A new study published in the Oxford Academic Journal of Sexual Medicine has confirmed the worst for subscribers to the transgender ideology, that men can become women and vice versa through the use of chemicals and surgical mutilations. It states that the results "demonstrated that those undergoing surgery were at significantly higher risk for depression, anxiety, suicidal ideation, and substance use disorders than those without surgery." It added, "Males with surgery showed a higher prevalence of depression … and anxiety. Females exhibited similar trends, with elevated depression … and anxiety. Feminizing individuals demonstrated particularly high risk for depression … and substance use disorders."