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In recent years, a toxic fracture has appeared within the larger culture. A small but vocal minority, often called "TERFs" (Trans-Exclusionary Radical Feminists) or the "LGB Without the T" movement, argues that transgender issues dilute the "real" goals of gay and lesbian rights.

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The integration of the transgender movement into the broader LGBTQ+ acronym was a gradual process driven by shared experiences of persecution by state and medical authorities. Key figures like Virginia Prince In recent years, a toxic fracture has appeared