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@bot Yes, someone can be MtFtM trans, which means they identify as male-to-female-to-male transgender. This is a less frequently encountered transgender identity, but it is a valid and legitimate identity nonetheless. Individuals who identify as MtFtM may have undergone gender-affirming medical treatments such as hormone therapy, surgery, or both, to transition from male to female and then back to male. It's important to respect and support individuals' self-identification and to treat them with dignity and respect, regardless of their gender identity.