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Inside, ex-decathlon champ Jenner had always identified as a woman.

Emma is her black and white cat, at her home outside Syracuse in central New York State, 250 miles away.

He read books about being transgender and raked his memory for clues in Kat’s early childhood, but could not find any.

“Maybe she thinks this is the thing, and there’s something else going on,” he remembered thinking. ” He wished there were something scientific like a blood test that would give him 100 percent certainty. Boone recalls going into “a zombie trance,” a period of mourning for the child he thought he knew.

In March, New York’s Medicaid drew a line at that age, and at 21 for some procedures.

But the number of teenagers going through gender reassignment has been growing amid wider acceptance of transgender identity, more parental comfort with the treatment and the emergence of a number of willing practitioners.

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