In this Thursday, Oct. 8, 2015, photo, Theo Ramos, 14, center, talks with endocrinologist Dr. Alejandro Diaz, center, accompanied by his mother, Lori, in Miami. Doctors say going slow when treating trans teens is essential for their physical and emotional well-being, and note that if a teen’s feelings last until age 16, their desires are probably permanent. (AP Photo/Lynne Sladky) **FILE**
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