@katiefenn well, no clinical reason has been given because there isn’t any. There can’t be because it’s been clear for decades that the gatekeeping in trans healthcare has always only been in service to discrimination and worries of financial liability.
GPs receive very-little-to-nothing in the way of training to diagnose or even recognize Gender Incongruence (ICD-11) or Gender Dysphoria (DSM-5), so the only possible reason for this is to keep people from receiving treatment