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What these people refer to as "gender ideology" is actually just slightly more advanced science. Gender is a real thing that exists in the brain, multiple means by which the brain and body can develop contradictory gender/sex characteristics have been identified, and almost 150 years of scientific research support the validity of transgender people and the benefit of gender transition for people who need it.
Being anti-trans is being anti-science.
Its similar to the "there are only two genders, that's basic science!" Yeah, you're right, in the way that in basic science there are only 3 phases of materials. Then you get to more advanced science and things change.