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As early as 200–300 B.C., priests known as galli lived as women and are recognized by scholars as early transgender figures.

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The transgender community is a diverse group within the broader LGBTQ culture, characterized by a shared commitment to , social justice , and the creation of inclusive spaces . While often grouped under the LGBTQ umbrella due to shared histories of marginalization, the transgender experience is distinct, focusing on gender identity (one’s internal sense of being) rather than sexual orientation. Key Pillars of Transgender and LGBTQ Culture Cultural Competence in the Care of LGBTQ Patients - NCBI As early as 200–300 B