I'd figure that genetics and pre-natal hormonal influences are both factors in type, but I'd also take into account one's formative years and the behavioral and nutritional factors that accompany it, though I'd place a latter on the former set of influences, with the former of the former set being the prime determinant.
"To become is just like falling asleep. You never know exactly when it happens, the transition, the magic, and you think, if you could only recall that exact moment of crossing the line then you would understand everything; you would see it all"
"Angels dancing on the head of a pin dissolve into nothingness at the bedside of a dying child."
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