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I know a few trans or nonbinary folks. They either go by he, she, or they. I have yet to meet someone who doesn’t. Then again I live in a weird progressive rural community.
But if someone asks me to refer to them a particular way, sure what not? It means more to them than it means to me.
There was a lot more I missed when I switched, can’t think of anything now. I was going to joke that I miss being 19. But eh, I’m doing better now than I was then.