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In , the unsuspecting public was shocked to discover that the model who had inspired Gottlieb's depictions of petites femmes fatales was in fact Elbe. The Danish government did not have the patience for the sluggishness of the WHO. MtF ratio of the referred patients was 1. Different states have different policies. Psychologist Laura Edwards-Leeper of Pacific University in Oregon notes Denmark will still require that psychological evaluation be conducted before any medical intervention.
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