Wow the mall is packed as I look around as Patti holds my hand."I better hold your hand, you look like such a little girl. I don't wantanyone stealing...you." Yea and you can't leave me alone dressed like a little girl." Oh stop, it's not like I dressed you as a teenage girl, you look morelike a little girl from elementary school."I see her smiling at me."Oh yea like thanks ha-ha-ha Patti I mean Aunt Patti." That's a good girl," Patti smiles at me."That's a pretty dress in the window, isn't it. He wishes to shape his body to match his sense of identity.But I have recently been treating a patient who has had quite theopposite experience. You see, this was a boy, who, up until reachingpuberty, had been, well, let's say, completely in the norm in terms ofhis physical appearance and his sense of gender identity. But when hereached puberty, he began to suffer from an acute case of gynecomastia. Although that condition is not uncommon for boys entering puberty, mypatient was unusual in two. More

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