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There's a few options here:
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It's a more obvious move than we think it is.
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She's a femboy.
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All of the above.
All are good options, really.
Or a trans women.
Could have read all those askMen threads on "what guys do weird" that got posted once a week. Discreet ball adjustment was always mentioned high up on the old site.
Or more than likely, personal experience
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what manga is this?
the summer hikaru died