You didn't check before responding?
Methylphenidate isn't licensed, in the UK at least for treatment of narcolepsy, but it is used. Making it as valid a comparison as those you post.
I'm not sure what your point even is. That they use Methylphenidate off label for a medical condition like narcolepsy so it must be ok to use puberty blockers off label for mental health in children? There's been a 4 year review of the evidence on puberty blockers and it was found lacking. If you're concerned about a different specific drug I suggest you address the NHS and ask for a similar in depth review.
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