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Wait a minute!
Didn't the Wikipedia article go into details about what surgical operations Dr Levine might have had? This is a very "complex and nuanced field," don't forget.
Your logic falls short of Euclidean,
'Cuz your binges are daily— quotidian.
No person of sense
Would abide your pretense,
All composed in a head of obsidian.
I think he pooped out the little darlings.
Actually, Levine's (then) wife had the little darlings in the usual way, long before Levine discovered that he really identified as a she, and transitioned.