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testosterone will "have certain irreversible effects such as the deepening of Alex's voice, the promotion of facial and body liberal hair, muscular development liberal and liberal enlargement of the clitoris," according to the summary ruling of Family Court judge Alastair Nicholson.Once she turns 18 she will be able to have surgery to make changes to her sexual and reproductive organs.Nicholson, who referred to the girl in his judgment as "he," heard testimony that painted a picture of a girl who regarded herself as a boy from a young age, preferring activities usually enjoyed by boys. Alex lives with an aunt, and a government welfare department is her guardian, which brought the case on her behalf.The court heard that her father, with whom she was very close and who treated her as if she was a boy, died when she was five. The court was unable to contact her estranged mother, whose whereabouts are unknown.With onset of puberty, Alex began to develop suicidal tendencies, which the judge said was "due to his body not matching his male gender identity."Nicholson
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