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I have to agree, anyone who lives as a vampire and truly believes it is being delusional and is putting themselves at risk by doing so.

Transgender people are those who are changing their bodies and legal information in order to be comfortablein their body.

They are not claiming to do it with magick or to become a different species, and bar the social dangers they are not putting themself in severe medical danger like sanguine humans are by drinking blood.