He's either got a mental disorder or a chromosomal abnormality. It's important to note that people with chromosomal abnormalities usually do not have gender dysphoria. So odds are that it's mental. I'm not going to lose sleep on this, you die on this hill if you want. My mind will not change.
You are harming him by telling him a lie and telling him his delusions are real. He's never going to be a pretty woman, telling that he is, does no one any good. It's a lie, and everyone is miserable if we don't live a life where we strive for the truth.
Since I've already gotten you to admit that you don't actually know what this person is, biologically, your attempt to high-road me all of a sudden isn't going to work. You're passing judgements you're not qualified to make, and that makes you the reason that kids are committing suicide.
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It takes a degree to diagnose someone with a disease, though.
https://bsky.app/profile/micahkolding.bsky.social/post/3li4eeh3hjs2t