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There's a growing body of evidence suggesting that transgenderism is caused by differences in brain structure -- in other words, a transgender individual is literally a woman's brain in a man's body (or vice versa).
Hormone therapy is most effective when begun at or shortly after the onset of puberty.
As for how I'd handle the situation, I don't know. I'd hope that I'd have the strength of character to be able to recognize and support my child's wishes.
This is one of those things I honestly hope I never have to face.
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I wake up in the morning more tired than before I slept
I get through cryin' and I'm sadder than before I wept
I get through thinkin' now, and the thoughts have left my head
I get through speakin' and I can't remember, not a word that I said
- Ben Harper, Show Me A Little Shame
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