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most children have a stable sense of their gender identity by age four, and research substantiates that children who are prepubertal and assert a transgender or gender-diverse identity know their gender as clearly and consistently as their developmentally equivalent peers who identify as cisgender and benefit from the same level of social acceptance. A 2022 review found that most pre-pubertal children who socially transition persist in their identity in 5- to 7-year follow-ups. Gender dysphoria

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