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I myself thought this (or at least was not sure) when I first heard the news, but the fire department incidents convinced me solid. Those would be...

"It's all a conspiracy and ackshually he is roleplaying online as the victim of a horribly botched surgery because it's part of his fetish! I'm in...

Saying something like 'truly trans' is like saying somebody is or isn't 'truly schizophrenic'.