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The push for gender-neutral pronouns (they/them/ze) and inclusive language originated within trans and non-binary circles and has since permeated mainstream corporate and social environments.

(or trans) person has a gender identity that differs from the sex they were assigned at birth. Gender vs. Sex big ass shemale

One cannot write about the transgender community without addressing the medical-industrial complex. Unlike sexual orientation, which requires no medical validation, transgender identity has historically been pathologized as "Gender Identity Disorder" (now Gender Dysphoria in the DSM-5). which requires no medical validation

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