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The American Academy of Pediatrics has stated that "sexual orientation probably is not determined by any one factor but by a combination of genetic, hormonal, and environmental influences. Because testosterone in general is important for sexual differentiation, this view offers an alternative to the suggestion that male homosexuality is genetic. As detailed by the commission, verbiage such as "gay marriage" or "homosexuality" aren't inclusive and erase bisexual people's identity. In some cases, animals will choose to engage in sexual activity with different sexes at different times in their lives, and will sometimes engage in sexual activity with different sexes at random. American Psychiatric Association. Several studies comparing bisexuals with hetero- or homosexuals have indicated that bisexuals have higher rates of sexual activity, fantasy or erotic interest.

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The Independent Books. Bisexual men masturbated more but had fewer happy marriages than heterosexuals. Retrieved 3 October Retrieved 22 November

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