E. B. Tylor's idea that humans have only one choice, namely either to marry out or to die out, has become the most commonplace functional explanation. The necessity to marry out is always a corollary to the prohibition to marry sisters.
And most neurologists are in the habit of prescribing antispasticity drugs like tizanidine and baclofen, which are oral and inexpensive, but which cause drowsiness and weaken every muscle in the body, not just the target ones.
The problem is exactly the one you have stated: many people would not be comfortable with a sudden genderswap in the Doctor, when the possibility has not even been hinted at in the past.
To him every Acholi was a rebel, …. Every time we captured an Acholi, we had to kill them, and Drago hated this.
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