re: God dictates gender, which does not exist on a spectrum and cannot be changed

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Masculine and feminine are traits referring to your manner or appearance

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Yes, in the context of culture. It's subjective.

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they don’t change day to day

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It certainly can.

back in the day, we used to refer to men who wore feminine clothing as, "transvestites". But a man could wear a dress one day, and be feminine, and wear what we would generally agree to be masculine clothing the next day, and be masculine.

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being and a feminine man does not make me a woman

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Certainly not. If I were a woman, I would be offended that some guy thinking that mutilating his genitalia somehow makes him a woman.

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It’s a mental illness.

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It does seem to be linked to a person not being able to accept themselves within the culture that they live - conversely, it's also linked to the culture not accepting that individual for however the hell they want to appear and act.