She looks awfully unhealthy. I’m guessing potential drug addiction. Could be poor health and prescription medications making her appearance to be so skeletal.
You are not the judge. Your unforgiveness will curse you
This could be true. I will let the biological unknowns remain until it is verified that she is really a he. I’m just trying to be “diverse” and “accepting” of what she(?) might want. Still looks extremely unhealthy. I’ve seen cancer patients that look better.