Everyone has issues, with others, with society's expectations, with their own bodies. Some more so than others.
Usually I'm fine with people doing what they want. Where I think this gets tricky is when I think of how I'd react if a family member developed this issue. I'd be pretty horrified and would probably do as much as possible to prevent them from harming themselves. It's an instinctual reaction and I'm not sure I could handle it in any other way.
I do think something is "wrong" in their brain and it could be medicated, same way you can medicate away lots of tendencies, both positively and negatively.
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