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	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

There he was, that 20-year-old Ivy League student who had always done well in his life.
Top of his class throughout high school, made dean’s list every semester in college, and accepted to medical school.
There he was with plenty of friends, a loving family, and a big smile.
Wasn't his life perfect?
Step inside his head and find a different life.
There he was, that 20-year-old pathetic, disgusting gay student.
Lonelier than ever, crying every other night, and wishing he could be someone else.
Wishing that the right to have a traditional family had not been stolen from him.
There he was, with the fear of disappointment and pain of rejection.
Far from perfect, it was a life he did not want to have.
It was a life he did not want to live.

Robert Li Kitts, MD

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