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This combination of two images taken on Thursday, January 15, 2015, shows Pakistani Riasat Hussain, 19, posing for a picture at a friend's place in Rawalpindi, Pakistan. Across conservative Pakistan, where Islamic extremists launch near-daily attacks and many follow a strict interpretation of their Muslim faith, male cross-dressers and the transgendered face a challenge of balancing two identities. Some left their villages for the anonymity of a big city, fearing the reactions of their families while still concealing their identity from neighbors and co-workers. (Photo by Muhammed Muheisen/AP Photo)
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