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While Ginny has always had naturally high oestrogen levels and developed breasts naturally, when Julia transitioned, having first bought female hormones being sold illegally online she then asked her doctor to prescribe them. Cisgender describes individuals whose gender identity is comfortably congruent with the sex they were assigned at birth. Chang, S. Despite wanting to move slowly, Julia proposed to Ginny in November by suggesting they both pose for a photo in wedding dresses as a joke. Boss, P.

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Best practice mental health literature supports an affirmative approach to working with families of gender expansive young people and considers acceptance the best form of protection against negative outcomes Malpas

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