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I'm sure it would affect brain development, yes. The brain undergoes a lot of radical changes during puberty, the "connections" are completely re-wired and it is thought to be as big and important a change as that which takes place during infancy. Without a natural/normal puberty the brain would miss out on the biggest stage of development of our lives.
It's really very frightening when you think about what's really being done to these children.
They have to. Puberty impacts the brain as well as the sex organs. Also, its clear the brain is impacted because 99% of kids who take blockers go on to choose cross-sex hormones over real puberty (whereas the majority of kids who are left alone desist after puberty)