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Employees at Siam Swan Cosmetic Clinic in Bangkok stand in the lobby of the upscale spa and treatment center where John Mark Karr on had laser hair removal procedures on Monday, August 21, 2006. Dermatologist Setthakarn Attakonpan says Karr told him he was taking hormones for a sex change operation. PHOTO BY TODD HEISLER/ROCKY MOUNTAIN NEWS ***Setthakarn Attakonpan

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