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Gender may in part be a social construct, but that doesn’t make it not real. Social constructs are very real.
Playing basketball is a social construct. No two people play basketball exactly the same, and many people don’t even play by the exact socially accepted rules. Despite all these things, we can still use imprecise, incomplete words to usefully communicate groups of shared behaviors and preferences, and even offer nuance about those sets of behaviors and preferences, when the situation calls for it.
The genders are made up and the points don’t matter, but if one mf’er misgenders me, this house of cards collapses.