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: Many individuals recognize their identity through a sense of "not fitting in" from an early age, though others may explore and affirm their identity much later in life. Cultural Themes and Strengths Cultural Competence in the Care of LGBTQ Patients - NCBI

: An umbrella term for people whose gender identity—their internal sense of being a man, woman, or another gender—differs from the sex they were assigned at birth. shemale bum cumming

: Individuals who do not identify strictly as male or female; they may identify as both, neither, or a completely different gender. : Many individuals recognize their identity through a