in 1990 but waited decades to do the same for food.
All nine dyes targeted by the FDA have shown evidence of tumours in animal studies, often at doses achievable through diet. Over 20 years of meta-analyses also show each dye increases the risk of attention deficit hyperactivity disorder in eight to 10 per cent of children, with a greater risk in mixtures.
At least seven dyes demonstrate broad-spectrum toxicity, especially affecting the liver and kidneys. Several have been found to show estrogenic endocrine effects, triggering female hormones and causing unwanted risks for both males and females. Six dyes have clinical proof of causing DNA damage, while five show microbiome disruption in the gut. One to two per cent of the population is allergic to them, some severely so.
The dyes also carry a risk of dose dependency, or addiction, especially when multiple dyes are combined, a common occurrence in processed foods.
U.S. research suggests the average child consumes 20 to 50 milligrams of synthetic dyes per day, translating to 7.3 to 18.25 kilograms (16.1 to 40.2 pounds) per year. It might be less for Canadian kids now, but eating even a “mere” 20 pounds of synthetic dyes per year doesn’t sound healthy.
It’s debatable how to properly regulate these dyes. Regulators don’t dispute that scientists have found tumours and other problems in rats given large amounts of the dyes. What’s less clear are the implications for humans with typical diets. With so much evidence piling up, some countries have already taken decisive action.
Allura Red (Red 40), slated for removal in the U.S., was previously banned in Denmark, Belgium, France, Switzerland, Sweden and Norway. However, these countries were forced to accept the dye in 2009 when the European Union harmonized its regulations across member countries.
Nevertheless, the E.U. has done what Canada has not and banned Citrus Red No. 2 and Fast Green FCF (Green 3), as have the U.K. and Australia. Unlike Canada, these countries have also restricted the use of Erythrosine (Red 3). And whereas product labels in the E.U. warn that the dyes risk triggering hyperactivity in children, Canadians receive no such warning.
Canadian regulators could defend the status quo, but there’s a strong case for emulating the E.U. in its labelling and bans. Health Canada should expand its review to include the dyes banned by the E.U. and those the U.S. is targeting. Alignment with peers would be good for health and trade, ensuring Canadian manufacturers don’t face export barriers or costly reformulations when selling abroad.
It’s true that natural alternatives present challenges. Dr. Sylvain Charlebois, a food policy expert and professor at Dalhousie University, wrote that while natural alternatives, such as curcumin, carotenes, paprika extract, anthocyanins and beet juice, can replace synthetic dyes, “they come with trade-offs: less vibrancy, greater sensitivity to heat and light, and higher costs.”
Regardless, that option may soon look better. The FDA is fast-tracking a review of calcium phosphate, galdieria blue extract, gardenia blue, butterfly pea flower extract and other natural alternatives to synthetic food dyes. Canada should consider doing the same, not only for safety reasons but to add value to its agri-food sector.
Ultimately, we don’t need colour additives in our food at all. They’re an unnecessary cosmetic that disguises what food really is.
Yes, it’s more fun to have a coloured candy or cupcake than not.What’s less fun is cancer, cognitive disorders, leaky gut and hormonal disruptions. Canada must choose.
Lee Harding is a research fellow for the Frontier Centre for Public Policy.
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