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Culturally and philosophically I would consider them a man but when I consider who I want to have s*x with I don't always consider it on a cultural and philosophical level.

Very ugly females that identify as women for example are also culturally and philosophically women but I don't want to have s*x with them either because they're ugly.

Snapshots:

https://boards.4chan.org/v/thread/694635139#p694635139:

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