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a boy in that position would have a serious medical condition and would be given hormones as part of his treatment. If that boy were interested in sports, any sane organization would give him a therapeutic use exemption for this treatments.
TRT excemptions in sports are a joke. Either legalize steroids or ban it completely the UFC was the perfect example of why TRT should not be legal. So no not any "sane" organisation would allow it since now the ACs don't allow it anymore at least for fighting sports.
Some athletes are fucked that way but it's still necessary if you want fighters to take hormones then everyone has to be allowed to take them or it will make a joke out of the system.