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Mood drugs for the rich and famous kids who won’t behave?

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"they crave to be noticed... come out as transgender you are going to get a lot of attention,"

Not the whole story but could well be part of it. Take Steam Powered Giraffe, a band founded by to twins. One, now Bunny, was always second fiddle to his brother Spine on stage transed to be Bunny. Seems a bit extreme to avoid being the second best twin but what the hey.

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