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Such as men taking estrogen or androgen blocker for medical reasons, liking the feminization and just transitioning, or having their genitals removed for cancer and just becoming women, or women having ovary cancer but just taking T instead
the case of HRT butches and femboys is interesting bc its like, is identifying as your AGAB while wanting features of the opposite gender considered a gender reason? a lot of ancient people had GNC groups that we now would call trans or nonbinary but nonetheless described themselves as "boys who live or dress as girls" or "men who want to pass as women."
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