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Person with gender dysphoria here. I've still heard the phrase in Canada by nurses & staff. Also heard it several years ago when living in USA by doctors & staff. Unsure why you think I was referring to internet forums? I thought those were deprecated since 2009.

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https://www.google.com/search?q=chemical+imbalance+theory

Unsure why you're linking that. Do you not realize by my first comment that I'm describing the theory as nonsense compared to what I wrote? edit: ah thanks for the clarification.

My intent was to support your comment, not contradict it. By reassuring anyone who might read this that the chemical imbalance angle has rightly fallen out of favor.

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