Indeed, some issues do require nuanced reflection and discussion. Unfortunately, at present, our society does not do nuance well.
For example, the matter of transgendered athletes participating in athletics against cisgender athletes poses challenges and questions of fairness that require compromises I've yet to see either side even discuss, let alone come close to finalizing to any kind of mutually respectful and compassionate conclusion.
Also, as someone with many friends and family in the LGBTQ community, I have seen it isn't really accurate to assume everyone within this broad grouping of subgroups is in lockstep on all the issues. There is much disagreement at times between people who identify with LGBTQ on the basis of sexual orientation vs. those who identify based on gender identification. Their interests do sometimes conflict. Some identify as both gay and transgender.
It is complicated. It requires nuance.
What is not complicated is that we are all human beings and we must make the effort to really listen to each other, treating each other with dignity. Nobody can instantly understand the other person's perspective. They might make assumptions, but they risk being wrong. It starts by listening to what each side feels they need and why.
At times all sides are guilty of blanking each other out. We can't go on pretending certain people don't exist or should not exist just because we don't like them. Or don't understand them. Or disagree with them. Or find them very inconvenient.
As for medical treatments for adolescents, it is concerning if we still lack all the long term safety data we need. But since I don't know what the outcomes are for early medical intervention vs. transitions made later in life, I am going to abstain from the discussion and let transgender people speak for themselves, and I will just listen.