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I don't mean to be insensitive or intolerant, but I'd hardly call it a malformation. If I make the DECISION to change my gender that does not mean that my genitals are malformed. If I have a functioning penis with erections and semen and all of that, then it is not malfunctioning. It is a conscience decision that you are not happy how you are, but it does not inherently a malformation. It's the same for obese people: many people make the decision that they do not want to be obese and work to correct that. It does not mean they have bad metabolism or malfunctioning digestion.. it means they don't like how they are and want to change it.
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"I'm typing on a computer of science, which is being sent by science wires to a little science server where you can access it. I'm not typing on a computer of philosophy or religion or whatever other thing you think can be used to understand the universe because they're a poor substitute in the role of understanding the universe which exists independent from ourselves." - Willravel
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