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[Hide] (769.8KB, 500x281) There hasn't been medicine in the US since before it was founded cos there were patent medicine quacks writing the constitution. It's illegal to medicate in general. They banned fucking NAC for like a year or two lol.
If you want to engineer enhanced cuteness you've always needed medical tourism.
It's not like there are any cute american trannies anyway, the existing program is clearly inferior to whatever bullshit the chinks and gooks are doing.
Your Fortune: Bad Luck