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Procedures like cricothyroid approximation (to raise the pitch of the voice) are becoming more common for those seeking a total transformation.
Perhaps the most literal version of "extreme" is found in the boxing ring. Figures like (Nong Toom) broke global headlines by competing in the brutal world of Muay Thai while wearing makeup and identifying as a kathoey . exteme lady boys
Contestants often undergo years of vocal training, deportment lessons (the "glide" walk), and extreme skin-care regimens. deportment lessons (the "glide" walk)