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In the West, the focus is frequently on the "pathway" to transition, including hormone replacement therapy (HRT) and gender-affirming care, which is increasingly a point of political and social debate [3].

Young white trans-feminine individuals often navigate a unique set of societal pressures: young ladyboys white

Access to affirming healthcare and family support significantly improves mental health outcomes [3]. In the West, the focus is frequently on

between Thai kathoey culture and Western trans identities Impact of social media on youth gender expression In the West

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Social media platforms have created global spaces where "femboy" or "trans-feminine" aesthetics are popularized, sometimes blurring the lines between gender identity and performance art [4].