Lancet is literally one of the most, if not the most, prestigious medical journal in the world.
If you don’t believe the actual medical journal then you’re lost. Plus Israel has bombed Gaza so much that they have destroyed all the hospitals and record keeping facilities. In addition, the US government passed a bill limiting publications from talking about the death toll. www.commondreams.org/…/genocide-denial-congress
On top of that, Israel has dropped a minimum of 300 bombs per day on Gaza since October 8th. If each bomb only killed one person, we would have a death toll of 300 per day x approximately 300 days is 90,000.