USA Today said that in what represented an unprecedented move by the US armed forces, the Pentagon had approved Manning for treatment after a review.

“After carefully considering the recommendation that (hormone treatment) is medically appropriate and necessary, and weighing all associated safety and security risks presented, I approve adding [hormone treatment] to Inmate Manning’s treatment plan,” Col Erica Nelson, the commandant of Fort Leavenworth in Kansas, wrote in a memo on 5 February.”

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