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The Trump administration is waging an aggressive campaign to censor and dismantle LGBTQ+ health research, erasing critical data, banning key terms and suppressing scientific inquiry. These unprecedented attacks threaten not only academic freedom but also the health and lives of LGBTQ+ people. In response, researchers, medical organizations, and advocates must take bold action—filing lawsuits, protecting data and refusing to be silenced. The fight for scientific integrity and LGBTQ+ health equity has never been more urgent.