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When did a birth defect become a gender?

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Goralski · 51-55, M

Or an mental illness

Firespirit · 26-30, M

@Goralski: It can be as autism and such you are born with

Goralski · 51-55, M

@Firespirit: im talking about d he wants ta become a she and so on

Firespirit · 26-30, M

@Goralski: Well yeah gender dysphoria is a thing