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CNN Nicholas Ballou binds his chest each day before leaving his home. It's so tight he often finds it hard to breathe and has gotten lightheaded. Throughout the day, he might touch his chest or adjust the wrap -- a nervous habit. Nothing can be out of place.

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When Sara Davis Buechner began her transition from man to woman, she knew there were going to be emotional hurdles, like dealing with her family.

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In the past six years, Claire, an IT infrastructure engineer living in New York, has spent thousands of dollars on medical care that most Americans never have to think about. There was hormone therapy, hair removal, and what's known as "bottom surgery. She asked that Business Insider withhold her last name to protect her privacy. I am able to exist without fear, without compromise.

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