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"This also means being clear and firm with family members, neighbors, school staff etc., about what the expectation are.

It is important to be your child's advocate, and to do so on their terms," Koifman said."There are people who may not be knowledgeable on this topic and question your parenting, and ask why you 'let' your child be transgender; when in actuality you are doing exactly what is best, and supporting your child.

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That quarter includes 38 percent of respondents who identify as “completely male” and 21 percent of “completely female” respondents.

Not doing so can be detrimental to their well-being.

It is rare for kids who are consistent, insistent, and persistent in their identity to transition back to the gender they were assigned at birth.

Most kids as young as three begin to have an understanding about who they are with regard to their gender.

Tanya Koifman, a therapist who specializes in working with the LGBTQ community, explains how to support and accept kids from an early age.

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