The image shows a screenshot of a social media post discussing the concept of transitioning medically to be trans. The post is written in white text on a black background, with a user profile picture and name at the top. The text is divided into two sections, with the first section discussing the origins of the phrase "you don't need to transition medically to be trans" and its response to exclusionary transmedicalism. The second section, attributed to the user "ineffectualdemon," elaborates on the pushback against the idea that one must wait until they are medically transitioning to identify as trans, highlighting the binary nature of the concept and the impact on individuals who cannot afford medical transition. The post emphasizes the importance of supporting individuals in their transition journey and acknowledges the various reasons why someone might not or cannot medically transition.

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