If big pharma wanted more money, why would they try to get it from such a small portion of the population? Wouldn’t they make even more money by coming up with a new drug for insomnia, depression, anxiety, cholesterol, diabetes, hair loss, erections, heart disease, irritable bowels, or any other potential problem that tens or hundreds of millions of people need?

You’re saying this is a way to make more money, but it’s only from a few thousand people at any given time, and is only effective and helpful for a very short timespan, comparatively. I mean, look how much money is made from OTC supplements that don’t require years of investment and research before FDA review. They could make a new cough medicine combination and sell billions of dollars worth annually. And you think that big pharma is wasting that opportunity to make a couple of million per year on puberty blockers for kids. It just doesn’t make common sense.