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"biological" males get male pattern baldness and wear light up hats.
biological males meaning in this pop context (not sufficiently descriptive for a scientific context) entities who are expressing a male genome. trans girls don't get and can even recover from MPB, because they are not "biologically male" (they express a complete female genome thx to their complete X chromes and the beauty of the binary & totalizingly sweeping sexual hormone switch). the brain is well known for its remarkable plasticity, too, so if you acknowledge differences between the sexes and treat trans ladies as men, you are actually just a huge dick harassing a female sentience. That IS literally goblin mode